从最近的全身治疗开始的时间到小细胞进展与对化抵抗性前列腺癌的渐进性部位导向治疗的结果有关
Naoki Matsuyama1, Kotaro Suzuki1, Taisuke Tobe1
1Division of Urology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
概括
渐进性部位导向疗法 (PSDT) 对抗割性前列腺癌 (CRPC) 是有前途的. 在这种局部治疗方法下,患者在至少一年的时间内获得了良好的无进展生存期.
科学领域:
- 癌症学
- 辐射瘤学
- 前列腺癌研究
背景情况:
- 越来越多地报告了小细胞前列腺癌的局部治疗.
- 与割敏感性疾病相比,治疗抗割性前列腺癌 (CRPC) 的证据有限.
研究的目的:
- 检查逐步部位定向治疗 (PSDT) 的有效性.
- 确定治疗有效性的预后因素.
主要方法:
- 用PSDT治疗的35名患有寡进性CRPC的患者的回顾性分析.
- 定义为五个或更少的受影响部位;对所有病变进行放射治疗.
- 终点包括前列腺特异性抗原 (PSA) 反应,无进展生存期 (PFS) 和癌症特异性生存期 (CSS).
主要成果:
- 骨头是转移最常见的部位 (57. 1%).
- 在57. 1%的患者中,前列腺特异性抗原 (PSA) 反应达到≥50%.
- 中位数PFS为8. 0个月,中位数CSS为28. 7个月.
- 在PFS的预后因素中,低血压期≥1年是一个有利的预后因素 (HR 0.35, p=0.038).
结论:
- 渐进性部位导向治疗 (PSDT) 可能为寡进性CRPC提供良好的疾病控制.
- 在最近一次全身治疗后≥1年时间的患者表现出良好的结果.
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