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Management of patients with advanced prostate cancer: recommendations of the St Gallen Advanced Prostate Cancer Consensus Conference (APCCC) 2015.

Identifieur interne : 002980 ( PubMed/Checkpoint ); précédent : 002979; suivant : 002981

Management of patients with advanced prostate cancer: recommendations of the St Gallen Advanced Prostate Cancer Consensus Conference (APCCC) 2015.

Auteurs : S. Gillessen [Suisse] ; A. Omlin [Suisse] ; G. Attard [Royaume-Uni] ; J S De Bono [Royaume-Uni] ; E. Efstathiou [Grèce] ; K. Fizazi [France] ; S. Halabi ; P S Nelson ; O. Sartor ; M R Smith [États-Unis] ; H R Soule [États-Unis] ; H. Akaza [Japon] ; T M Beer [États-Unis] ; H. Beltran [États-Unis] ; A M Chinnaiyan [États-Unis] ; G. Daugaard [Danemark] ; I D Davis [Australie] ; M. De Santis [Autriche] ; C G Drake [États-Unis] ; R A Eeles [Royaume-Uni] ; S. Fanti [Italie] ; M E Gleave [Canada] ; A. Heidenreich [Allemagne] ; M. Hussain [États-Unis] ; N D James [Royaume-Uni] ; F E Lecouvet [Belgique] ; C J Logothetis [États-Unis] ; K. Mastris [Royaume-Uni] ; S. Nilsson [Suède] ; W K Oh [États-Unis] ; D. Olmos [Espagne] ; A R Padhani ; C. Parker [Royaume-Uni] ; M A Rubin [États-Unis] ; J A Schalken [Pays-Bas] ; H I Scher [États-Unis] ; A. Sella [Israël] ; N D Shore ; E J Small [États-Unis] ; C N Sternberg [Italie] ; H. Suzuki [Japon] ; C J Sweeney [États-Unis] ; I F Tannock [Canada] ; B. Tombal [Belgique]

Source :

RBID : pubmed:26041764

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English descriptors

Abstract

The first St Gallen Advanced Prostate Cancer Consensus Conference (APCCC) Expert Panel identified and reviewed the available evidence for the ten most important areas of controversy in advanced prostate cancer (APC) management. The successful registration of several drugs for castration-resistant prostate cancer and the recent studies of chemo-hormonal therapy in men with castration-naïve prostate cancer have led to considerable uncertainty as to the best treatment choices, sequence of treatment options and appropriate patient selection. Management recommendations based on expert opinion, and not based on a critical review of the available evidence, are presented. The various recommendations carried differing degrees of support, as reflected in the wording of the article text and in the detailed voting results recorded in supplementary Material, available at Annals of Oncology online. Detailed decisions on treatment as always will involve consideration of disease extent and location, prior treatments, host factors, patient preferences as well as logistical and economic constraints. Inclusion of men with APC in clinical trials should be encouraged.

