Visceral Disease in Castration-resistant Prostate Cancer
Journal Paper/Review - Nov 22, 2013
Pezaro Carmel J, de Bono Johann S, Tunariu Nina, Crespo Mateus, Altavilla Amelia, Riisnaes Ruth, Mukherji Deborah, Bianchini Diletta, Ferraldeschi Roberta, Nava Rodrigues Daniel, Lorente David, Omlin Aurelius, Attard Gerhardt
Metastatic involvement of the viscera in men with advanced castration-resistant prostate cancer (CRPC) has been poorly characterised to date. In 359 CRPC patients treated between June 2003 and December 2011, the frequency of radiologically detected visceral metastases before death was 32%. Of the 92 patients with computed tomography performed within 3 mo of death, 49% had visceral metastases. Visceral metastases most commonly involved the liver (20%) and lung (13%). Median survival from diagnosis of visceral disease was 7.1 mo (95% confidence interval, 5.9-8.3). Survival was affected by the degree of bone involvement at detection of visceral disease, varying from 6.1 mo in men with more than six bone metastases to 18.2 mo in men with no bone metastases (p=0.001). Heterogeneity was noted in clinical phenotypes and prostate-specific antigen trends at development of visceral metastases. Visceral metastases are now more commonly detected in men with CRPC, likely due to the introduction of novel survival-prolonging treatments.