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“潮热”是前列腺癌抗雄激素治疗及醋酸环丙孕酮治疗过程中出现的一种令人不适的症状。

'Hot flush', an unpleasant symptom accompanying antiandrogen therapy of prostatic cancer and its treatment by cyproterone acetate.

作者信息

Cervenákov I, Kopecný M, Jancár M, Chovan D, Mal'a M

机构信息

Department of Urology and Andrology, University Hospital Bratislava, Slovak Republic.

出版信息

Int Urol Nephrol. 2000;32(1):77-9. doi: 10.1023/a:1007164319067.

DOI:10.1023/a:1007164319067
PMID:11057778
Abstract

From 1995 to 1997 the authors have assessed 31 patients with histologically verified advanced carcinoma of the prostate (CaP) and the ensuing symptom of 'hot flush'. Patients underwent transurethral resection of the prostate (TURP), bilateral orchiectomy (OE) and combined androgen blockade (CAB) by the administration of non-steroid antiadrogens. The authors present the mechanism of the genesis of the 'hot flush' symptom as well as its subjective manifestations, methods of laboratory monitoring as well as their experience with the treatment of this symptom. 50 mg tablets cyproterone acetate administered twice daily or Androcur depot 300 mg i.m. inj. once in 14 days were the main factors in the treatment of 'hot flushes' which reduced subjective difficulties in 80.6% of the patients studied.

摘要

1995年至1997年期间,作者评估了31例经组织学证实为晚期前列腺癌(CaP)且伴有“潮热”症状的患者。患者接受了经尿道前列腺切除术(TURP)、双侧睾丸切除术(OE)以及通过给予非甾体类抗雄激素药物进行联合雄激素阻断(CAB)。作者阐述了“潮热”症状的发生机制、主观表现、实验室监测方法以及他们对该症状的治疗经验。每天两次服用50毫克醋酸环丙孕酮片或每14天肌肉注射一次300毫克安雄长效注射剂,是治疗“潮热”的主要因素,这些措施使80.6%的研究患者主观不适症状减轻。

相似文献

1
'Hot flush', an unpleasant symptom accompanying antiandrogen therapy of prostatic cancer and its treatment by cyproterone acetate.“潮热”是前列腺癌抗雄激素治疗及醋酸环丙孕酮治疗过程中出现的一种令人不适的症状。
Int Urol Nephrol. 2000;32(1):77-9. doi: 10.1023/a:1007164319067.
2
Efficacy of venlafaxine, medroxyprogesterone acetate, and cyproterone acetate for the treatment of vasomotor hot flushes in men taking gonadotropin-releasing hormone analogues for prostate cancer: a double-blind, randomised trial.用于治疗因前列腺癌接受促性腺激素释放激素类似物治疗而出现血管舒缩性热潮红的男性患者的文拉法辛、醋酸甲羟孕酮和醋酸环丙孕酮的疗效:一项双盲、随机试验。
Lancet Oncol. 2010 Feb;11(2):147-54. doi: 10.1016/S1470-2045(09)70338-9. Epub 2009 Dec 4.
3
[Therapy of vasomotor syndrome in the treatment of advanced prostatic cancer: apropos of 37 cases].[晚期前列腺癌治疗中血管舒缩综合征的治疗:附37例报告]
Arch Ital Urol Androl. 1998 Feb;70(1):37-40.
4
[A clinical study of estramustine phosphate sodium for the treatment of hot flushes in men with prostate cancer].
Nihon Hinyokika Gakkai Zasshi. 2004 Sep;95(6):761-5. doi: 10.5980/jpnjurol1989.95.761.
5
Megestrol acetate for the treatment of hot flashes in men undergoing hormone ablation therapy or orchiectomy.醋酸甲地孕酮用于治疗接受激素消融治疗或睾丸切除术的男性潮热。
Urol Nurs. 2007 Dec;27(6):556-7.
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Hot flashes during androgen deprivation therapy with luteinizing hormone-releasing hormone agonist combined with steroidal or nonsteroidal antiandrogen for prostate cancer.使用促黄体生成素释放激素激动剂联合甾体或非甾体抗雄激素药物进行雄激素剥夺治疗前列腺癌期间出现的潮热。
Urology. 2009 Mar;73(3):635-40. doi: 10.1016/j.urology.2008.09.013. Epub 2008 Nov 26.
7
[Cyproterone acetate (Androcur-depo) in the treatment of inoperable prostatic cancer].醋酸环丙孕酮(安君可长效注射剂)治疗无法手术的前列腺癌
Urol Nefrol (Mosk). 1995 Nov-Dec(6):33-6.
8
Use of cyproterone acetate in prostate cancer.
Urol Clin North Am. 1991 Feb;18(1):111-22.
9
[Clinical evaluation of hot flushes developing during endocrine therapy for prostate carcinoma].
Nihon Hinyokika Gakkai Zasshi. 2003 Sep;94(6):614-20. doi: 10.5980/jpnjurol1989.94.614.
10
Antiandrogen withdrawal syndrome with cyproterone acetate.醋酸环丙孕酮所致抗雄激素撤药综合征
Urology. 1998 Dec;52(6):1091-3. doi: 10.1016/s0090-4295(98)00354-9.

