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最大程度抑制前列腺癌患者的睾酮水平——游离睾酮与总睾酮。

Maximal testosterone suppression in prostate cancer--free vs total testosterone.

机构信息

Division of Urology, University of Colorado, Anschutz Medical Campus, Aurora, CO.

Division of Urology, University of Colorado, Anschutz Medical Campus, Aurora, CO.

出版信息

Urology. 2014 Jun;83(6):1217-22. doi: 10.1016/j.urology.2014.02.001. Epub 2014 Apr 6.

Abstract

Testosterone remains a key target in the treatment of advanced prostate cancer. The relationship of free testosterone to prostate cancer treatment and outcomes remains largely unexplored. A consensus of prostate cancer experts was convened in 2013 to review current knowledge surrounding relationship of total and free testosterone to prostate cancer, discuss the free hormone hypothesis, and highlight future avenues for therapeutics. Free testosterone may better reflect prostate cancer tissue androgen levels than serum total testosterone concentration. Free testosterone deserves more research regarding its relation to clinical outcomes.

摘要

睾酮仍然是治疗晚期前列腺癌的一个关键靶点。游离睾酮与前列腺癌治疗和结局的关系在很大程度上仍未得到探索。2013 年,召集了一批前列腺癌专家,以审查围绕总睾酮和游离睾酮与前列腺癌的关系的现有知识,讨论游离激素假说,并强调治疗的未来途径。游离睾酮可能比血清总睾酮浓度更能反映前列腺癌组织中的雄激素水平。游离睾酮与临床结局的关系值得进一步研究。

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