Jäger T, Rübben H, Börgermann C
Klinik für Urologie, Uroonkologie und Kinderurologie, Universitätsklinikum Essen, Hufelandstrasse 55, Essen, Germany.
Internist (Berl). 2007 Dec;48(12):1382-7. doi: 10.1007/s00108-007-1958-y.
Prostate cancer has become the most common malignancy in males worldwide. Standard therapy in local confined prostate cancer with curative intent is a radical ablation of the gland. Brachytherapy seems to be an alternative treatment but long-term results are not yet available. In cases of advanced disease androgen deprivation is applied to eliminate testosterone which is the natural stimulator of tumor growth. The application of chemotherapy is limited to androgen-independent disease without curative intention. Standard chemotherapy is Docetaxel. Both early detection and aftercare are based on measurement of prostate-specific antigen.
前列腺癌已成为全球男性中最常见的恶性肿瘤。以治愈为目的的局限性前列腺癌的标准治疗方法是对腺体进行根治性切除。近距离放射治疗似乎是一种替代治疗方法,但尚无长期结果。在晚期疾病的情况下,采用雄激素剥夺疗法来消除睾酮,睾酮是肿瘤生长的天然刺激物。化疗仅适用于无治愈意图的雄激素非依赖性疾病。标准化疗药物是多西他赛。早期检测和后续治疗均基于前列腺特异性抗原的检测。