前列腺癌,版本4.2023,NCCN瘤学临床实践指南
Edward M Schaeffer1, Sandy Srinivas2, Nabil Adra3
11Robert H. Lurie Comprehensive Cancer Center of Northwestern University.
Journal of the National Comprehensive Cancer Network : JNCCN
|October 19, 2023
概括
美国国家前列腺癌协会 (NCCN) 准则为前列腺癌管理提供了一个框架,详细介绍了局部,复发和高级阶段的治疗,风险分层和风险分层. 关键建议包括雄激素剥夺疗法 (ADT) 强化对转移性割敏感性疾病.
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
背景情况:
- 前列腺癌的管理需要针对不同临床情景制定结构化的指导方针.
- 当前的治疗模式随着新的治疗选择而演变.
研究的目的:
- 概述NCCN关于前列腺癌管理的指导方针.
- 详细介绍各种前列腺癌阶段的检查,风险分层和治疗策略.
主要方法:
- 对前列腺癌的NCCN指南的审查.
- 专注于转移性割敏感性疾病,非转移性割抵抗性前列腺癌 (CRPC) 和转移性CRPC (mCRPC).
主要成果:
- 在转移性割敏感的前列腺癌中,建议强化色素剥夺疗法 (ADT).
- 对于非转移性CRPC,继续ADT,可能是基于PSA翻倍时间的二次激素疗法.
- 对于mCRPC,ADT继续进行,并连续添加各种疗法,包括激素疗法,化疗,免疫疗法,放射性药物和向疗法.
结论:
- 该NCCN指南为前列腺癌护理提供了一个全面的框架.
- 在考虑患者因素和疾病特征的情况下,共享决策方法至关重要.
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