前列腺癌的积极监测:目前的情况和未来的方向
1Department of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
Current opinion in urology
|January 15, 2026
概括
积极监测是低风险前列腺癌 (PCa) 和越来越多的中等风险PCa的成功治疗方法. 适当的患者选择和全面的计划是其有效性的关键.
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.
- 医学研究 医学研究
背景情况:
- 积极监测是管理前列腺腺癌 (PCa) 的新兴策略.
- 患者选择对于积极监测协议的成功至关重要.
- 本次审查审查了PCa积极监测的当前策略和选择标准.
研究的目的:
- 审查目前前列腺癌的积极监测策略.
- 确定选择适合主动监测的患者的关键特征.
- 提供关于积极监督在PCa管理中的不断变化的作用的见解.
主要方法:
- 关于主动监控策略的综合文献综述.
- 对积极监测患者选择标准的分析.
- 在主动监控协议中使用的诊断工具的评估.
主要成果:
- 积极监测是低风险PCa的首选治疗方法.
- 新出现的数据支持在选择中等风险的PCa患者中使用积极监测.
- 精确的患者选择导致成功的结果和减少并发症.
结论:
- 积极监测包括通过PSA测试,DRE,成像和活检进行密切监测.
- 它是非常低等级和低等级PCa以及一些有利的中等风险PCa的标准.
- 成功的积极监测需要一个强大的计划,准确的诊断和患者的坚持.
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