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e-Article

Two cases of prostate cancer with disseminated carcinomatosis of the bone marrow treated with novel hormonal agents
Document Type
article
Source
IJU Case Reports, Vol 6, Iss 6, Pp 329-333 (2023)
Subject
androgen receptor‐axis targeted agents
bone marrow involvement
bone marrow metastasis
new hormonal agents
radium‐223
Diseases of the genitourinary system. Urology
RC870-923
Language
English
ISSN
2577-171X
Abstract
Introduction Disseminated carcinomatosis of the bone marrow in prostate cancer is rare and has a poor prognosis. Although strong evidence suggests that novel hormonal agents improve the prognosis of metastatic prostate cancer, their effectiveness in cases of disseminated carcinomatosis of the bone marrow remains unclear. Case presentation We encountered two cases of prostate cancer with disseminated carcinomatosis of the bone marrow at the time of initial diagnosis. One patient was treated with enzalutamide, abiraterone, docetaxel, cabazitaxel, denosumab, and radium‐223 and died 38 months after the initial diagnosis. The other patient was treated with apalutamide and denosumab, and had progression‐free survival for 17 months after the initial diagnosis. Conclusion These results suggest that novel hormonal agents may improve the prognosis of prostate cancer even in patients with disseminated carcinomatosis of the bone marrow.