Hormone-Refractory Prostate Cancer:

A Continuum of Diseases and Options


PRESENT LOCATION

Oliver Sartor, MD (1)

Professor of Medicine and Urology

Tulane Medical School

1430 Tulane Ave

New Orleans, LA 70112

Office Ph # 504-988-2750


Edited from PCRI Insights November, 2005 vol. 8 no.4


Introduction

It is possible that hormones can sometimes cure, but unfortunately, that seems to be true only in a minority of patients. Certainly if the disease has become significantly advanced at the time that hormonal therapy has begun, the probability of that cure is greatly diminished. There is clear data to indicate that the duration of response to hormonal therapy is inversely related to the volume of the disease. . . .


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Preventing / Treating Possible Chemotherapy Induced Peripheral Neuropathy


Introduction

There are two main toxicities to the extremities -- skin and nails and peripheral neuropathy - nerves.  The definition list attempts to make the distinction clear. 


Definitions


Nail Toxicity - this might manifest itself in various ways such as hyperpigmentation, splinter hemorrhage, subungual hematoma, cessation of nail growth, orange discoloration, etc. There is also


Onycholysis - the loosening or separation of a fingernail or toenail from its nail bed - manifested in 2-3% of patients(1,2). 


Hand-Foot Syndrome - this is uncommon, but appears as a discoloration of the skin that progresses to blisters and shedding of outer layers of skin (desquamation.)


Peripheral Neuropathy (often abbreviated as P/N) - damage to the nerves that transmit signals from the extremities to the central nervous system. There is both motor neuropathy and sensory neuropathy.  P/N can be dose limiting and can decrease the quality of life . . . .

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