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Related Experiment Videos

Prostate irradiation does not affect the serum prostatic acid phosphatase level.

D R Christie1, N A Spry, S Marshall

  • 1Wellington Hospital, New Zealand.

Clinical Oncology (Royal College of Radiologists (Great Britain))
|September 1, 1991
PubMed
Summary

Radical pelvic irradiation did not significantly alter serum prostatic acid phosphatase levels in localized prostate cancer patients. Rises in this marker during treatment suggest other disease progression, not treatment effects.

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Area of Science:

  • Oncology
  • Radiation Oncology
  • Urology

Background:

  • Prostate cancer management often involves monitoring serum prostatic acid phosphatase.
  • Radical pelvic irradiation is a treatment modality for localized prostate cancer.
  • The impact of irradiation on serum prostatic acid phosphatase levels requires clarification.

Purpose of the Study:

  • To prospectively assess the effect of radical pelvic irradiation on serum prostatic acid phosphatase levels (SPAPL) in patients with localized prostate carcinoma.
  • To determine if changes in SPAPL during or after treatment are attributable to radiation therapy.

Main Methods:

  • Prospective study of 29 consecutive patients with localized prostate carcinoma.
  • Administration of radical pelvic irradiation with doses ranging from 64.00 to 66.00 Gy.

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  • Serial measurement of SPAPLs before, during, and shortly after treatment.
  • Main Results:

    • No significant individual variations in serum prostatic acid phosphatase levels were observed during or after radical pelvic irradiation.
    • The study found no direct correlation between radiation treatment and SPAPL fluctuations.

    Conclusions:

    • Observed increases in serum prostatic acid phosphatase in prostate cancer patients undergoing pelvic irradiation are unlikely to be treatment-related.
    • Such rises warrant investigation for occult pelvic nodal or bony disease progression.