Prostate-specific membrane antigen-positron emission tomography/computed tomography (PSMA-PET/CT)-guided stereotactic ablative body radiotherapy for oligometastatic prostate cancer: a single-institution experience and review of the published literature.

To report the outcomes of stereotactic ablative body radiotherapy (SABR) in men with oligometastatic prostate cancer (PCa) diagnosed on prostate-specific membrane antigen (PSMA)-positron emission tomography/computed tomography (PET/CT), based on a single-institution experience and the published literature. This was a retrospective cohort study of the first 20 consecutive men with oligometastatic PCa, treated with SABR in […]

Guiding management of therapy in prostate cancer: time to switch from conventional imaging to PSMA PET?

Radiolabelled small molecules for imaging prostate cancer have rapidly emerged over the last few years with gallium-68-labelled prostate-specific-membrane-antigen-11 (68Ga-PSMA11), the most widely used. However, the current evidence-based guidelines for management of prostate cancer were established using computed tomography (CT), magnetic resonance imaging (MRI) and bone scan, despite their limitations. Prostate-specific-membrane antigen (PSMA) positron-emission tomography (PET)/CT, […]

18F-Flourodeoxy glucose PET-computed tomography in testicular carcinoma: diagnostic and prognostic value.

This study aims to assess the diagnostic role of F-FDG PET/computed tomography in primary staging and restaging of testicular cancer in comparison with contrast-enhanced diagnostic thoracic-abdominopelvic computed tomography. Thirty-two consecutive male patients with testicular carcinoma (median age: 29, min-max: 17-65) who were referred to the nuclear medicine department for F-FDG PET/computed tomography were retrospectively included […]

Which Patients with Clinically Node-positive Prostate Cancer Should Be Considered for Radical Prostatectomy as Part of Multimodal Treatment? The Impact of Nodal Burden on Long-term Outcomes.

A role for local therapies including radical prostatectomy (RP) in prostate cancer (PCa) patients with clinical lymphadenopathies has been proposed. However, no data are available to identify men who would benefit from RP in this setting. To identify predictors of clinical recurrence (CR) in surgically managed PCa patients with clinical lymphadenopathies. We identified 162 patients […]

ESMO 2019: Results from a Global Patient Survey: Diagnosis, Management, and Burden of Renal Cell Carcinomas – A Medical Oncologist’s Perspective

Barcelona, Spain (UroToday.com) A large-scale global survey of renal cell carcinoma (RCC) patients to capture real-world experiences has never been undertaken. The International Kidney Cancer Coalition (IKCC) is a federation of 38 affiliated patient organizations representing 1.2 million patients worldwide that is committed to reducing the global burden of kidney cancer. In this abstract, the […]

ESMO 2019: Results of the Phase 2 TRAXAR Study: A Randomized Phase 2 Trial of Axitinib and TRC105 (TRAX) versus Axitinib Alone in Patients with Advanced or Metastatic Renal Cell Carcinoma

Barcelona, Spain (UroToday.com) Inhibition of angiogenesis using either tyrosine kinase inhibitors against the VEGF receptor (e.g. pazopanib, axitinib, cabozantinib) or antibodies against circulating VEGF (e.g. bevacizumab) have been effective therapies in advanced renal cell carcinoma. Preclinical data has previously implicated endoglin, a receptor on the surface of endothelial cells, as a resistance mechanism for VEGF/VEGFR […]

ESMO 2019: Invited Discussant: Results of the IMVigor130 Study of Atezoluzumab as Monotherapy, or in Combination with Platinum Chemotherapy for Patients with Advanced or Metastatic Urothelial Carcinoma

Barcelona, Spain (UroToday.com) Thomas Powles, MBBS, discussed the results presented in a prior ESMO 2019 session of the IMVigor130 study of atezolizumab as monotherapy or in combination with platinum chemotherapy compared with chemotherapy alone as first line therapy in locally advanced or metastatic urothelial carcinoma. Immunotherapy with either pembrolizumab or atezolizumab has been recently improved […]

ESMO 2019: APACHE: An Open Label, Randomized, Phase II Study of Durvalumab Alone or in Combination with Tremelimumab, in Patients with Refractory Germ Cell Tumors: Results from the Expanded Combination Therapy Cohort

Barcelona, Spain (UroToday.com) Interim results from APACHE have been published, with the monotherapy (durvalumab) arm stopped for futility among patients with refractory germ cell tumors1. The evidence from the durvalumab monotherapy arm were even more negative than that reported for monotherapy pembrolizumab amongst similar patients2. At the European Society of Medical Oncology (ESMO) 2019 Annual […]

ESMO 2019: Immune Therapy in Combination with Targeted Therapy

Barcelona, Spain (UroToday.com) Given that targeted therapies and immunotherapy have different mechanisms of action, it is reasonable to consider that the combination of targeted therapy with immunotherapy would achieve superior clinical outcomes relative to either modality alone. At a special symposium of the immune-oncology landscape for first-line treatment of metastatic urothelial cancer, Dr. Yohann Loriot […]

ESMO 2019: Efficacy and Safety of Nivolumab in Combination with Docetaxel in Men with Metastatic Castration-Resistant Prostate Cancer in CheckMate 9KD

Barcelona, Spain (UroToday.com) The antitumor activity of programmed death-1 (PD-1)/PD-1 ligand 1 (PD-L1) inhibition alone is limited in patients with metastatic castration-resistant prostate cancer (mCRPC). This may be due to the immunologically “cold” nature of the tumor and low tumor PD-L1 expression1. Combining immunotherapy with standard-of-care chemotherapy could improve outcomes in mCRPC. At the Prostate […]

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