Healing
Touch Oncology
New Developments in Prostate Cancer Patient Management
In
an ongoing effort to support physicians in improving patient care, DPC
has been working with Stephen B. Strum, M.D. of Healing Touch Oncology
(Los Angeles, CA). Dr. Strum is a medical oncologist specializing exclusively
in prostate cancer (PCa).
Dr. Strum is the clinical
director of the Prostate Cancer Research Institute (PCRI), which he and
his colleague Mark Scholz, M.D. founded in 1996. The PCRI is dedicated
to educating patients about PCa, pursuing research into the prevention
and treatment of PCa, and improving the level of care for men with this
disease. Dr. Strum communicates his ideas with doctors and patients through
the PCRI Web site at www.prostate-cancer.org. He is also involved in numerous
research protocols related to PCa, both as single institution studies
and in collaboration with other investigators, and has published several
studies in major medical journals on issues concerning the diagnosis and
treatment of PCa.
PCa is a hormone-dependent
disease; accordingly, Healing Touch Oncology’s approach is to measure
a variety of hormone concentrations as well as tumor marker levels (Table
1). Dr. Strum focuses on the biology and endocrinology of PCa to tailor
the best therapeutic regime to the individual patient. Treatments of advanced
PCa that attempt to block the production of androgens by both the testes
and the adrenal glands are commonly known as androgen deprivation therapy
(ADT). In such treatments, it is important to be able to measure very
low levels of PSA over time, as well as relevant hormone levels, to assess
the effectiveness of the therapy. Dr. Strum has found DPC’s IMMULITE®
Third Generation PSA, Testosterone and SHBG (for calculating the free
androgen index), DHEA-SO4
and other assays especially useful in this context.
Most patients undergoing
ADT develop unpleasant symptoms associated with androgen deprivation syndrome
(ADS). This fact led Dr. Strum and colleagues to explore the effectiveness
of intermittent androgen deprivation (IAD) therapy as a viable option
that would permit improved quality of life in PCa patients. His findings,
presented to the American Society of Clinical Oncology in 1998, were recently
published in The Oncologist. Dr. Strum also gave a presentation on this
topic during the 2000 American Urology Association (AUA) annual meeting,
at a dinner symposium that DPC was pleased to sponsor.
DPC is proud to supply
the several IMMULITE assays in use at Healing Touch Oncology for the management
of PCa patients. DPC is dedicated to providing innovative and clinically
significant immunoassays that help laboratorians and clinicians better
meet patient expectations.
| Table
1. IMMULITE® assays for PSA and complementary endocrine
function, and other relevant assays. Healing Touch Oncology
uses IMMULITE assays for most of the analytes listed below. |
| PSA* |
IL-6*** |
| Third
Generation PSA* |
LH* |
| Free
PSA** |
Prolactin* |
| PAP* |
Pyrilinks®-D |
| CEA* |
SHBG* |
| Cytokeratin
18*** |
Total
Testosterone* |
| DHEA-SO4* |
Third
Generation TSH* |
| Ferritin* |
|
*Also available
on the IMMULITE®
2000.
**IMMULITE®
and IMMULITE 2000 assays for free PSA are available outside the
US.
***Available
outside the US.
|

|