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焦点治疗后的监测 - 一个全面的审查
Giancarlo Marra1, Alessandro Marquis2,3, Michel Suberville4
1Division of Urology, Department of Surgical Sciences, City of Health and Science, Molinette Hospital and University of Turin, Turin, Italy.
Prostate cancer and prostatic diseases
|October 4, 2024
概括
缺少针对前列腺癌的焦点治疗的标准化随访. 本综述概述了使用PSA,MRI和活检进行治疗后瘤和功能结果监测的最佳策略.
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
- 医疗成像医学成像
背景情况:
- 对于前列腺癌 (PCa) 焦点治疗 (FT) 后的患者,没有标准化的随访协议.
- 目前的监测依赖于机构的经验和协议.
- 本综述讨论了FT后有利的后续策略及其理由.
研究的目的:
- 对前列腺癌的焦点治疗后的后续策略进行全面的文献审查.
- 评估瘤和功能结果,并对并发症进行监测.
- 为FT后患者管理提供基于证据的建议.
主要方法:
- 叙述文献综述调查了PCa的各种FT后续协议.
- 对瘤结果 (PSA,MRI,活检),功能结果和并发症的分析.
- 评估成像方法和生物标志物的实用性.
主要成果:
- 癌症成功的定义是治疗区域中没有显著的PCa.
- 推的随访包括定期PSA,6-12个月的多参数MRI (mpMRI) 和12个月的前列腺活检.
- 通过问卷评估功能结果;治疗后早期监测并发症.
结论:
- 焦点治疗后续需要综合临床,放射学和组织学评估.
- 需要进一步的研究来建立标准化,基于证据的后续协议.
- 根据风险调整的方法对于个性化患者管理至关重要.
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