The March of Innovation in Prostate Cancer

I stumbled across this video on my YouTube feed and found it to be a great overview of many of the trials that are behind the advances in advanced prostate cancer treatment. The video is apparently part of a larger training course for doctors, so it’s not geared toward patients. Even so, I found it informative and (mostly) understandable.

One thing that I found interesting was that there’s an apparent shift away from the use of the word “castration” in describing the state of the disease and treatment options.

The purpose of this was really to ensure that we were trying to be thoughtful around our patients’ feelings around use of the word “castration” and trying to eliminate that from the terminology.

Instead of describing it as “non-metastatic castrate sensitive prostate cancer (nmCSPC)” it’s now called “androgen pathway modulation sensitive (APMS)” or “androgen pathway modulation naïve (APMN).” Once the cancer becomes resistant, it will be called “androgen pathway modulation resistant (APMR).”

To me, it seems as though they want to sugarcoat the hormone therapy experience with these name changes, and the patient may not grasp the full gravity of what’s about to happen to him when he starts this treatment. I’d definitely understand “castration” before understanding “androgen pathway modulation sensitive.” To be fair, it would be interesting to see how many men turn down hormone therapy because they hear the word “castration.” Maybe that’s the driving force behind the name change.

Because Dr. Rettig works with veteran patients at the VA Los Angeles, it was helpful to me to hear some of his insights working with that group.

The video is an hour long.

3 thoughts on “The March of Innovation in Prostate Cancer”

  1. Charles McGill's avatar Charles McGill

    Hi Dan, thanks for the link. I will have a look at it.

    BTW I’m still digesting the last very comprehensive post of 2nd September! A lot to take in and check out. I too am on the blood pressure tablet amlodipine 5mg a day PLUS 2 x 5mg ramiprillin a day, 12 hours apart. So that piqued my interest.

    Your comment today about the word “castration” and sugar coating. I have always felt that “hormone treatment” was a sugar coated expression whereas “castrate” or the never used phrase “castration treatment” was a more accurate description of what Lupron and similar drugs do to the male physiology and experience.

    Maybe just less palatable to a lot of men, but definitely the reality.

    Liked by 1 person

    1. Hi Charles.

      I’m definitely in the camp of “tell it like it is” when it comes to letting patients know about side effects and likelihood for cure/remission. I’ve seen too many guys in forums say something along the lines of, “If I had known in advance, I wouldn’t have done it.”

      I learned to check drug interactions from when my mom was in her last stages of life. She was on a number of medications and was pretty vigilant about tracking side effects and interactions as she started one medication or ended another.

      Take care!

      Liked by 2 people

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