Guan Xiao-xiang, Chen Long-bang
Department of Oncology, Nanjing General Hospital of Nanjing Command, PLA, Nanjing, Jiangsu 210002, China.
Zhonghua Nan Ke Xue. 2006 Nov;12(11):1021-5.
Prostate cancer is a most common malignant neoplasm in males. In recent years, its incidence has been rising dramatically in China. Patients with recurrent prostate cancer may be treated with androgen deprivation strategies, but most cases will eventually develop into androgen-independent prostate cancer (AIPC). Until recently, chemotherapy has been shown to be effective in palliating the symptoms of the disease but not in improving survival. Current strategies for the treatment of AIPC have shown significant palliation, but no definitive increase in survival. Molecular mechanisms underlying the development of androgen-independent prostate cancer (AIPC) are poorly understood. However, there is growing evidence that different molecular profiles may result in the development of AIPC. In this paper, we not only review the molecular mechanism of AIPC, but also present some of the promising management principles and systemic chemotherapy options against AIPC.
前列腺癌是男性中最常见的恶性肿瘤。近年来,其发病率在中国急剧上升。复发性前列腺癌患者可采用雄激素剥夺策略进行治疗,但大多数病例最终会发展为去势抵抗性前列腺癌(AIPC)。直到最近,化疗已被证明在缓解疾病症状方面有效,但在提高生存率方面无效。目前治疗AIPC的策略已显示出显著的缓解效果,但生存率并未有明确提高。去势抵抗性前列腺癌(AIPC)发生发展的分子机制尚不清楚。然而,越来越多的证据表明,不同的分子特征可能导致AIPC的发生。在本文中,我们不仅回顾了AIPC的分子机制,还提出了一些针对AIPC的有前景的管理原则和全身化疗方案。