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Development of Hormone Refractory Tumors: Adaption Versus Clonal Selection

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Hormone-Related Malignant Tumors

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 118))

Abstract

One of the most common characteristics of cancers is their ability to develop resistance to chemotherapy and/or hormonal manipulation to which they were initially responsive (Skipper et al. 1978; Goldie and Coldman 1979, Isaacs 1982b; Ling 1982). For example, there is an initial response rate of prostatic cancer patients to androgen ablation of about 70%–80%. However, essentially all of these patients eventually relapse to an androgen-independent state in which further antiandrogen therapy is no longer effective. Following relapse, all further attempts to ablate the low level of non-testicular androgens remaining following castration, estrogen or luteinzing hormone releasing hormone (LH-RH) analogue therapy by means of hypophysectomy, adrenalectomy, or administration of direct-acting antiandrogens have proven unsuccessful in stopping the continuous tumor growth in this androgen-independent state (Scott et al. 1980; Schulze et al. 1987).

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© 1990 Springer-Verlag Berlin·Heidelberg

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Schulze, H., Isaacs, J.T. (1990). Development of Hormone Refractory Tumors: Adaption Versus Clonal Selection. In: Beck, L., Grundmann, E., Ackermann, R., Röher, HD. (eds) Hormone-Related Malignant Tumors. Recent Results in Cancer Research, vol 118. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83816-3_15

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  • DOI: https://doi.org/10.1007/978-3-642-83816-3_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-83818-7

  • Online ISBN: 978-3-642-83816-3

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