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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Main Author: Ferry Safriadi
Format: Article
Language:English
Published: Interna Publishing 2013-01-01
Series:Acta Medica Indonesiana
Online Access:http://actamedindones.org/index.php/ijim/article/view/126
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author Ferry Safriadi
author_facet Ferry Safriadi
author_sort Ferry Safriadi
collection DOAJ
description 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.
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publishDate 2013-01-01
publisher Interna Publishing
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series Acta Medica Indonesiana
spelling doaj-art-4efaff1bfd10464d9aba6b9a88e57e802025-08-20T03:40:57ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322013-01-01451Bone Metastases and Bone Loss Medical Treatment in Prostate Cancer PatientsFerry Safriadi0Department of Urology, Faculty of Medicine, Padjajaran University - Hasan Sadikin Hospital Bandung, Indonesia 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. http://actamedindones.org/index.php/ijim/article/view/126
spellingShingle Ferry Safriadi
Bone Metastases and Bone Loss Medical Treatment in Prostate Cancer Patients
Acta Medica Indonesiana
title Bone Metastases and Bone Loss Medical Treatment in Prostate Cancer Patients
title_full Bone Metastases and Bone Loss Medical Treatment in Prostate Cancer Patients
title_fullStr Bone Metastases and Bone Loss Medical Treatment in Prostate Cancer Patients
title_full_unstemmed Bone Metastases and Bone Loss Medical Treatment in Prostate Cancer Patients
title_short Bone Metastases and Bone Loss Medical Treatment in Prostate Cancer Patients
title_sort bone metastases and bone loss medical treatment in prostate cancer patients
url http://actamedindones.org/index.php/ijim/article/view/126
work_keys_str_mv AT ferrysafriadi bonemetastasesandbonelossmedicaltreatmentinprostatecancerpatients