在积极监测的局部前列腺癌患者中,低水平和等级组进展:回顾性队列研究
Tarek Lawen1, Rebekka S Garcia1, Matthew T Smith1
1Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
The Journal of urology
|February 9, 2026
概括
低丸激素水平可能会增加积极监测的男性的侵袭性前列腺癌进展风险 (等级组3或更高). 需要进一步的研究来证实这一关联.
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.
- 内分泌学 在内分泌学.
背景情况:
- 主动监测 (AS) 是局部性前列腺癌的常见策略.
- 在AS期间预测疾病进展的生物标志物有限.
- 低丸激素在AS期间前列腺癌进展中的作用尚不清楚.
研究的目的:
- 调查基线血清丸激素水平与局部性前列腺癌的男性AS等级组进展之间的关联.
- 为了确定低丸激素是否预测到更高等级组 (GG3+) 的进展.
主要方法:
- 对924名在AS计划中的男性进行回顾性队列研究 (2001-2024).
- 血清丸激素水平被归类为低 (≤300 ng/dL).
- 考克斯的比例危险模型用于评估与GG2和GG3+进展的关联,并对混因素进行调整.
主要成果:
- 低丸激素与GG3+进展的风险显著增加有关 (HR1.61,p=0.04).
- 低丸激素与GG2进展没有显著相关 (HR1.23,p=0.15).
- 结果与替代丸激素切割点和混调整相比强大.
结论:
- 低丸激素可能是AS期间更高度前列腺癌进展 (GG3+) 的危险因素.
- 低丸激素似乎与中度进展无关 (GG2).
- 需要进行前性研究来验证这些发现,并探索雄激素与前列腺癌的关系.
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