combined androgen blockade - CAB Flashcards
1
Q
what are 2 mechnisms of androgen reactivation
A
- tumour heterogeneously composed cells hormone dependent + independent
- stimulated by extratesticular androgen + intratumoral synthesis converted intracellularly –> DHT
2
Q
What interfers with androgen reactivation?
A
CAB (LHRH agonsit/ orchiectomy + 1st generation antigens)
3
Q
Use of CAB
A
- initial therpay metastic PCa
- LHRH monotherapy / CAB
- intermittent ADT dosing stratgeis - restor QOL = considered a/e