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基于剂量测定法对二氯化镭治疗伴有骨转移的去势抵抗性前列腺癌(CRPC)后缓解与复发情况的考量。病例报告。

Dosimetry-Based Consideration on Remission and Relapse after Therapy with Ra-Dichloride in Castration-Resistant Prostate Cancer (CRPC) with Bone Metastases. A Case Report.

作者信息

Mangano Anna Maria, Pacilio Massimiliano, Ialongo Pasquale, Semprebene Alessandro, Ventroni Guido, Mango Lucio

机构信息

Nuclear Medicine Department, "S. Camillo-Forlanini" General Hospital, 00152 Rome, Italy.

Medical Physics Unit, "Policlinico Umberto I" University Hospital, 00161 Rome, Italy.

出版信息

Diagnostics (Basel). 2018 Feb 27;8(1):18. doi: 10.3390/diagnostics8010018.

DOI:10.3390/diagnostics8010018
PMID:29495541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5872001/
Abstract

Here, we present the case of a 64-year-old male patient diagnosed with castration-resistant prostate cancer (CRPC) with bone metastasis, treated with abiraterone prednisone/prednisolone in combination with Ra-dichloride therapy, who had remission and a subsequent relapse of bone metastasis on repeated bone scans after therapy. We also discuss the possibility of continuing the Ra-dichloride therapy over the six planned administrations by administering other cycles at the same dose or at higher doses, if shown to be devoid of a significant increase in side effects, based on dosimetry considerations.

摘要

在此,我们报告一例64岁男性患者,诊断为去势抵抗性前列腺癌(CRPC)伴骨转移,接受阿比特龙泼尼松/泼尼松龙联合二氯化镭治疗,治疗后骨扫描显示缓解,但随后骨转移复发。我们还讨论了根据剂量测定考虑,如果在副作用无显著增加的情况下,是否有可能通过以相同剂量或更高剂量给予其他疗程,在计划的六个给药周期内继续进行二氯化镭治疗。

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Dosimetry-Based Consideration on Remission and Relapse after Therapy with Ra-Dichloride in Castration-Resistant Prostate Cancer (CRPC) with Bone Metastases. A Case Report.基于剂量测定法对二氯化镭治疗伴有骨转移的去势抵抗性前列腺癌(CRPC)后缓解与复发情况的考量。病例报告。
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本文引用的文献

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Imaging and dosimetry for radium-223: the potential for personalized treatment.镭-223的成像与剂量测定:个性化治疗的潜力
Br J Radiol. 2017 Aug;90(1077):20160748. doi: 10.1259/bjr.20160748. Epub 2017 Jun 27.
2
The potential of Ra and F-fluoride imaging to predict bone lesion response to treatment with Ra-dichloride in castration-resistant prostate cancer.镭和 F-氟化物成像预测去势抵抗性前列腺癌镭二氯化物治疗骨病变反应的潜力。
Eur J Nucl Med Mol Imaging. 2017 Oct;44(11):1832-1844. doi: 10.1007/s00259-017-3744-y. Epub 2017 Jun 13.
3
Response to Ra-dichloride in castration-resistant prostate cancer with bone metastasis: A case report.
镭 - 二氯化物治疗去势抵抗性前列腺癌伴骨转移的病例报告
Oncol Lett. 2016 Aug;12(2):1323-1328. doi: 10.3892/ol.2016.4762. Epub 2016 Jun 22.
4
Radium-223 dichloride in clinical practice: a review.二氯化镭-223在临床实践中的应用综述
Eur J Nucl Med Mol Imaging. 2016 Sep;43(10):1896-909. doi: 10.1007/s00259-016-3386-5. Epub 2016 Apr 28.
5
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Ann Nucl Med. 2016 Feb;30(2):163-8. doi: 10.1007/s12149-015-1044-9. Epub 2015 Nov 27.
6
Dosimetry of bone metastases in targeted radionuclide therapy with alpha-emitting (223)Ra-dichloride.发射α粒子的二氯化镭(²²³Ra)靶向放射性核素治疗中骨转移灶的剂量测定
Eur J Nucl Med Mol Imaging. 2016 Jan;43(1):21-33. doi: 10.1007/s00259-015-3150-2. Epub 2015 Aug 13.
7
Radium-223 dichloride: a new paradigm in the treatment of prostate cancer.二氯化镭-223:前列腺癌治疗的新范例。
Expert Rev Anticancer Ther. 2015 Mar;15(3):339-48. doi: 10.1586/14737140.2015.999045. Epub 2015 Jan 2.
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Effect of radium-223 dichloride on symptomatic skeletal events in patients with castration-resistant prostate cancer and bone metastases: results from a phase 3, double-blind, randomised trial.镭-223 二氯化物对去势抵抗性前列腺癌伴骨转移患者症状性骨骼事件的影响:来自一项 3 期、双盲、随机试验的结果。
Lancet Oncol. 2014 Jun;15(7):738-46. doi: 10.1016/S1470-2045(14)70183-4. Epub 2014 May 13.
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