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前列腺癌患者激素治疗的副作用。

The side effects of hormonal therapy at the patients with prostate cancer.

作者信息

Ziółkowska Ewa, Zarzycka Małgorzata, Wiśniewski Tomasz, Zyromska Agnieszka

机构信息

Department of Radiotherapy I, Oncology Centre - prof. Franciszek Łukaszczyk Memorial Hospital, Bydgoszcz, Poland.

出版信息

Contemp Oncol (Pozn). 2012;16(6):491-7. doi: 10.5114/wo.2012.32478. Epub 2013 Jan 4.

DOI:10.5114/wo.2012.32478
PMID:23788934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3687478/
Abstract

Prostate cancer is one of most frequent malignant tumours at men. The androgen-deprivation therapy is the part of cancer treatment. It could be used both in the early stage of prostate cancer and in the bone metastates. From this reason the antiandrogen drugs waste systematically grows. Unfortunately androgen-deprivation therapy has numerous side effects such as: the inferior quality of live, sexual disturbances, the fatigue, the anaemia, the bone mineral density loss and the increase of the risk of breaks the bone, the increase of body mass, insulinresistance, hypercholesterolemia, the increase risk of cardiac disorders. The aim of this article is the introduction of the reader with possibly complications androgen-deprivation therapy and with possibilities in diagnosis and treatment.

摘要

前列腺癌是男性中最常见的恶性肿瘤之一。雄激素剥夺疗法是癌症治疗的一部分。它可用于前列腺癌的早期阶段以及骨转移阶段。因此,抗雄激素药物的消耗量在系统性地增长。不幸的是,雄激素剥夺疗法有许多副作用,如生活质量下降、性功能障碍、疲劳、贫血、骨矿物质密度丧失和骨折风险增加、体重增加、胰岛素抵抗、高胆固醇血症、心脏疾病风险增加。本文的目的是向读者介绍雄激素剥夺疗法可能出现的并发症以及诊断和治疗的可能性。

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本文引用的文献

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Denosumab versus zoledronic acid for treatment of bone metastases in men with castration-resistant prostate cancer: a randomised, double-blind study.地舒单抗对比唑来膦酸治疗去势抵抗性前列腺癌骨转移患者的随机、双盲研究。
Lancet. 2011 Mar 5;377(9768):813-22. doi: 10.1016/S0140-6736(10)62344-6. Epub 2011 Feb 25.
2
A holistic approach to androgen deprivation therapy: treating the cancer without hurting the patient.
Urol Int. 2009;83(4):373-8. doi: 10.1159/000251174. Epub 2009 Dec 8.
3
Denosumab in men receiving androgen-deprivation therapy for prostate cancer.地诺单抗用于接受雄激素剥夺治疗的前列腺癌男性患者。
N Engl J Med. 2009 Aug 20;361(8):745-55. doi: 10.1056/NEJMoa0809003. Epub 2009 Aug 11.
4
Impact of androgen deprivation therapy on cardiovascular disease and diabetes.雄激素剥夺疗法对心血管疾病和糖尿病的影响。
J Clin Oncol. 2009 Jul 20;27(21):3452-8. doi: 10.1200/JCO.2008.20.0923. Epub 2009 Jun 8.
5
Quality of life and satisfaction with outcome among prostate-cancer survivors.前列腺癌幸存者的生活质量及对治疗结果的满意度
N Engl J Med. 2008 Mar 20;358(12):1250-61. doi: 10.1056/NEJMoa074311.
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Androgen deprivation therapy in prostate cancer and metabolic risk for atherosclerosis.前列腺癌中的雄激素剥夺疗法与动脉粥样硬化的代谢风险
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Use of calcium or calcium in combination with vitamin D supplementation to prevent fractures and bone loss in people aged 50 years and older: a meta-analysis.使用钙或钙联合维生素D补充剂预防50岁及以上人群骨折和骨质流失:一项荟萃分析。
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