重新分类的风险和积极监督中的新工具
Bárbara Vieira Lima Aguiar Melão1,2, Lucas Mendes Nogueira3, Karim A Touijer4
1Division of Urology, University of São Paulo, São Paulo, Brazil.
Asian journal of urology
|December 30, 2025
概括
对低风险前列腺癌的积极监测是有效的,但需要仔细选择和监测患者. 新型工具有望改善风险分层,并减少患者在随访期间的焦虑.
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.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 积极监测 (AS) 是低风险前列腺癌的首选管理方法,旨在减少过度治疗.
- 有效的AS依赖于精确的患者选择和强大的监测,以早期发现进展.
- 早期检测可以在可治愈的窗口内及时治疗.
研究的目的:
- 审查前列腺癌积极监测的新型诊断和预后工具.
- 评估这些新兴工具在改善患者选择和监测方面的作用.
- 评估降低重新分类率的策略和频繁活检的需要.
主要方法:
- 对前列腺癌重新分类研究的综合文献综述.
- 评估传统和新兴的诊断/预后工具.
- 包括成像方式,生物标志物和基因组分类器.
主要成果:
- 在AS群体中,长期治疗率在30%至45%之间.
- 36%的低风险前列腺癌患者经历了激进前列腺切除标本的升级.
- 很少有新的工具被验证用于AS患者评估,这突出了更好的风险分层的需要.
结论:
- 积极监测是低风险前列腺癌的可行和安全策略.
- 新的风险分层工具是有希望的,但需要进一步验证.
- 改进的工具可以提高AS的有效性,并减少患者监测负担和焦虑.
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