[在前列腺癌中转移导向治疗]
Angelika Borkowetz1,2, Tobias Hölscher3,4
1Klinik und Poliklinik für Urologie, Universitätsklinikum Dresden, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland. angelika.borkowetz@uniklinikum-dresden.de.
Urologie (Heidelberg, Germany)
|February 22, 2024
概括
以转移为导向的疗法 (MDT) 对寡头转移性前列腺癌 (omHSPC) 是有前途的,有可能延迟进展并改善预后. 需要进一步的研究来澄清其作用,特别是同步omHSPC.
科学领域:
- 在瘤学瘤学.
- 辐射疗法 辐射疗法
- 分子成像学分子成像学
背景情况:
- 以转移为导向的疗法 (MDT) 正在对寡头转移性前列腺癌 (omHSPC) 变得越来越重要.
- 前列腺特异性膜抗原正子发射断层扫描 (PSMA-PET) 提高了转移的早期检测.
- 早期发现有助于及时进行治疗干预.
研究的目的:
- 评估MDT在管理OMHSPC中的作用.
- 评估MDT对疾病进展和预后的影响.
- 探索PSMA-PET在识别MDT候选者的实用性.
主要方法:
- 对OMHSPC当前治疗策略的审查.
- 对MDT,包括放射治疗的潜在试验的分析.
- 考虑抗雄激素剥夺疗法 (ADT) 和新型荷尔蒙疗法 (NHT).
主要成果:
- 多种多种疗法,特别是放射疗法,已经显示出在甲时性omHSPC中延长无ADT间隔和无进展生存 (PFS) 的潜力.
- 额外的ADT可能会进一步改善PFS.
- 对于同步的omHSPC,存在有限的前性数据.
结论:
- 尽管证据有限,但MDT对OMHSPC的认可越来越大.
- 为了进行数据比较,需要对寡头转移和影响因素的标准化定义.
- 需要对MDT进行进一步的研究,特别是同步的omHSPC,以及其与ADT/NHT的组合.
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