It is fascinating to me that our best friend, the dog, is the fellow-sufferer of PC that helped us learn how to treat the disease. Likewise fascinating is the post-dog work of Charles Huggins... this 1966 paper tells us we can potentially treat PC by removing testosterone, as we commonly do today... OR, we can potentially treat PC (far less commonly) by flooding ourselves with EITHER testosterone OR estrogen, or perhaps something else.
But we still don't have a good idea of which works best for whom, exactly when, or why. We just do ADT because... it's what we do.
nobelprize.org/uploads/2018...
" Some types of cancer cells differ in a cardinal way from the cells from which they arose in their response to change in their hormonal environment.
Opposite sorts of change of the hormonal status can induce regression and, in some instances, cure of such cancers. These modifications are [1] deprivation of essential hormones, and [2] hormone interference by giving large amounts of critical compounds."
In the first modification, with ADT [1]: "Certain cancers are hormone-dependent and these cells die when supporting hormones are eliminated."
In the second modification, with administration EITHER of high estrogen OR high testosterone [2]: "Certain cancers succumb when large amounts of hormones are administered."
Choose your poison! But realize... when we choose ADT, we must remember that PC is maybe not just a single "certain cancer that is hormone-dependent." It seemingly can be two cancers in one, partly hormone-dependent and partly hormone-INdependent.
Does ADT help transform it more greatly into the latter, into a cancer that is increasingly more difficult to treat with just ADT? I sometimes wonder if the standard systemic treatment for this cancer helps turn it into a form of cancer that then resists the standard systemic treatment. Might we then be painting ourselves into a corner of last-ditch efforts?
Geez, speaking of transformation, I just went from admiration for a brilliant scientist right on to despondency over prevailing standards of care. I think it's time for a glass of resveratrol.