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De Novo high-volume metastatic prostate cancer with primary resistance to standard systemic therapy and exceptional response to PSMA-Lu177: A case report.

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International cancer conference journal 📖 저널 OA 100% 2024: 3/3 OA 2025: 17/17 OA 2026: 20/20 OA 2024~2026 2026 Vol.15(1) p. 154-159 OA
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Rafizadeh D, Kaakour D, Sun S, Herman J, Kain T, Kalebasty AR

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Prostate specific membrane antigen (PSMA) Lutetium-177 (Lu-177) therapy is a relatively new theranostic treatment using a targeted radioligand therapy in the treatment of metastatic prostate cancer.

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APA Rafizadeh D, Kaakour D, et al. (2026). De Novo high-volume metastatic prostate cancer with primary resistance to standard systemic therapy and exceptional response to PSMA-Lu177: A case report.. International cancer conference journal, 15(1), 154-159. https://doi.org/10.1007/s13691-025-00834-2
MLA Rafizadeh D, et al.. "De Novo high-volume metastatic prostate cancer with primary resistance to standard systemic therapy and exceptional response to PSMA-Lu177: A case report.." International cancer conference journal, vol. 15, no. 1, 2026, pp. 154-159.
PMID 41589251 ↗

Abstract

Prostate specific membrane antigen (PSMA) Lutetium-177 (Lu-177) therapy is a relatively new theranostic treatment using a targeted radioligand therapy in the treatment of metastatic prostate cancer. PSMA-Lu177 has been approved by the FDA for treatment of prostate cancer in the metastatic castrate resistant setting. Here, we present the case of a 90-year-old man with metastatic castrate resistant prostate cancer (mCRPC) and primary resistance to androgen deprivation, second-generation androgen receptor inhibitors, and docetaxel chemotherapy. Despite the lack of response to prior lines of therapy, the patient demonstrated a rapid response to PSMA-Lu177 therapy with a substantial drop in PSA level, starting from the first cycle.

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