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A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
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Case Report: Abiraterone in brain metastases from prostate cancer.

Tobias Peres1, Stefanie Aeppli1, Stefanie Fischer1

  • 1Department of Medical Oncology and Hematology, Cantonal Hospital St. Gallen (KSSG), St. Gallen, Switzerland.

Frontiers in Oncology
|April 28, 2025
PubMed
Summary

Brain metastases from prostate cancer (PC) are rare. Abiraterone combined with androgen deprivation therapy demonstrated a sustained response in a patient with metastatic hormone-sensitive PC and multiple brain lesions.

Keywords:
abirateroneblood-brain barrierbrain metastasescase reportcerebral metastasishormonesensitivemetastaticprostate cancer

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Area of Science:

  • Oncology
  • Neurology
  • Medical Research

Background:

  • Prostate carcinoma (PC) is a prevalent cancer in men globally.
  • Brain metastases (BM) from PC are uncommon, typically occurring late in disease progression.
  • No standard treatment exists for PC with BM; abiraterone's efficacy is unestablished.

Observation:

  • An 83-year-old male with metastatic hormone-sensitive PC presented with multiple BM at diagnosis.
  • Symptoms included dizziness, ataxia, and unsteady gait.
  • The patient received combination therapy with abiraterone and androgen deprivation therapy.

Findings:

  • The combination therapy achieved a remarkable and sustained response in cerebral tumors.
  • After 12 months, the patient became asymptomatic with an excellent performance status.
  • This case represents a rare instance of symptomatic BM from PC.

Implications:

  • Abiraterone and androgen deprivation therapy may offer a viable treatment option for symptomatic BM from PC.
  • This approach shows potential for sustained tumor response and improved patient outcomes.
  • Further research is warranted to explore this therapeutic strategy in similar cases.