在局部性前列腺癌中进行雄激素剥夺疗法. 当前状态和未来的趋势
J Gómez Rivas1, L Fernandez2, P Abad-Lopez2
1Departamento de Urología, Hospital Clínico San Carlos, Madrid, Spain; Instituto de Salud, Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
Actas urologicas espanolas
|September 5, 2023
概括
前列腺癌 (PCa) 的雄激素剥夺疗法 (ADT) 现在只适用于特定病例. 优化ADT需要仔细选择患者,并进一步研究局部PCa的多式疗法.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医学研究 医学研究
背景情况:
- 前列腺癌 (PCa) 是一种对雄激素敏感的疾病,导致雄激素剥夺疗法 (ADT) 的发展.
- 自1941年发现以来,ADT一直是PCa的基石治疗方法之一.
研究的目的:
- 总结目前用于局部性前列腺癌 (PCa) 的雄激素剥夺疗法 (ADT) 的指示.
主要方法:
- 在英语和西班牙语的文献中进行了全面的搜索.
- 研究的重点是确定局部PCa中ADT的初级指示.
主要成果:
- 目前在局部PCa中ADT单疗的适用性仅限于无法接受局部治疗的患者.
- 在各种情况下,ADT可以与局部治疗相结合,尽管在手术前的新辅助ADT没有明显的瘤益处.
- 高风险局部PCa患者可能从ADT中受益,需要进一步调查.
结论:
- 在局部PCa中优化ADT需要根据疾病特征精确选择患者.
- 治疗选择的持续发展需要新的临床试验和分子研究.
- 确定可以从早期多式联络治疗中受益的患者对于推进PCa护理至关重要.
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