Sieber Paul R
Lancaster Urology, Lancaster, PA.
Rev Urol. 2014;16(1):10-20.
Prostate cancer is the most prevalent cancer in US and European men and the second leading cause of cancer death in those populations. It is somewhat unique in that nearly all patients who succumb to the disease will ultimately develop bone metastasis. Morbidity from bone metastasis-referred to as skeletal-related events, which include fractures, cord compression, radiation to bone, and surgery to bone-leads to significant costs and impaired quality of life. This article reviews three agents and the roles they play in the ever-changing armamentarium of treatments for metastatic castrate-resistant prostate cancer (mCRPC). The potential benefits of these agents are discussed, as well as the continuing use of these agents and their earlier introduction in the patient with progressive mCRPC with bone metastasis.
前列腺癌是美国和欧洲男性中最常见的癌症,也是这些人群中癌症死亡的第二大主要原因。它有一定的独特性,几乎所有死于该疾病的患者最终都会发生骨转移。骨转移导致的发病率——称为骨相关事件,包括骨折、脊髓压迫、骨放疗和骨手术——会带来巨大的成本并损害生活质量。本文综述了三种药物以及它们在转移性去势抵抗性前列腺癌(mCRPC)不断变化的治疗手段中所起的作用。讨论了这些药物的潜在益处,以及这些药物在有骨转移的进展性mCRPC患者中的持续使用和更早引入。