DOI: 10.1093/annonc/mdv257
PubMed: 26041764


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pubmed:26041764

Le document en format XML

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<nlm:affiliation>Monash University and Eastern Health, Eastern Health Clinical School, Box Hill, Australia.</nlm:affiliation>
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<name sortKey="Fanti, S" sort="Fanti, S" uniqKey="Fanti S" first="S" last="Fanti">S. Fanti</name>
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<nlm:affiliation>Department of Nuclear Medicine, Policlinico S. Orsola, University of Bologna, Bologna, Italy.</nlm:affiliation>
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<name sortKey="Gleave, M E" sort="Gleave, M E" uniqKey="Gleave M" first="M E" last="Gleave">M E Gleave</name>
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<name sortKey="Heidenreich, A" sort="Heidenreich, A" uniqKey="Heidenreich A" first="A" last="Heidenreich">A. Heidenreich</name>
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<nlm:affiliation>Department of Radiology, Centre du Cancer et Institut de Recherche Expérimentale et Clinique (IREC), Cliniques Universitaires Saint Luc, Brussels, Belgium.</nlm:affiliation>
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<name sortKey="Mastris, K" sort="Mastris, K" uniqKey="Mastris K" first="K" last="Mastris">K. Mastris</name>
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<name sortKey="Nilsson, S" sort="Nilsson, S" uniqKey="Nilsson S" first="S" last="Nilsson">S. Nilsson</name>
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<name sortKey="Oh, W K" sort="Oh, W K" uniqKey="Oh W" first="W K" last="Oh">W K Oh</name>
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<nlm:affiliation>Division of Haematology and Medical Oncology, The Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, USA.</nlm:affiliation>
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<wicri:regionArea>Division of Haematology and Medical Oncology, The Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York</wicri:regionArea>
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<region type="state">État de New York</region>
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<name sortKey="Olmos, D" sort="Olmos, D" uniqKey="Olmos D" first="D" last="Olmos">D. Olmos</name>
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<nlm:affiliation>Prostate Cancer Clinical Research Unit, Spanish National Cancer Research Centre (CNIO), Madrid CNIO-IBIMA Genitourinary Cancer Unit, Hospitales Universitarios Virgen de la Victoria y Regional de Málaga, Málaga Centro Integral Oncológico Clara Campal (CIOCC), Madrid, Spain.</nlm:affiliation>
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<name sortKey="Padhani, A R" sort="Padhani, A R" uniqKey="Padhani A" first="A R" last="Padhani">A R Padhani</name>
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<nlm:affiliation>Paul Strickland Scanner Centre, Mount Vernon Cancer Centre, Northwood.</nlm:affiliation>
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<name sortKey="Parker, C" sort="Parker, C" uniqKey="Parker C" first="C" last="Parker">C. Parker</name>
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<nlm:affiliation>Prostate Cancer Targeted Therapy Group, Academic Urology Unit and Department of Diagnostic Radiology, The Royal Marsden NHS Foundation Trust and The Institute of Cancer Research, Sutton, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Prostate Cancer Targeted Therapy Group, Academic Urology Unit and Department of Diagnostic Radiology, The Royal Marsden NHS Foundation Trust and The Institute of Cancer Research, Sutton</wicri:regionArea>
<wicri:noRegion>Sutton</wicri:noRegion>
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<name sortKey="Rubin, M A" sort="Rubin, M A" uniqKey="Rubin M" first="M A" last="Rubin">M A Rubin</name>
<affiliation wicri:level="2">
<nlm:affiliation>Institute for Precision Medicine, Meyer Cancer Center, Department of Pathology and Urology, Weill Cornell Medical College and NewYork Presbyterian, New York, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Institute for Precision Medicine, Meyer Cancer Center, Department of Pathology and Urology, Weill Cornell Medical College and NewYork Presbyterian, New York</wicri:regionArea>
<placeName>
<region type="state">État de New York</region>
</placeName>
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<name sortKey="Schalken, J A" sort="Schalken, J A" uniqKey="Schalken J" first="J A" last="Schalken">J A Schalken</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Urology, Radboud University, Medical Centre, Nijmegen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Urology, Radboud University, Medical Centre, Nijmegen</wicri:regionArea>
<placeName>
<settlement type="city">Nimègue</settlement>
<region type="province" nuts="2">Gueldre</region>
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<name sortKey="Scher, H I" sort="Scher, H I" uniqKey="Scher H" first="H I" last="Scher">H I Scher</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Medicine, Weill Cornell Medical College, New York Genitourinary Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Centre, New York.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
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<name sortKey="Shore, N D" sort="Shore, N D" uniqKey="Shore N" first="N D" last="Shore">N D Shore</name>
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<name sortKey="Small, E J" sort="Small, E J" uniqKey="Small E" first="E J" last="Small">E J Small</name>
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<nlm:affiliation>Helen Diller Family Comprehensive Cancer Centre, UCSF, San Francisco, USA.</nlm:affiliation>
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<nlm:affiliation>Department of Urology, Toho University Sakura Medical Center, Chiba, Japan.</nlm:affiliation>
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<nlm:affiliation>Department of Medical Oncology, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Harvard Medical School, Boston, USA.</nlm:affiliation>
