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前列腺癌的焦点治疗:可用的技术,患者选择,随访方案和报告结果

Julio Pow-Sang¹, Gustavo Ruschi Bechara²

¹Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL 33612, USA.

Archivos espanoles de urologia

|December 3, 2025

概括

焦点疗法 (FT) 为中等风险前列腺癌提供了一种最小侵入性的选择. 患者选择的挑战和多样化的随访协议需要解决,以便更广泛地采用.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
在瘤学瘤学.
医疗技术医疗技术医学技术

背景情况:

前列腺癌的焦点治疗 (Focal Therapy,FT) 首先是冷,现在利用了各种不同的能量来源.
目前的FT疗法包括冷疗法,不可逆的电穿孔,HIFU,TULSA,激光,射频剥离和光动力疗法.

研究的目的:

讨论患者选择焦点治疗的挑战.
审查当前的焦点治疗方式和治疗后的后续战略.

主要方法:

对焦点治疗技术和患者选择标准的现有文献的审查.
分析目前的随访协议,包括PSA监测,mpMRI和活检.

主要成果:

焦点治疗一般具有较低的发病率和对生活质量的最小影响.
长期的瘤结果需要进一步调查.
技术,患者选择和随访协议的异质性阻碍了标准化.

结论:

焦点治疗是选择中等风险前列腺癌患者的有希望的选择.
标准化患者选择和随访方案对于确定FT作为标准治疗至关重要.
需要进一步的高层证据来支持广泛采用.

关键词:

焦点治疗焦点治疗后续行动协议后续行动协议在本地化,本地化,本地化.患者的选择患者的选择前列腺癌是前列腺癌.

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