Holzbeierlein Jeffrey M, McLaughlin Matthew D, Thrasher J Brantley
Department of Urology, University of Kansas Medical Center, Kansas City, 66160, USA.
Curr Opin Urol. 2004 May;14(3):177-83. doi: 10.1097/00042307-200405000-00007.
Androgen deprivation as a form of treatment for prostate cancer has been used for decades. Within the last decade, however, there has been a significant increase in its use. Therefore, it is incumbent upon the physician to be familiar with the side effects associated with this treatment.
Some of the side effects such as osteoporosis, changes in lipid profiles, and anemia may have significant morbidity associated with them, while other side effects such as impotence, decreased libido, fatigue, and hot flashes primarily affect the patient's quality of life. Prevention strategies and treatments exist for many of these side effects.
This review will update physicians treating patients with androgen deprivation therapy on the side effects associated with this treatment. Once physicians are aware of the potential side effects, they can educate patients on what to expect when starting androgen deprivation therapy. More importantly, physicians can now prevent some of these complications prior to their occurrence, and when these complications occur they have knowledge of the latest treatments.
雄激素剥夺作为前列腺癌的一种治疗方式已应用数十年。然而,在过去十年中,其使用量显著增加。因此,医生有责任熟悉与这种治疗相关的副作用。
一些副作用,如骨质疏松、血脂变化和贫血,可能伴有严重的发病率,而其他副作用,如阳痿、性欲减退、疲劳和潮热,主要影响患者的生活质量。针对其中许多副作用存在预防策略和治疗方法。
本综述将向采用雄激素剥夺疗法治疗患者的医生介绍与该治疗相关的副作用。一旦医生意识到潜在的副作用,他们就可以告知患者开始雄激素剥夺治疗时可能出现的情况。更重要的是,医生现在可以在某些并发症发生之前进行预防,并且当这些并发症发生时,他们了解最新的治疗方法。