PMID- 30374005 OWN - NLM STAT- MEDLINE DCOM- 20190621 LR - 20190621 IS - 0917-5857 (Print) IS - 0917-5857 (Linking) VI - 28 IP - 11 DP - 2018 TI - [Bone and calcium metabolism associated with malignancy. Treatment of radium-223 dichloride for bone metastasis in castration resistant prostate cancer patients.]. PG - 1485-1493 AB - In patients with castration resistant prostate cancer(CRPC), the most frequent site of metastases is bone particularly with osteoblastic change, which accounts for 90% at the late stage of CRPC and is accompanied by symptomatic skeletal symptoms(SSEs)such as bone pain or pathological fractures. Radium-223(Ra-223)dichloride emits alpha particles and has been proven to improve overall survival(OS)and QOL by reducing SSEs in metastatic CRPC patients. Although hemotoxic adverse events(AEs)of Ra-223 treatment including anemia, neutropenia and thrombocytopenia, and non-hemotoxic AEs including nausea, diarrhea and bone pain have been reported, they were mild and well tolerated. The completion of 6 injections of Ra-223 is important for prolonging OS. The optimal time of Ra-223 administration is recommended the duration when PSA is increasing regardless of abiraterone or enzalutamide treatment prior to chemotherapy. FAU - Uemura, Hiroji AU - Uemura H AD - Department of Urology and Renal Transplantation, Yokohama City University Medical Center, Japan. LA - jpn PT - Journal Article PL - Japan TA - Clin Calcium JT - Clinical calcium JID - 9433326 RN - 8BR2SOL3L1 (Radium-223) RN - SY7Q814VUP (Calcium) RN - W90AYD6R3Q (Radium) SB - IM MH - Bone Neoplasms/*radiotherapy/*secondary MH - Calcium MH - Humans MH - Male MH - Prostatic Neoplasms, Castration-Resistant/*secondary MH - Radium/*therapeutic use EDAT- 2018/10/31 06:00 MHDA- 2019/06/22 06:00 CRDT- 2018/10/31 06:00 PHST- 2018/10/31 06:00 [entrez] PHST- 2018/10/31 06:00 [pubmed] PHST- 2019/06/22 06:00 [medline] AID - 181114851493 [pii] PST - ppublish SO - Clin Calcium. 2018;28(11):1485-1493.