Lopez S, Simon J-M, Mazeron J-J
Service de radiothérapie oncologique, groupe hospitalier de La Pitié-Salpêtrière, AP-HP, Paris, France.
Bull Cancer. 2009 Mar;96(3):261-70. doi: 10.1684/bdc.2009.0832.
Non-metastatic adenocarcinoma of prostate can be cured in the vast majority of cases with surgery and/or external or interstitial radiotherapy. Failures are much more frequent when tumors are locally advanced. For this reason, new strategies have been designed, among them combined radiotherapy and hormone therapy, in most cases with a LHRH analog, neoadjuvant and/or concomitant and/or adjuvent. Analysis of results of recent randomised trials comparing this association and exclusive radiotherapy allows for validating concept of combined radiotherapy and hormone therapy in locally advanced adenocarcinoma of prostate, while many questions should be more clearly answered.
绝大多数情况下,非转移性前列腺腺癌可通过手术和/或外照射或组织间放疗治愈。当肿瘤局部进展时,治疗失败更为常见。因此,已设计了新的策略,其中包括联合放疗和激素治疗,在大多数情况下使用促黄体生成素释放激素(LHRH)类似物,进行新辅助和/或同步和/或辅助治疗。对近期比较这种联合治疗与单纯放疗的随机试验结果进行分析,有助于验证前列腺局部晚期腺癌联合放疗和激素治疗的概念,同时许多问题仍需更明确地解答。