Prostate-specific antigen-all that rises is not refractory.

Urology

Department of Radiation Oncology, Southern California Permanente Medical Group, Los Angeles, California, USA.

Published: May 2001

AI Article Synopsis

  • After starting androgen suppression, men with prostate cancer typically see their PSA levels drop, but a rise can indicate resistant cancer.
  • In a specific case, a patient showed increased PSA and testosterone levels following depot leuprolide treatment.
  • The introduction of bicalutamide led to a decrease in the patient's PSA levels afterwards.

Article Abstract

After the initiation of androgen suppression in men with prostate cancer, the serum prostate-specific antigen (PSA) level generally declines. A subsequent PSA rise during that suppression usually reflects the presence of a significant component of hormonally refractory prostate cancer. We report a patient with a rising PSA level and elevated testosterone level after depot leuprolide in whom the PSA level subsequently declined with administration of bicalutamide.

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http://dx.doi.org/10.1016/s0090-4295(01)00911-6DOI Listing

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