Bone Metastases and Bone Loss Medical Treatment in Prostate Cancer Patients

Prostate cancer is a malignancy in urology with the highest incidence metastasize to the bone up to 70%. The incidence of skeletal related event (SRE) by 46.1% such as severe pain, pathologic fractures, spinal compression syndrome and hypercalcemia, with a consequence of higher inpatient care and w...

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Bibliographic Details
Main Author: Ferry Safriadi
Format: Article
Language:English
Published: Interna Publishing 2013-01-01
Series:Acta Medica Indonesiana
Online Access:http://www.actamedindones.org/index.php/ijim/article/view/126
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Summary:Prostate cancer is a malignancy in urology with the highest incidence metastasize to the bone up to 70%. The incidence of skeletal related event (SRE) by 46.1% such as severe pain, pathologic fractures, spinal compression syndrome and hypercalcemia, with a consequence of higher inpatient care and worsen the patient’s prognosis. Androgen deprivation therapy (ADT) as a metastatic prostate cancer treatment itself causes an osteopenia or osteoporosis. Bisphosphonate inhibits normal and pathologic osteoclast-mediated bone resorption by several mechanisms. Denosumab is the latest treatment option in bone metastases. Multi-study shows the efficacy of denosumab is better than zoledronic acid for SRE prevention. Adverse events between denosumab and bisphosphonate are comparable. Key words: prostate cancer, bone metastases, bone loss, treatment.
ISSN:0125-9326
2338-2732