The Clinical, Diagnostic, Therapeutic, and Prognostic Characteristics of Brain Metastases in Prostate Cancer: A Systematic Review

Aim. Prostate cancer (PCa) is the second most common nonskin malignancy and the second most common cause of cancer-related deaths in men. The most common site of metastasis in PCa is the axial skeleton which may lead to back pain or pathological fractures. Hematogenous spread to the brain and involv...

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Main Authors: Seyyedmohammadsadeq Mirmoeeni, Amirhossein Azari Jafari, Muffaqam Shah, Fateme Salemi, Seyedeh Zohreh Hashemi, Ali Seifi
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Prostate Cancer
Online Access:http://dx.doi.org/10.1155/2022/5324600
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author Seyyedmohammadsadeq Mirmoeeni
Amirhossein Azari Jafari
Muffaqam Shah
Fateme Salemi
Seyedeh Zohreh Hashemi
Ali Seifi
author_facet Seyyedmohammadsadeq Mirmoeeni
Amirhossein Azari Jafari
Muffaqam Shah
Fateme Salemi
Seyedeh Zohreh Hashemi
Ali Seifi
author_sort Seyyedmohammadsadeq Mirmoeeni
collection DOAJ
description Aim. Prostate cancer (PCa) is the second most common nonskin malignancy and the second most common cause of cancer-related deaths in men. The most common site of metastasis in PCa is the axial skeleton which may lead to back pain or pathological fractures. Hematogenous spread to the brain and involvement of the central nervous system (CNS) are a rare occurrence. However, failed androgen deprivation therapy (ADT) may facilitate such a spread resulting in an advanced metastatic stage of PCa, which carries a poor prognosis. Methods. In this systematic review, we searched the PubMed, Scopus, and Web of Science online databases based on the PRISMA guideline and used all the medical subject headings (MeSH) in terms of the following search line: (“Brain Neoplasms” OR “Central Nervous System Neoplasms”) and (“Prostatic Neoplasms” OR “Prostate”). Related studies were identified and reviewed. Results. A total of 59 eligible studies (902 patients) were included in this systematic review. In order to gain a deeper understanding, we extracted and presented the data from included articles based on clinical manifestations, diagnostic methods, therapeutic approaches, and prognostic status of PCa patients having BMs. Conclusion. We have demonstrated the current knowledge regarding the mechanism, clinical manifestations, diagnostic methods, therapeutic approaches, and prognosis of BMs in PCa. These data shed more light on the way to help clinicians and physicians to understand, diagnose, and manage BMs in PCa patients better.
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spelling doaj-art-6535cbfc40264306b963cd72eb04c06a2025-08-20T03:34:36ZengWileyProstate Cancer2090-312X2022-01-01202210.1155/2022/5324600The Clinical, Diagnostic, Therapeutic, and Prognostic Characteristics of Brain Metastases in Prostate Cancer: A Systematic ReviewSeyyedmohammadsadeq Mirmoeeni0Amirhossein Azari Jafari1Muffaqam Shah2Fateme Salemi3Seyedeh Zohreh Hashemi4Ali Seifi5School of MedicineSchool of MedicineDeccan College of Medical SciencesSchool of MedicineResearcher at the Research Center of Tehran University of Medical SciencesDepartment of NeurosurgeryAim. Prostate cancer (PCa) is the second most common nonskin malignancy and the second most common cause of cancer-related deaths in men. The most common site of metastasis in PCa is the axial skeleton which may lead to back pain or pathological fractures. Hematogenous spread to the brain and involvement of the central nervous system (CNS) are a rare occurrence. However, failed androgen deprivation therapy (ADT) may facilitate such a spread resulting in an advanced metastatic stage of PCa, which carries a poor prognosis. Methods. In this systematic review, we searched the PubMed, Scopus, and Web of Science online databases based on the PRISMA guideline and used all the medical subject headings (MeSH) in terms of the following search line: (“Brain Neoplasms” OR “Central Nervous System Neoplasms”) and (“Prostatic Neoplasms” OR “Prostate”). Related studies were identified and reviewed. Results. A total of 59 eligible studies (902 patients) were included in this systematic review. In order to gain a deeper understanding, we extracted and presented the data from included articles based on clinical manifestations, diagnostic methods, therapeutic approaches, and prognostic status of PCa patients having BMs. Conclusion. We have demonstrated the current knowledge regarding the mechanism, clinical manifestations, diagnostic methods, therapeutic approaches, and prognosis of BMs in PCa. These data shed more light on the way to help clinicians and physicians to understand, diagnose, and manage BMs in PCa patients better.http://dx.doi.org/10.1155/2022/5324600
spellingShingle Seyyedmohammadsadeq Mirmoeeni
Amirhossein Azari Jafari
Muffaqam Shah
Fateme Salemi
Seyedeh Zohreh Hashemi
Ali Seifi
The Clinical, Diagnostic, Therapeutic, and Prognostic Characteristics of Brain Metastases in Prostate Cancer: A Systematic Review
Prostate Cancer
title The Clinical, Diagnostic, Therapeutic, and Prognostic Characteristics of Brain Metastases in Prostate Cancer: A Systematic Review
title_full The Clinical, Diagnostic, Therapeutic, and Prognostic Characteristics of Brain Metastases in Prostate Cancer: A Systematic Review
title_fullStr The Clinical, Diagnostic, Therapeutic, and Prognostic Characteristics of Brain Metastases in Prostate Cancer: A Systematic Review
title_full_unstemmed The Clinical, Diagnostic, Therapeutic, and Prognostic Characteristics of Brain Metastases in Prostate Cancer: A Systematic Review
title_short The Clinical, Diagnostic, Therapeutic, and Prognostic Characteristics of Brain Metastases in Prostate Cancer: A Systematic Review
title_sort clinical diagnostic therapeutic and prognostic characteristics of brain metastases in prostate cancer a systematic review
url http://dx.doi.org/10.1155/2022/5324600
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