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Updated: Jun 10, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
French recommendations from the AFU Cancer Committee for prostate cancer: 2025 summary of changes
Guillaume Ploussard1, Michaël Baboudjian2, Eric Barret3
1Department of Urology, La Croix du Sud Hospital, 52 bis, Chemin de Ribaute, 31130 Quint Fonsegrives, France.
This 2025 update provides new prostate cancer (PCa) management guidelines. Key changes include advanced imaging like biparametric MRI and updated treatment options for various PCa stages, aiming to improve patient outcomes.
Area of Science:
- Urology
- Oncology
- Medical Imaging
Background:
- Prostate cancer (PCa) management requires continuous updates based on evolving diagnostic and therapeutic strategies.
- The French Urology Association's Oncology Committee (CCAFU) regularly reviews and synthesizes new evidence.
Purpose of the Study:
- To present a 2025 summary of updated recommendations for prostate cancer (PCa) management.
- To inform physicians about recent advancements in PCa diagnosis and treatment.
Main Methods:
- A systematic literature review was conducted by the CCAFU.
- The review covered diagnostic and therapeutic evolutions in PCa management from July 2024 to September 2025.
- Newly published references were evaluated for their level of evidence.
Main Results:
- Biparametric MRI is a viable alternative to multiparametric MRI for biopsy guidance, requiring high-quality imaging and expertise.
- Transperineal biopsy is recommended when technically feasible.
- Treatment options updated include whole-gland HIFU for intermediate-risk PCa, specific androgen deprivation therapy (ADT) durations for metastatic disease, and novel systemic therapies like enzalutamide and combination regimens (e.g., niraparib + abiraterone) for specific patient subgroups.
- Radioligand therapy ([177Lu]LuPSMA-617) and combination therapies (enzalutamide + radium-223) are proposed for advanced metastatic castration-resistant prostate cancer (mCRPC).
Conclusions:
- This 2025 summary of French recommendations aims to enhance the management of prostate cancer (PCa) patients.
- Physicians are encouraged to adopt these updated guidelines to stay current with the latest evidence-based practices.
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