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Advances and Controversies in Prostate Cancer, An Issue of Urologic Clinics - E-Book

Advances and Controversies in Prostate Cancer, An Issue of Urologic Clinics - E-Book

William K. Oh | James C. Hu

(2010)

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Book Details

Abstract

An estimated 234,000 new cases of prostate cancer will be diagnosed in the United States this year, making it one of the most common cancers affecting American men; however, it can be a controversial disease to diagnose and treat now that there is research abounding for both “watchful waiting” and aggressive treatments. Dr. Oh supplies balanced information, with articles on: Prostate Cancer: To Screen or Not To Screen?; High Intensity Focused Ultrasound: Ready for Primetime?; The Case for Open vs. Robotic Assisted Laparoscopic Radical Prostatectomy; Primary and Salvage Prostate Cancer Cryotherapy; and The Case for Open vs. Robotic Assisted Laparoscopic Radical Prostatectomy, to name a few. The state-of-the art information presented in this issue make is must-have for all urologists.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors iii
Contents vii
Urologic Clinics of North America xi
Preface xii
Chapter 1. Prostate Cancer: To Screen or Not to Screen? 1
THE BURDEN OF PROSTATE CANCER 1
WHY SCREEN: RATIONALE FOR SCREENING 2
LEAD TIMES AND OVERDIAGNOSIS 2
PROSTATE CANCER SCREENING TOOLS 3
TO SCREEN OR NOT TO SCREEN USING PSA: THE PLCO AND ERSPC STUDIES 4
EFFECT OF SCREENING FOR PROSTATE CANCER ON QUALITY OF LIFE 5
WHO SHOULD BE SCREENED? 7
WHAT IS A CLINICIAN TO DO? 7
SUMMARY 7
REFERENCES 7
Chapter 2. Chemoprevention of Prostate Cancer 11
RATIONALE FOR CHEMOPREVENTION OF PROSTATE CANCER 12
CHEMOPREVENTION TRIALS IN PROSTATE CANCER 13
CHEMOPREVENTION AND PROSTATE CANCER RISK 18
SUMMARY 19
REFERENCES 19
Chapter 3. Update on Prostate Imaging 23
ULTRASOUND 23
COMPUTED TOMOGRAPHY 23
MAGNETIC RESONANCE IMAGING 23
ACKNOWLEDGMENTS 24
REFERENCES 24
Chapter 4. High-intensity Focused Ultrasound: Ready for Primetime 27
HIFU TECHNIQUE 28
CURRENT MARKET PRODUCTS 28
MECHANISM OF ACTION 29
PATIENT SELECTION 30
TREATMENT OUTCOMES 31
FOLLOW-UP 32
COMPLICATIONS 32
SUMMARY 32
REFERENCES 33
Chapter 5. Overcoming the Learning Curve for Robotic-assisted Laparoscopic Radical Prostatectomy 37
LEARNING CURVE: THE CHALLENGE OF RADICAL PROSTATECTOMY 38
TECHNICAL CHALLENGES OF RALP 39
THE BRIGHAM & WOMEN’S HOSPITAL TECHNIQUE 41
TIPS FOR THE BEGINNER 44
REFERENCES 45
Chapter 6. The Case for Open Radical Prostatectomy 49
COST 51
PERIOPERATIVE OUTCOMES 51
ONCOLOGICAL OUTCOMES 52
FUNCTIONAL OUTCOMES 53
SUMMARY 54
REFERENCES 54
Chapter 7. Controversies Surrounding Lymph Node Dissection for Prostate Cancer 57
DETERMINING IN WHOM TO PERFORM PELVIC LYMPHADENECTOMY 57
EVALUATING THE ROLE OF IMAGING IN IDENTIFYING LYMPH NODE INVASION 58
EXAMINING THE IMPORTANCE OF THE ANATOMIC TEMPLATE 59
TAKING INTO ACCOUNT THE SURGICAL APPROACH 60
ASSESSING THE RATIONALE FOR PELVIC LYMPH NODE DISSECTION 61
CONTEMPLATING THE RISKS OF PELVIC LYMPH NODE DISSECTION 62
SUMMARY 63
ACKNOWLEDGMENTS 63
REFERENCES 63
Primary and Salvage Cryotherapy for Prostate Cancer 67
CRYOINJURY 67
FACTORS AFFECTING TISSUE DESTRUCTION DURING CRYOTHERAPY 67
SURVEILLANCE AFTER CRYOTHERAPY 69
PRIMARY CRYOTHERAPY 70
FOCAL CRYOTHERAPY 71
SALVAGE CRYOTHERAPY 74
OUTCOMES 75
COMPLICATIONS OF CRYOTHERAPY 76
SUMMARY 78
REFERENCES 79
Chapter 8. Current Topics in the Treatment of Prostate Cancer with Low-Dose-Rate Brachytherapy 83
THE DEVELOPMENT OF A REAL-TIME ULTRASOUND-GUIDED IMPLANT TECHNIQUE 83
BRACHYTHERAPY AND RADIATION DOSE 84
TRIMODALITY THERAPY FOR HIGH-RISK PROSTATE CANCER 85
LONG-TERM OUTCOMES 88
BRACHYTHERAPY-ASSOCIATED MORBIDITY 88
REFERENCES 93
Chapter 9. Neoadjuvant and Adjuvant Therapies in Prostate Cancer 97
HT 98
CHEMOTHERAPY 100
ADJUVANT RADIOTHERAPY 101
SUMMARY 102
REFERENCES 102
Chapter 10. Novel Targeted Therapies for Prostate Cancer 105
ANDROGEN RECEPTOR SIGNALING 105
VASCULAR ENDOTHELIAL GROWTH FACTOR AND RECEPTOR 107
APOPTOSIS 108
CHAPERONE PROTEINS 109
INSULINLIKE GROWTH FACTOR-1 RECEPTOR 110
PHOSPHATIDYLINOSITOL-3-KINASE (PI3K)-AKT SIGNALING PATHWAY 110
BONE TARGETING 111
CYTOTOXIC AGENTS 113
SUMMARY 114
REFERENCES 114
Chapter 11. Immunotherapy for Prostate Cancer: An Emerging Treatment Modality 121
ACTIVE IMMUNOTHERAPY FOR PROSTATE CANCER 122
COMBINING CONVENTIONAL THERAPY WITH ACTIVE IMMUNOTHERAPY 124
IMMUNE MODULATORS (BRAKES AND ACCELERATORS) 125
MONOCLONAL ANTIBODIES 126
SUMMARY 126
REFERENCES 127
Chapter 12. Blood and Tissue Biomarkers in Prostate Cancer: State of the Art 131
TISSUE BIOMARKERS 132
BLOOD BIOMARKERS 135
SUMMARY 137
REFERENCES 137
Index 143