抗雄激素剥夺治疗对高风险前列腺癌老年男性的影响:PROSARC观察性研究
Ó Legido-Gómez1, S Rico-Marco1, M V Lorenzo-Sánchez1
1Servicio de Urología, Hospital General Universitario de Albacete, Albacete, Spain.
Actas urologicas espanolas
|February 19, 2024
概括
老年前列腺癌患者经常患有骨质疏松症,虚弱和肉症. 六个月的雌激素剥夺疗法减少了肌肉质量,但没有使这些情况恶化.
科学领域:
- 老年瘤学 老年瘤学
- 尿道瘤学 尿道瘤学
- 代谢性骨疾病 代谢性骨疾病
背景情况:
- 前列腺癌 (PC) 常见于老年男性.
- 抗雄激素剥夺疗法 (ADT) 提高了生存率,但可能导致骨质疏松症,虚弱和,影响生活质量.
研究的目的:
- 评估老年PC患者在ADT前后的骨质疏松症,虚弱和肉症的患病率.
- 评估ADT对这些疾病和身体组成的影响.
主要方法:
- 开始ADT的高风险PC患者 (≥70岁) 的前性观察研究 (PROSARC).
- 评估伴随性疾病,炸脆性表型,骨质疏松症,EWGSOP2肉,以及基线和6个月的身体组成.
主要成果:
- 在12名患者 (平均年龄84岁) 中,高基线患病率的前脆弱性/脆弱性 (67.7%),肉症 (66.7%) 和骨质疏松症 (25%).
- 六个月的ADT并没有显著改变虚弱,肉症或骨质疏松症的流行率.
- ADT导致尾肌肉质量减少 (p=0.01) 和脂肪质量增加 (p=0.012).
结论:
- 高危PC的老年患者患有骨质疏松症,虚弱和肉症的患病率很高.
- 在这个人群中,六个月的ADT减少了肌肉质量,但并没有增加这些不良反应的发生率.
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