Miller K
Aktuelle Urol. 2015 Jan;46(1):66-70. doi: 10.1055/s-0034-1396859. Epub 2015 Feb 6.
Therapy for metastatic castration-resistant prostate cancer (mCRPC) has become more complex due to recent medical findings. Today different options for first- and second-line treatment are available. Therefore scientific attention focuses on possible sequences and combinations. Besides, biomarkers play an important role as they can support therapeutic decisions and may enable more focused therapies. A new evaluation of biomarkers for advanced prostate cancer is necessary since the tumour biology is changing. One prognostic marker in mCRPC is PSA but this marker has to be interpreted with caution in this situation. Validated predictive markers for mCRPC are still lacking. In some studies potential predictive markers have been analysed.
由于最近的医学发现,转移性去势抵抗性前列腺癌(mCRPC)的治疗变得更加复杂。如今,一线和二线治疗有不同的选择。因此,科学关注集中在可能的治疗顺序和联合方案上。此外,生物标志物起着重要作用,因为它们可以支持治疗决策,并可能实现更有针对性的治疗。由于肿瘤生物学在不断变化,有必要对晚期前列腺癌的生物标志物进行新的评估。mCRPC中的一个预后标志物是前列腺特异性抗原(PSA),但在这种情况下必须谨慎解读该标志物。目前仍缺乏经过验证的mCRPC预测标志物。在一些研究中,已经分析了潜在的预测标志物。