Rodríguez Duarte C
Policlínica Metropolitana, Caracas, Venezuela.
Arch Esp Urol. 2000 Sep;53(7):597-602.
To present our results with brachytherapy in the treatment of localized cancer of the prostate.
From September 1999 to April 2000, 20 patients with T1 and T2 cancer of the prostate were treated with brachytherapy. The method utilized is described and the results are presented. The advantages of iodine-125 implantation using transrectal ultrasound are discussed.
The morbidity was low and were mild irritative symptoms of the lower urinary tract that were managed without difficulty with medical treatment. Determination of PSA three months after the procedure showed good results in 80% of the cases.
There is an increasing number of cases diagnosed with localized cancer of the prostate. Good results have been achieved with radical surgery and radiotherapy. Although the number of patients with 10 years follow-up is small, brachytherapy of the prostate has achieved good results with a low morbidity. This therapeutic modality should be offered to the patient with localized cancer of the prostate and the patient allowed to decide on the type of treatment.
展示我们应用近距离放射疗法治疗局限性前列腺癌的结果。
1999年9月至2000年4月，对20例T1和T2期前列腺癌患者采用近距离放射疗法进行治疗。描述了所采用的方法并展示了结果。讨论了经直肠超声引导下碘-125植入的优点。
发病率低，为下尿路轻度刺激症状，药物治疗不难处理。术后三个月测定前列腺特异性抗原（PSA），80%的病例结果良好。
诊断为局限性前列腺癌的病例数量不断增加。根治性手术和放射治疗已取得良好效果。尽管随访10年的患者数量较少，但前列腺近距离放射疗法已取得良好效果且发病率低。对于局限性前列腺癌患者应提供这种治疗方式，并让患者决定治疗类型。