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<nlm:affiliation>Department of Medical Oncology and Haematology, Princess Margaret Cancer Centre, Toronto, Canada.</nlm:affiliation>
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<title xml:lang="en">Management of patients with advanced prostate cancer: recommendations of the St Gallen Advanced Prostate Cancer Consensus Conference (APCCC) 2015.</title>
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<nlm:affiliation>Department of Oncology/Haematology, Kantonsspital St Gallen, St Gallen, Switzerland silke.gillessen@kssg.ch.</nlm:affiliation>
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<name sortKey="Omlin, A" sort="Omlin, A" uniqKey="Omlin A" first="A" last="Omlin">A. Omlin</name>
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<name sortKey="Attard, G" sort="Attard, G" uniqKey="Attard G" first="G" last="Attard">G. Attard</name>
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<nlm:affiliation>Prostate Cancer Targeted Therapy Group and Drug Development Unit, The Royal Marsden NHS Foundation Trust and The Institute of Cancer Research, Sutton, UK.</nlm:affiliation>
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<nlm:affiliation>Department of Genitourinary Medical Oncology, MD Anderson Cancer Centre, Houston Department of Genitourinary Medical Oncology, David H. Koch Centre, The University of Texas M. D. Anderson Cancer Centre, Houston, USA Department of Clinical Therapeutics, Alexandra Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
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<name sortKey="Fizazi, K" sort="Fizazi, K" uniqKey="Fizazi K" first="K" last="Fizazi">K. Fizazi</name>
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<nlm:affiliation>Department of Cancer Medicine, Institut Gustave Roussy, University of Paris Sud, Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Cancer Medicine, Institut Gustave Roussy, University of Paris Sud, Villejuif</wicri:regionArea>
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<wicri:noRegion>Villejuif</wicri:noRegion>
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<name sortKey="Halabi, S" sort="Halabi, S" uniqKey="Halabi S" first="S" last="Halabi">S. Halabi</name>
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<nlm:affiliation>Department of Biostatistics and Bioinformatics, Duke University, Durham.</nlm:affiliation>
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<name sortKey="Nelson, P S" sort="Nelson, P S" uniqKey="Nelson P" first="P S" last="Nelson">P S Nelson</name>
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<nlm:affiliation>Division of Human Biology, Fred Hutchinson Cancer Research Centre, Seattle.</nlm:affiliation>
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<name sortKey="Sartor, O" sort="Sartor, O" uniqKey="Sartor O" first="O" last="Sartor">O. Sartor</name>
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<nlm:affiliation>Tulane Cancer Centre, Tulane University, New Orleans.</nlm:affiliation>
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<name sortKey="Smith, M R" sort="Smith, M R" uniqKey="Smith M" first="M R" last="Smith">M R Smith</name>
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<settlement type="city">Boston</settlement>
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<name sortKey="Soule, H R" sort="Soule, H R" uniqKey="Soule H" first="H R" last="Soule">H R Soule</name>
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<nlm:affiliation>Prostate Cancer Foundation, Santa Monica, USA.</nlm:affiliation>
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<wicri:noRegion>Santa Monica</wicri:noRegion>
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<name sortKey="Akaza, H" sort="Akaza, H" uniqKey="Akaza H" first="H" last="Akaza">H. Akaza</name>
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<nlm:affiliation>Research Centre for Advanced Science and Technology, The University of Tokyo, Tokyo, Japan.</nlm:affiliation>
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<wicri:regionArea>Research Centre for Advanced Science and Technology, The University of Tokyo, Tokyo</wicri:regionArea>
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<settlement type="city">Tokyo</settlement>
<region type="région">Région de Kantō</region>
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<name sortKey="Beer, T M" sort="Beer, T M" uniqKey="Beer T" first="T M" last="Beer">T M Beer</name>
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<nlm:affiliation>Oregon Health & Science University Knight Cancer Institute, Portland.</nlm:affiliation>
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<settlement type="city">Portland</settlement>
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<name sortKey="Beltran, H" sort="Beltran, H" uniqKey="Beltran H" first="H" last="Beltran">H. Beltran</name>
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<nlm:affiliation>Department of Medicine, Weill Cornell Medical College, New York.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Medicine, Weill Cornell Medical College</wicri:cityArea>
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<name sortKey="Chinnaiyan, A M" sort="Chinnaiyan, A M" uniqKey="Chinnaiyan A" first="A M" last="Chinnaiyan">A M Chinnaiyan</name>
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<nlm:affiliation>Michigan Centre for Translational Pathology, Department of Pathology Department of Urology, Comprehensive Cancer Centre Howard Hughes Medical Institute, University of Michigan Medical School, Ann Arbor, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Michigan Centre for Translational Pathology, Department of Pathology Department of Urology, Comprehensive Cancer Centre Howard Hughes Medical Institute, University of Michigan Medical School, Ann Arbor</wicri:regionArea>
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<name sortKey="Daugaard, G" sort="Daugaard, G" uniqKey="Daugaard G" first="G" last="Daugaard">G. Daugaard</name>
