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聚焦治疗:前列腺癌治疗的新范式。

Focal therapy: a new paradigm for the treatment of prostate cancer.

作者信息

Tareen Basir, Godoy Guilherme, Taneja Samir S

出版信息

Rev Urol. 2009 Fall;11(4):203-12.

PMID:20111633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2809988/
Abstract

Focal therapy has been proposed in recent years as a means of bridging the gap between radical prostatectomy and active surveillance for treatment of prostate cancer. The rationale for focal therapy comes from its success in treating other malignancies. One of the challenges in applying such an approach to the treatment of prostate cancer has been the multifocal nature of the disease. This review addresses the selection of potentially ideal candidates for focal therapy and discusses which modalities are currently being used and proposed for focal therapy. Setting and meeting guidelines for oncologic efficacy is a challenge we must embrace to safely deliver this potentially revolutionary approach to treating men with prostate cancer.

摘要

近年来,聚焦治疗被提议作为一种在前列腺癌根治术和积极监测之间架起桥梁的治疗手段。聚焦治疗的理论依据源于其在治疗其他恶性肿瘤方面的成功。将这种方法应用于前列腺癌治疗的挑战之一在于该疾病的多灶性本质。这篇综述探讨了聚焦治疗潜在理想候选者的选择,并讨论了目前正在使用以及提议用于聚焦治疗的方式。设定并满足肿瘤学疗效的指导原则是我们必须接受的一项挑战,以便安全地将这种可能具有革命性的前列腺癌治疗方法应用于男性患者。

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本文引用的文献

1
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J Urol. 2009 Apr;181(4):1817-22. doi: 10.1016/j.juro.2008.11.105. Epub 2009 Feb 23.
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Can contemporary transrectal prostate biopsy accurately select candidates for hemi-ablative focal therapy of prostate cancer?当代经直肠前列腺活检能否准确筛选出适合前列腺癌半消融聚焦治疗的患者?
BJU Int. 2009 Jul;104(2):195-9. doi: 10.1111/j.1464-410X.2009.08347.x. Epub 2009 Feb 3.
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Laterality alone should not drive selection of candidates for hemi-ablative focal therapy.仅根据病变侧别不应作为选择半消融性局部治疗候选者的依据。
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Vascular targeted photodynamic therapy for localized prostate cancer.局部前列腺癌的血管靶向光动力疗法。
Rev Urol. 2008 Fall;10(4):254-61.
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Appropriate candidates for hemiablative focal therapy are infrequently encountered among men selected for radical prostatectomy in contemporary cohort.在当代队列中,适合进行半消融性聚焦治疗的合适候选人在接受根治性前列腺切除术的男性中很少见。
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Focal treatment of prostate cancer with vascular-targeted photodynamic therapy.血管靶向光动力疗法对前列腺癌的局部治疗
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Transperineal 3D mapping biopsy of the prostate: an essential tool in selecting patients for focal prostate cancer therapy.经会阴前列腺三维映射活检:选择前列腺癌局部治疗患者的重要工具。
Urol Oncol. 2008 Sep-Oct;26(5):506-10. doi: 10.1016/j.urolonc.2008.03.005.
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Evaluation of a novel precision template-guided biopsy system for detecting prostate cancer.一种用于检测前列腺癌的新型精密模板引导活检系统的评估。
BJU Int. 2008 Aug 5;102(5):546-50. doi: 10.1111/j.1464-410X.2008.07832.x.
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Vascular-targeted photodynamic therapy (padoporfin, WST09) for recurrent prostate cancer after failure of external beam radiotherapy: a study of escalating light doses.外照射放疗失败后复发性前列腺癌的血管靶向光动力疗法(帕多泊芬,WST09):递增光剂量的研究
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Focal therapy with high-intensity-focused ultrasound in the treatment of localized prostate cancer.高强度聚焦超声局部治疗局限性前列腺癌
Jpn J Clin Oncol. 2008 Mar;38(3):192-9. doi: 10.1093/jjco/hym173. Epub 2008 Feb 15.