Cathelineau Xavier, Sanchez-Salas Rafael
Department of Urology, L'Institut Mutualiste Montsouris, 42, Bd Jourdan, 75674, Paris Cedex 14, France.
Curr Urol Rep. 2016 Dec;17(12):86. doi: 10.1007/s11934-016-0644-9.
Focal therapy (FT) represents a potential shift in clinical practice by featuring a tissue-sparing approach for prostate cancer (PCa) treatment. It stands midway between active surveillance (AS) and more aggressive options like radical prostatectomy (RP) or radiotherapy. The field has enormously evolved in the last few years but there are still pending questions to answer in the future. The manuscript overlooks FT in terms of indications, available energies, situation of tumor microenvironment, follow-up, re-interventions, and the future of this approach for PCa.
聚焦治疗(FT)通过采用保留组织的方法治疗前列腺癌(PCa),代表了临床实践中的一种潜在转变。它介于主动监测(AS)和更积极的治疗选择如根治性前列腺切除术(RP)或放射治疗之间。在过去几年中,该领域有了巨大的发展,但未来仍有一些问题有待解答。本文从适应症、可用能量、肿瘤微环境状况、随访、再次干预以及这种PCa治疗方法的未来等方面对聚焦治疗进行了综述。