Irani J
Service d'Urologie de l'Hôpital La Milletrie, Université Poitiers, CHU Poitiers, France.
Prog Urol. 2008 Apr;18 Suppl 3:S63-5. doi: 10.1016/S1166-7087(08)70517-7.
Chemoprevention involves the active use of a drug inhibiting carcinogenesis in order to prevent the development of cancer. Prostate cancer has a high prevalence, long latent period and screening is inadequate. The morbidity and mortality of prostate cancer are significant, making it a good candidate for chemoprevention. Finasteride meets most of the necessary criteria for a chemoprevention agent. Nevertheless, some further information still needs to be obtained before considering its use in practice: the real nature of the increase in Gleason score, envisaged health savings, side effects on sexuality, impact on patient survival and the ideal target population.
化学预防是指积极使用一种抑制致癌作用的药物以预防癌症的发生。前列腺癌患病率高、潜伏期长且筛查不足。前列腺癌的发病率和死亡率都很高,使其成为化学预防的理想对象。非那雄胺符合化学预防药物的大部分必要标准。然而,在考虑将其实际应用之前,仍需要获取一些进一步的信息: Gleason评分增加的真实性质、预期的健康效益、对性功能的副作用、对患者生存率的影响以及理想的目标人群。