Baumert H
Service d'Urologie, Groupe Hospitalier Paris Saint-Joseph, 18 rue Raymond-Losserand, 75674 Paris cedex 14, France.
Cancer Radiother. 2010 Oct;14(6-7):442-5. doi: 10.1016/j.canrad.2010.07.222.
Local recurrence after external radiotherapy or brachytherapy occurs in 30% of patients treated for prostate cancer. These recurrences can be localised to the prostate and controlled by salvage treatment. Salvage prostatectomy is the gold standard treatment, however, it is associated with a high morbidity rate. Minimally invasive treatments such as cryotherapy and high intensity focused ultrasound (HIFU) can be proposed to treat local recurrences. Indications, complications and oncological results of these salvage treatments are discussed in this article.
接受前列腺癌外照射放疗或近距离放射治疗的患者中,30%会出现局部复发。这些复发可能局限于前列腺,可通过挽救性治疗加以控制。挽救性前列腺切除术是金标准治疗方法,然而,它具有较高的发病率。可以考虑采用冷冻疗法和高强度聚焦超声(HIFU)等微创治疗方法来治疗局部复发。本文将讨论这些挽救性治疗的适应证、并发症及肿瘤学疗效。