Clinicians and researchers have debated the relative efficacyand timing of androgen deprivation since 1941, when CharlesB. Huggins and Clarence V. Hodges reported that androgen deprivationreduced testosterone levels and produced dramatic positive therapeuticresponses in patients with advanced prostate cancer.1 By 1966,when Huggins won the Nobel Prize in Physiology or Medicine forthis work, many clinicians assumed that castration or treatmentwith diethylstilbestrol prolonged life and in some instanceswas curative.
The Veterans Administration Cooperative Urological ResearchGroup (VACURG) trials conducted in the 1960s tested this hypothesis.2The group found that androgen deprivation dramatically relievedthe obstructive . . . [Full Text of this Article]
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From the Division of Urology, University of Connecticut Health Center, Farmington.
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