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The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
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Focal Laser Ablation of Prostate Cancer: An Office Procedure
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Focal Therapy for Prostate Cancer: Available Technologies, Patient Selection, Follow-Up Protocols and Reported

Julio Pow-Sang1, Gustavo Ruschi Bechara2

  • 1Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL 33612, USA.

Archivos Espanoles De Urologia
|December 3, 2025
PubMed
Summary
This summary is machine-generated.

Focal therapy (FT) offers a minimally invasive option for intermediate-risk prostate cancer. Challenges in patient selection and varied follow-up protocols need addressing for wider adoption.

Keywords:
focal therapyfollow-up protocolslocalizepatient selectionprostate cancer

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Area of Science:

  • Urology
  • Oncology
  • Medical Technology

Background:

  • Focal therapy (FT) for prostate cancer, pioneered with cryoablation, now utilizes diverse energy sources.
  • Current FT modalities include cryotherapy, irreversible electroporation, HIFU, TULSA, laser, RF ablation, and photodynamic therapy.

Purpose of the Study:

  • To discuss challenges in patient selection for focal therapy.
  • To review current focal therapy modalities and post-treatment follow-up strategies.

Main Methods:

  • Review of existing literature on focal therapy techniques and patient selection criteria.
  • Analysis of current follow-up protocols involving PSA monitoring, mpMRI, and biopsies.

Main Results:

  • Focal therapy generally has low morbidity and minimal impact on quality of life.
  • Long-term oncological outcomes require further investigation.
  • Heterogeneity in technology, patient selection, and follow-up protocols hinders standardization.

Conclusions:

  • Focal therapy is a promising option for select intermediate-risk prostate cancer patients.
  • Standardization of patient selection and follow-up protocols is crucial for establishing FT as a standard treatment.
  • Further high-level evidence is needed to support widespread adoption.