在前列腺癌中过度诊断和过度治疗
Zaure Dushimova1, Yerbolat Iztleuov2, Gulnar Chingayeva3
1Department of Fundamental Medicine, Al-Farabi Kazakh National University, Almaty 050040, Kazakhstan.
Diseases (Basel, Switzerland)
|June 25, 2025
概括
前列腺癌 (PCa) 查面临过度诊断和过度治疗的挑战. 通过新的生物标志物和积极监测来完善协议,可以最大限度地减少伤害并改善患者的生活质量.
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
- 公共卫生 公共卫生
背景情况:
- 前列腺癌 (PCa) 是全球男性的主要恶性瘤.
- 前列腺特异性抗原 (PSA) 查有助于早期检测,但导致过度诊断和过度治疗.
- 过度诊断识别了惰的瘤,而过度治疗导致了诸如失禁和勃起功能障碍等不良影响.
研究的目的:
- 审查导致PCa过度诊断和过度治疗的因素.
- 突出精确查和管理协议的策略.
- 倡导个性化的方法和更新的临床指南.
主要方法:
- 文献综述分析PSA测试和高级成像 (mpMRI) 的局限性.
- 探索新的生物标志物 (例如PCA3,TMPRSS2-ERG).
- 分析医疗文化,患者期望和系统医疗保健因素.
主要成果:
- 当前查方法的局限性导致过度诊断.
- 先进的成像和新型生物标志物提供了提高准确性的潜力.
- 像积极监测这样的保守管理可以减轻过度治疗的风险.
- 系统性因素,如金融激励和不良做法的担忧加剧了过度使用.
结论:
- 完善查协议和整合新的生物标志物至关重要.
- 积极监督和共享决策是平衡利益和风险的关键.
- 需要更新的指导方针和个性化的方法来优化结果并减少医疗保健的压力.
- 有针对性的干预措施可以改善PCa患者的生活质量和医疗保健效率.
相关概念视频
Disorders of the Male Reproductive System
611
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
611
Combination Therapies and Personalized Medicine
5.1K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.1K
Documentation of Nursing Diagnosis
1.3K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.3K
Targeted Cancer Therapies
7.8K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.8K
mTOR Signaling and Cancer Progression
3.9K
The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
The mTOR pathway or the...
3.9K
Cancer-Critical Genes I: Proto-oncogenes
9.2K
Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
9.2K


