Stewart Alistair B, Lwaleed Bashir A, Douglas David A, Birch Brian R
Department of Urology, Southampton University Hospitals NHS Trust, Southampton, Hampshire SO16 6YD, UK.
Curr Med Chem Anticancer Agents. 2005 Nov;5(6):603-12. doi: 10.2174/156801105774574658.
Prostate cancer is the most common cancer amongst men in the USA and the second most common malignant cause of male death worldwide after lung cancer. The life time risk of having microscopic evidence of prostate cancer for a 50 year old man is 42%. Prostate cancer is thus becoming an increasingly significant global health problem in terms of mortality, morbidity, as well as economically. This review, discusses current medical therapeutic options for prostate cancer including traditional treatments using luteinising hormone releasing analogues (LHRH), anti-androgens and estrogen treatments, and the use of novel drugs directed against molecular targets considered important in oncogenesis and metastasis. Prostate cancer chemoprevention using 5alpha-reductase inhibitors and the role of gene therapy are also considered.
前列腺癌是美国男性中最常见的癌症,在全球范围内是仅次于肺癌的男性第二大常见恶性死因。一名50岁男性出现前列腺癌微观证据的终生风险为42%。因此,前列腺癌在死亡率、发病率以及经济方面正成为一个日益重要的全球健康问题。本综述讨论了前列腺癌当前的医学治疗选择,包括使用促黄体激素释放类似物(LHRH)的传统治疗、抗雄激素和雌激素治疗,以及针对在肿瘤发生和转移中被认为重要的分子靶点的新型药物的使用。还考虑了使用5α-还原酶抑制剂进行前列腺癌化学预防以及基因治疗的作用。