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A 75-year-old - malak
#1
A 75-year-old man is diagnosed with metastatic prostate cancer as a result of a diagnostic work-up of back pain. He has no evidence of spinal cord compression or impending bone fractures, but he has diffuse skeletal metastases.

What course of therapy would you recommend?

(A) Single-agent diethylstilbestrol
(B) A single luteinizing hormone“releasing hormone (LHRH) analogue
© A single nonsteroidal antiandrogen such as flutamide
(D) An LHRH analogue plus flutamide (complete androgen blockade)
(E) An LHRH analogue plus chemotherapy (mitoxantrone





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#2
Leuprolide and flutamide
Leuprolide is an LHRH analogue
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#3
d.
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#4
D?
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#5
D) An LHRH analogue plus flutamide (complete androgen blockade)
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