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泌尿肿瘤学进展《肿瘤论坛》:2015年度精华

Developments in urologic oncology «OncoForum»: The best of 2015.

作者信息

Gómez-Veiga F, Alcaraz-Asensio A, Burgos-Revilla J, Cózar-Olmo J

机构信息

Servicio de Urología, Hospital Universitario de Salamanca, Grupo de Investigación Traslacional de Urología (GITUR), Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, España.

Servicio de Urología, Hospital Clínic Universitari, Barcelona, España.

出版信息

Actas Urol Esp. 2016 Jul-Aug;40(6):361-9. doi: 10.1016/j.acuro.2016.03.002. Epub 2016 Apr 6.

Abstract

OBJECTIVE

To review the latest evidence on the oncologic urology of prostate, renal and bladder tumours, analysing their impact on daily clinical practice and future medium to long-term regimens.

METHODS

We review the abstracts on prostate, renal and bladder cancer presented at the 2015 congresses (EAU, AUA, ASCO, ESMO y ASTRO) that received the best evaluations by the OncoForum committee.

RESULTS

Cabozantinib could represent a new second-line (or subsequent) treatment option for patients with advanced renal cancer. In muscle-invasive bladder cancer, the genetic expression profile could predict the clinical benefit of neoadjuvant therapy in treating urothelial tumours. In metastatic castration-resistant prostate cancer, results were presented from various studies that evaluated the addition of chemotherapy to standard treatment with androgen deprivation, showing a reduction in the progression risk and higher PSA response rates.

CONCLUSIONS

New options for the second-line treatment of renal cancer were presented. In metastatic castration-resistant prostate cancer, various studies have been published on treatment with enzalutamide, which has been shown to delay the symptomatic disease and benefit overall survival.

摘要

目的

回顾前列腺、肾脏和膀胱肿瘤的肿瘤泌尿学最新证据,分析其对日常临床实践及未来中长期治疗方案的影响。

方法

我们回顾了2015年各大会(欧洲泌尿外科学会、美国泌尿外科学会、美国临床肿瘤学会、欧洲肿瘤内科学会和美国放射肿瘤学会)上发表的前列腺癌、肾癌和膀胱癌摘要,这些摘要获得了肿瘤论坛委员会的最佳评价。

结果

卡博替尼可能成为晚期肾癌患者新的二线(或后续)治疗选择。在肌层浸润性膀胱癌中,基因表达谱可预测新辅助治疗对尿路上皮肿瘤的临床获益。在转移性去势抵抗性前列腺癌中,各项研究展示了在雄激素剥夺标准治疗基础上加用化疗的结果,显示进展风险降低且前列腺特异抗原反应率更高。

结论

提出了肾癌二线治疗的新选择。在转移性去势抵抗性前列腺癌方面,已发表了多项关于恩杂鲁胺治疗的研究,结果显示其可延缓症状性疾病进展并改善总生存期。

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