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<nlm:affiliation>Department of Oncology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Department of Oncology, Copenhagen University Hospital, Rigshospitalet, Copenhagen</wicri:regionArea>
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<settlement type="city">Copenhague</settlement>
<region type="région" nuts="2">Hovedstaden</region>
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<name sortKey="Davis, I D" sort="Davis, I D" uniqKey="Davis I" first="I D" last="Davis">I D Davis</name>
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<nlm:affiliation>Monash University and Eastern Health, Eastern Health Clinical School, Box Hill, Australia.</nlm:affiliation>
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<wicri:regionArea>Monash University and Eastern Health, Eastern Health Clinical School, Box Hill</wicri:regionArea>
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<name sortKey="De Santis, M" sort="De Santis, M" uniqKey="De Santis M" first="M" last="De Santis">M. De Santis</name>
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<nlm:affiliation>Cancer Research Centre, University of Warwick, Warwick, UK Ludwig Boltzmann Institute for Applied Cancer Research, Kaiser Franz Josef-Spital, Vienna, Austria.</nlm:affiliation>
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<name sortKey="Drake, C G" sort="Drake, C G" uniqKey="Drake C" first="C G" last="Drake">C G Drake</name>
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<nlm:affiliation>Johns Hopkins Sidney Kimmel Cancer Center and The Brady Urological Institute, Department of Urology, Johns Hopkins University School of Medicine, Baltimore, USA.</nlm:affiliation>
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<settlement type="city">Baltimore</settlement>
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<name sortKey="Eeles, R A" sort="Eeles, R A" uniqKey="Eeles R" first="R A" last="Eeles">R A Eeles</name>
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<nlm:affiliation>The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.</nlm:affiliation>
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<wicri:regionArea>The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London</wicri:regionArea>
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<settlement type="city">Londres</settlement>
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<name sortKey="Fanti, S" sort="Fanti, S" uniqKey="Fanti S" first="S" last="Fanti">S. Fanti</name>
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<nlm:affiliation>Department of Nuclear Medicine, Policlinico S. Orsola, University of Bologna, Bologna, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Nuclear Medicine, Policlinico S. Orsola, University of Bologna, Bologna</wicri:regionArea>
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<name sortKey="Gleave, M E" sort="Gleave, M E" uniqKey="Gleave M" first="M E" last="Gleave">M E Gleave</name>
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<nlm:affiliation>Urological Sciences, Vancouver Prostate Centre, University of British Columbia, Vancouver, Canada.</nlm:affiliation>
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<name sortKey="Heidenreich, A" sort="Heidenreich, A" uniqKey="Heidenreich A" first="A" last="Heidenreich">A. Heidenreich</name>
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<country xml:lang="fr">Allemagne</country>
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<name sortKey="Hussain, M" sort="Hussain, M" uniqKey="Hussain M" first="M" last="Hussain">M. Hussain</name>
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<nlm:affiliation>University of Michigan Comprehensive Cancer Center, Ann Arbor, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan Comprehensive Cancer Center, Ann Arbor</wicri:regionArea>
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<author>
<name sortKey="James, N D" sort="James, N D" uniqKey="James N" first="N D" last="James">N D James</name>
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<nlm:affiliation>Cancer Research Centre, University of Warwick, Warwick, UK Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham, Birmingham, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Cancer Research Centre, University of Warwick, Warwick, UK Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham, Birmingham</wicri:regionArea>
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<name sortKey="Lecouvet, F E" sort="Lecouvet, F E" uniqKey="Lecouvet F" first="F E" last="Lecouvet">F E Lecouvet</name>
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<nlm:affiliation>Department of Radiology, Centre du Cancer et Institut de Recherche Expérimentale et Clinique (IREC), Cliniques Universitaires Saint Luc, Brussels, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
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<placeName>
<settlement type="city">Bruxelles</settlement>
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<name sortKey="Logothetis, C J" sort="Logothetis, C J" uniqKey="Logothetis C" first="C J" last="Logothetis">C J Logothetis</name>
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<country xml:lang="fr">États-Unis</country>
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<settlement type="city">Houston</settlement>
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<name sortKey="Mastris, K" sort="Mastris, K" uniqKey="Mastris K" first="K" last="Mastris">K. Mastris</name>
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<nlm:affiliation>Europa Uomo Prostate Patients, Clayhall Ilford, UK.</nlm:affiliation>
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<name sortKey="Nilsson, S" sort="Nilsson, S" uniqKey="Nilsson S" first="S" last="Nilsson">S. Nilsson</name>
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<nlm:affiliation>Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
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<name sortKey="Oh, W K" sort="Oh, W K" uniqKey="Oh W" first="W K" last="Oh">W K Oh</name>
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<nlm:affiliation>Division of Haematology and Medical Oncology, The Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, USA.</nlm:affiliation>
