平衡治愈和生活质量:在局部性前列腺癌中导航功能性结果
Abby L Grier1, Erik Briers2, Randie E White3
1School of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH.
概括
管理局部性前列腺癌需要平衡治疗效果与生活质量. 本综述强调了优化手术和放射治疗 (RT) 结果,同时解决性,泌尿和心理健康问题,以改善生存率.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 心理社会健康 心理健康
背景情况:
- 局部性前列腺癌提供了各种管理选择,从积极监测到手术和放射治疗 (RT).
- 治疗选择受到瘤特征,患者健康状况和个人目标的影响.
- 虽然生存和功能结果通过先进的技术得到改善,但生活质量的影响仍然存在.
研究的目的:
- 检查局部性前列腺癌治疗选择,功能结果和心理社会因素之间的关系.
- 确定改善患者护理和生存率的关键领域.
- 为了强调与患者价值观调整治疗决策的重要性.
主要方法:
- 本综述综合了当前关于局部性前列腺癌管理的文献.
- 它探讨了手术和辐射技术的进步.
- 它讨论了治疗对性,尿道,肠道功能和心理健康的影响.
主要成果:
- 优化的手术策略和精确的RT可以改善功能结果并减少毒性.
- 性,泌尿和肠道功能障碍是常见的副作用,需要管理.
- 心理困扰,包括焦虑和抑郁,在幸存者中很普遍.
结论:
- 综合功能和心理社会支持的多学科护理对于改善生活质量至关重要.
- 将治疗决策与患者优先事项相协调,可以尽量减少决策后悔.
- 个性化护理计划对于导航局部性前列腺癌存活率至关重要.
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