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Current applications for prostate-specific antigen doubling time.

Michelle L Ramírez1, Eric C Nelson, Ralph W Devere White

  • 1Department of Urology and Cancer Center, University of California at Davis, Sacramento, CA 95817, USA.

European Urology
|April 29, 2008
PubMed
Summary
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Prostate-specific antigen doubling time (PSADT) offers a dynamic view of prostate cancer (PCa) aggressiveness. This marker aids in managing PCa across various stages, from diagnosis to advanced disease.

Area of Science:

  • Oncology
  • Urology

Background:

  • Prostate cancer (PCa) management relies on accurate prognostic markers.
  • Prostate-specific antigen doubling time (PSADT) reflects tumor behavior and aggressiveness.

Purpose of the Study:

  • To review the role of PSADT in PCa diagnosis, treatment, recurrence, and advanced stages.
  • To assess PSADT as a prognostic factor and its utility in PCa management.

Main Methods:

  • Literature search of PubMed using keywords related to PSADT and PCa.
  • Selection of relevant, seminal, or controversial articles with significant evidence.
  • Summarization of data on PSADT for diagnosis, characterization, and prediction of outcomes.

Main Results:

  • PSADT provides a dynamic assessment of tumor behavior and aggressiveness.

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  • PSADT is valuable in active surveillance, post-treatment recurrence, and androgen-independent PCa.
  • PSADT is a significant prognostic factor and potential surrogate endpoint, though optimal cutoffs are debated.
  • Conclusions:

    • PSADT is a reliable predictor for PCa risk stratification.
    • PSADT is incorporated into predictive nomograms and treatment guidelines for PCa management.