转移性激素敏感前列腺癌的治疗模式:专家叙述审查
Vineet Talwar1, Kaushal Kalra2, Akhil Kapoor3
1Department of Medical Oncology, Rajiv Gandhi Cancer Institute and Research Centre (RGCIRC), New Delhi 110085, India.
Current oncology (Toronto, Ont.)
|August 27, 2025
概括
包括抗雄激素剥夺疗法 (ADT),多塞和雄激素受体信号抑制剂 (ARSIs) 在内的三重疗法可改善转移性激素敏感前列腺癌 (mHSPC) 的存活率. 个性化治疗是优化患者治疗结果的关键.
科学领域:
- 癌症学
- 尿道病学
- 药理学
背景情况:
- 转移性激素敏感前列腺癌 (mHSPC) 的治疗已经在三重治疗中得到发展.
- 临床指导方针建议早期加强, 但实际应用面临挑战.
研究的目的:
- 审查目前的证据和专家对印度mHSPC的三倍治疗的见解.
- 解决现实实践中的挑战,包括患者异质性和治疗顺序.
主要方法:
- 综合基准试验数据的叙述性审查.
- 纳入临床指南和印度瘤专家的见解.
主要成果:
- 在高容量的mHSPC中,三倍治疗,特别是达罗胺,可以提高生存率.
- 个性化治疗决策应考虑疾病负担,并发症和基因组特征.
结论:
- 协调基于指南的护理与个性化,现实世界的决策对于mHSPC至关重要.
- 准确医学需要对现实世界的数据,测序和生物标志物的进一步研究.
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