Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Serum Calcium Levels Approaching the Upper Limit of Normal Can Predict Prostate Cancer Relapse to the Bone and Beyond in Patients Managed with Radiotherapy: Mature Data at 10 Years

Version 1 : Received: 22 April 2024 / Approved: 23 April 2024 / Online: 25 April 2024 (08:39:04 CEST)

How to cite: Fekete, Z.; Ignat, P.; Jakab, H.; Todor, N.; László, I.P.; Muntean, A.; Curcean, S.; Nemeș, A.; Nuțu, D.; Kacsó, G. Serum Calcium Levels Approaching the Upper Limit of Normal Can Predict Prostate Cancer Relapse to the Bone and Beyond in Patients Managed with Radiotherapy: Mature Data at 10 Years. Preprints 2024, 2024041558. https://doi.org/10.20944/preprints202404.1558.v1 Fekete, Z.; Ignat, P.; Jakab, H.; Todor, N.; László, I.P.; Muntean, A.; Curcean, S.; Nemeș, A.; Nuțu, D.; Kacsó, G. Serum Calcium Levels Approaching the Upper Limit of Normal Can Predict Prostate Cancer Relapse to the Bone and Beyond in Patients Managed with Radiotherapy: Mature Data at 10 Years. Preprints 2024, 2024041558. https://doi.org/10.20944/preprints202404.1558.v1

Abstract

The most important prognostic factors in curatively treated prostate cancer at the initial diagnosis are T and N stage, histological subtype, Gleason score, initial PSA, PSA density and percentage of core biopsy positivity. Newer, but non-standard prognostic factors are urine PCA3 and genetic markers of prostate cancer. A simple, but seemingly underestimated standard test is serum Calcium (Ca) level, which has been shown by a previous study group to be a good predictor of lethal prostate cancer, but there is scarce evidence regarding the prognostic value of calcium levels at diagnosis. We aimed to determine whether a Ca level in the upper part of normal values has a prognostic value in curatively treated prostate cancer. We have retrospectively included 84 consecutive patients with prostate cancer, who underwent curative radiotherapy (primary or adjuvant; external beam RT with or without brachytherapy). We have performed statistical analysis of available prognostic factors. Ca level at diagnosis was found to be a statistically significant predictor of disease-free survival.

Keywords

serum calcium; prostate cancer; follow-up; tumor markers; early intervention; prognostic factors; predictive factors; metastases

Subject

Medicine and Pharmacology, Oncology and Oncogenics

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