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Prognostic Significance of Ultralow (UL) Prostate-Specific Antigen (PSA) in Patients with Metastatic Hormone-Sensitive Prostate Cancer (mHSPC): A Single Institution and Tertiary Cancer Center Experience.

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Medicina (Kaunas, Lithuania) 📖 저널 OA 99.6% 2021: 15/15 OA 2022: 12/12 OA 2023: 21/21 OA 2024: 32/32 OA 2025: 99/99 OA 2026: 60/60 OA 2021~2026 2025 Vol.61(12)
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유사 논문
P · Population 대상 환자/모집단
29 patients (40.
I · Intervention 중재 / 시술
추출되지 않음
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
However, we identified patients achieving UL PSA levels, who experienced radiographic progression. Our finding suggests that even among "best" PSA responders, some might develop resistant clones that manifest via imaging progression without PSA rise.

Suton P, Gregov V

📝 환자 설명용 한 줄

Prostate-specific antigen (PSA) concentration is considered an important prognostic marker, with rapid and large reductions associated with a favorable outcome and prolonged survival.

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APA Suton P, Gregov V (2025). Prognostic Significance of Ultralow (UL) Prostate-Specific Antigen (PSA) in Patients with Metastatic Hormone-Sensitive Prostate Cancer (mHSPC): A Single Institution and Tertiary Cancer Center Experience.. Medicina (Kaunas, Lithuania), 61(12). https://doi.org/10.3390/medicina61122110
MLA Suton P, et al.. "Prognostic Significance of Ultralow (UL) Prostate-Specific Antigen (PSA) in Patients with Metastatic Hormone-Sensitive Prostate Cancer (mHSPC): A Single Institution and Tertiary Cancer Center Experience.." Medicina (Kaunas, Lithuania), vol. 61, no. 12, 2025.
PMID 41470112 ↗

Abstract

Prostate-specific antigen (PSA) concentration is considered an important prognostic marker, with rapid and large reductions associated with a favorable outcome and prolonged survival. We conducted a single institution and tertiary cancer center retrospective analysis of metastatic hormone-sensitive prostate cancer (mHSPC) patients undergoing active treatment at Division of Oncology and Radiotherapy, University Hospital Dubrava, between December 2022 and August 2025. This study aimed to assess the association between the PSA levels and survival in mHSPC patients undergoing active treatment. A total of 42 (59.2%) in our cohort achieved UL PSA levels, while 29 patients (40.8%) had PSA levels > 0.2 ng/mL. Cox regression analysis identified age > 71 years at the diagnosis of mHSPC and UL PSA levels as statistically significant factors associated with favorable outcome. Our real-world data demonstrated that UL PSA is a favorable prognostic factor associated with prolonged survival and improved prognosis. However, we identified patients achieving UL PSA levels, who experienced radiographic progression. Our finding suggests that even among "best" PSA responders, some might develop resistant clones that manifest via imaging progression without PSA rise.

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