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Correspondence
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Volume 340:812-813 March 11, 1999 Number 10
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Hormonal Treatment of Prostate Cancer

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 by Eisenberger, M. A.
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To the Editor: An underlying hypothesis in the study by Eisenberger et al. (Oct. 8 issue)1 is that bilateral orchiectomy is equivalent to treatment with a gonadotropin-releasing hormone agonist (e.g., leuprolide or goserelin) in the management of advanced prostate cancer. This is probably not the case. Whereas the addition of an antiandrogen to a gonadotropin-releasing hormone agonist was beneficial in extending survival as compared with the agonist alone, a similar degree of benefit was not demonstrated when an antiandrogen was added to bilateral orchiectomy. The addition of an antiandrogen to a gonadotropin-releasing hormone agonist may address deficiencies intrinsic to this . . . [Full Text of this Article]

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Related Letters:

Disclosure Statements Regarding Hormonal Treatment of Prostate Cancer
Garnick M. B.
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N Engl J Med 1999; 340:1689-1690, May 27, 1999. Correspondence

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