引用本文的文献

1
Adverse events associated with hormonal therapy for prostate cancer.与前列腺癌激素治疗相关的不良事件。
Rev Urol. 2005;7 Suppl 5(Suppl 5):S37-43.
2
Preventing and treating the complications of hormone therapy.
Curr Urol Rep. 2005 May;6(3):217-23. doi: 10.1007/s11934-005-0010-9.

本文引用的文献

1
[Therapy of vasomotor syndrome in the treatment of advanced prostatic cancer: apropos of 37 cases].[晚期前列腺癌治疗中血管舒缩综合征的治疗:附37例报告]
Arch Ital Urol Androl. 1998 Feb;70(1):37-40.
2
Maximum androgen blockade using LHRH agonist buserelin in combination with short-term (two weeks) or long-term (continuous) cyproterone acetate is not superior to standard androgen deprivation in the treatment of advanced prostate cancer. Final analysis of EORTC GU Group Trial 30843. European Organization for Research and Treatment of Cancer (EROTC) Genito-Urinary Tract Cancer Cooperative Group.在晚期前列腺癌治疗中,使用促黄体激素释放激素(LHRH)激动剂布舍瑞林联合短期(两周)或长期(持续)醋酸环丙孕酮进行最大雄激素阻断,并不优于标准雄激素剥夺疗法。欧洲癌症研究与治疗组织(EORTC)泌尿生殖系统癌症合作组30843试验的最终分析。欧洲癌症研究与治疗组织(EROTC)泌尿生殖系统癌症合作组
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A prospective, randomised study to compare goserelin acetate (Zoladex) versus cyproterone acetate (Cyprostat) versus a combination of the two in the treatment of metastatic prostatic carcinoma.一项前瞻性随机研究,比较醋酸戈舍瑞林(诺雷德)与醋酸环丙孕酮(色普龙)以及二者联合用药治疗转移性前列腺癌的效果。
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A prospective comparison of treatments for symptomatic hot flushes following endocrine therapy for carcinoma of the prostate.前列腺癌内分泌治疗后有症状潮热的治疗方法的前瞻性比较。
J Urol. 1994 Jul;152(1):132-4. doi: 10.1016/s0022-5347(17)32835-5.
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Androcur 50 in the treatment of prostatic carcinoma. Belgian multicentric study with the participation of 30 urologists.安雄50治疗前列腺癌。由30位泌尿科医生参与的比利时多中心研究。
Acta Urol Belg. 1994 Apr;62(1):77-82.
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Cyproterone. A review of its pharmacology and therapeutic efficacy in prostate cancer.环丙孕酮。其在前列腺癌中的药理学及治疗效果综述。
Drugs Aging. 1994 Jul;5(1):59-80. doi: 10.2165/00002512-199405010-00006.
9
Luteinizing hormone-releasing hormone agonists in prostate cancer. Elimination of flare reaction by pretreatment with cyproterone acetate and low-dose diethylstilbestrol.前列腺癌中的促黄体生成激素释放激素激动剂。通过醋酸环丙孕酮和低剂量己烯雌酚预处理消除flare反应。
Cancer. 1993 Sep 1;72(5):1685-91. doi: 10.1002/1097-0142(19930901)72:5<1685::aid-cncr2820720532>3.0.co;2-3.
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[Hot flashes after orchiectomy in treatment of prostate cancer-- a serious side effect].[前列腺癌治疗中睾丸切除术后潮热——一种严重的副作用]
Z Gerontol. 1994 Sep-Oct;27(5):334-6.