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<name sortKey="Olmos, D" sort="Olmos, D" uniqKey="Olmos D" first="D" last="Olmos">D. Olmos</name>
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<country xml:lang="fr">Espagne</country>
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<title level="j">Annals of oncology : official journal of the European Society for Medical Oncology</title>
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<term>Antineoplastic Agents (therapeutic use)</term>
<term>Antineoplastic Agents, Hormonal (therapeutic use)</term>
<term>Bone Density Conservation Agents (therapeutic use)</term>
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<term>Male</term>
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<term>Practice Guidelines as Topic</term>
<term>Prostatectomy</term>
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<term>Prostatic Neoplasms (therapy)</term>
<term>Prostatic Neoplasms, Castration-Resistant (pathology)</term>
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<front>
<div type="abstract" xml:lang="en">The first St Gallen Advanced Prostate Cancer Consensus Conference (APCCC) Expert Panel identified and reviewed the available evidence for the ten most important areas of controversy in advanced prostate cancer (APC) management. The successful registration of several drugs for castration-resistant prostate cancer and the recent studies of chemo-hormonal therapy in men with castration-naïve prostate cancer have led to considerable uncertainty as to the best treatment choices, sequence of treatment options and appropriate patient selection. Management recommendations based on expert opinion, and not based on a critical review of the available evidence, are presented. The various recommendations carried differing degrees of support, as reflected in the wording of the article text and in the detailed voting results recorded in supplementary Material, available at Annals of Oncology online. Detailed decisions on treatment as always will involve consideration of disease extent and location, prior treatments, host factors, patient preferences as well as logistical and economic constraints. Inclusion of men with APC in clinical trials should be encouraged.</div>
</front>
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<Year>2015</Year>
<Month>07</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>04</Month>
<Day>21</Day>
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<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>22</Day>
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<Volume>26</Volume>
<Issue>8</Issue>
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<Year>2015</Year>
<Month>Aug</Month>
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<Title>Annals of oncology : official journal of the European Society for Medical Oncology</Title>
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<ArticleTitle>Management of patients with advanced prostate cancer: recommendations of the St Gallen Advanced Prostate Cancer Consensus Conference (APCCC) 2015.</ArticleTitle>
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<MedlinePgn>1589-604</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1093/annonc/mdv257</ELocationID>
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<AbstractText>The first St Gallen Advanced Prostate Cancer Consensus Conference (APCCC) Expert Panel identified and reviewed the available evidence for the ten most important areas of controversy in advanced prostate cancer (APC) management. The successful registration of several drugs for castration-resistant prostate cancer and the recent studies of chemo-hormonal therapy in men with castration-naïve prostate cancer have led to considerable uncertainty as to the best treatment choices, sequence of treatment options and appropriate patient selection. Management recommendations based on expert opinion, and not based on a critical review of the available evidence, are presented. The various recommendations carried differing degrees of support, as reflected in the wording of the article text and in the detailed voting results recorded in supplementary Material, available at Annals of Oncology online. Detailed decisions on treatment as always will involve consideration of disease extent and location, prior treatments, host factors, patient preferences as well as logistical and economic constraints. Inclusion of men with APC in clinical trials should be encouraged.</AbstractText>
<CopyrightInformation>© The Author 2015. Published by Oxford University Press on behalf of the European Society for Medical Oncology.</CopyrightInformation>
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<LastName>Gillessen</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
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<Affiliation>Department of Oncology/Haematology, Kantonsspital St Gallen, St Gallen, Switzerland silke.gillessen@kssg.ch.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Omlin</LastName>
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<Initials>A</Initials>
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<Affiliation>Department of Oncology/Haematology, Kantonsspital St Gallen, St Gallen, Switzerland.</Affiliation>
</AffiliationInfo>
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<LastName>Attard</LastName>
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<Initials>G</Initials>
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<ForeName>J S</ForeName>
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</AffiliationInfo>
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<Initials>E</Initials>
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<Affiliation>Department of Genitourinary Medical Oncology, MD Anderson Cancer Centre, Houston Department of Genitourinary Medical Oncology, David H. Koch Centre, The University of Texas M. D. Anderson Cancer Centre, Houston, USA Department of Clinical Therapeutics, Alexandra Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece.</Affiliation>
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