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Buserelin as primary therapy in advanced prostatic carcinoma.

Abstract
The effectiveness of buserelin, a luteinizing hormone-releasing hormone agonist, was tested in 28 patients with Stages C or D adenocarcinoma of the prostate. Of 24 evaluable patients, there were 13 partial responses (54%) by National Prostatic Cancer Project criteria, median duration greater than 6 months. Nine patients had stable disease (38%), median duration greater than 5 months, and only two patients progressed. Performance status improved in 38%, patient-scored pain improved in 46%, and quality of life improved in 57%. Symptoms occurring during treatment consisted of hot flashes, loss of libido, and impotence. A flare of symptoms was observed in only one patient, despite a transient 25% increase in testosterone in 36% of patients. Buserelin is an effective treatment for inducing frequent and meaningful remissions in advanced prostatic cancer.
AuthorsC A Presant, M S Soloway, S S Klioze, J W Kosola, A L Yakabow, R G Mendez, P S Kennedy, M R Wyres, V L Naessig, K S Ford
JournalCancer (Cancer) Vol. 56 Issue 10 Pg. 2416-9 (Nov 15 1985) ISSN: 0008-543X [Print] United States
PMID3930064 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Testosterone
  • Diethylstilbestrol
  • Buserelin
Topics
  • Adult
  • Aged
  • Buserelin (metabolism, therapeutic use)
  • Castration
  • Diethylstilbestrol (therapeutic use)
  • Humans
  • Male
  • Middle Aged
  • Pain (pathology)
  • Prostatic Neoplasms (drug therapy, pathology)
  • Quality of Life
  • Testosterone (blood)

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