Indian Journal of Urology Users online:2873  
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Year : 2009  |  Volume : 25  |  Issue : 1  |  Page : 47-51

Role of maximum androgen blockade in advanced prostate cancer

Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA

Correspondence Address:
Rajinikanth Ayyathurai
Department of Urology, University of Miami Miller School of Medicine, P.O. Box 016960 (M814), Miami, Fl 33101
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-1591.45536

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Androgen ablation is the mainstay treatment for advanced prostate cancer (PC). Researchers proposed that maximum androgen blockade (MAB) therapy with antiandrogen agent in combination with castration might result in a better outcome among patients with advanced PC. In the last two decades, numerous trials and pooled data analyses were conducted to optimize the role of MAB in the treatment of metastatic PC. Non-steroidal antiandrogens administered as part of MAB proved to have a small (3%) survival benefit, however, the magnitude of this difference is of questionable clinical significance. Available evidence suggests that MAB should not be routinely offered to patients with metastatic PC, however, it should remain a reasonable option when discussing management. The standard first line treatment should be a monotherapy, consisting of orchiectomy or LHRH agonist. MAB still has a role as a short-term therapy (2-4 weeks). The ongoing large sample population based prospective studies may add new dimensions in the use of MAB in treatment of the prostate cancer in future.

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