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评估全雄激素阻断与部分雄激素阻断在晚期前列腺癌治疗中的效果。

Evaluation of total versus partial androgen blockade in the treatment of advanced prostatic cancer.

作者信息

Schulze H, Kaldenhoff H, Senge T

机构信息

Department of Urology, Ruhr University, Herne, FRG.

出版信息

Urol Int. 1988;43(4):193-7. doi: 10.1159/000281336.

DOI:10.1159/000281336
PMID:2973169
Abstract

In order to evaluate the proposed benefit of complete androgen blockade in the treatment of patients with advanced prostatic cancer, we initiated a multicenter prospective and randomized study. At the time of this report 99 patients with newly diagnosed, previously untreated prostatic cancer were randomly distributed to one of the following treatments: group I, orchiectomy plus antiandrogen Flutamide; group II, depot LH-RH analog Zoladex plus Flutamide; group III, orchiectomy alone, and group IV, Zoladex alone. Our preliminary data fail to demonstrate a superiority of total androgen blockade over partial androgen blockade in the treatment of patients with advanced cancer of the prostate.

摘要

为了评估在晚期前列腺癌患者治疗中采用完全雄激素阻断疗法的预期益处,我们开展了一项多中心前瞻性随机研究。在撰写本报告时,99例新诊断的、此前未接受过治疗的前列腺癌患者被随机分配至以下治疗组之一:第一组,睾丸切除术加抗雄激素药物氟他胺;第二组,长效促性腺激素释放激素类似物(LHRH)戈舍瑞林加氟他胺;第三组,单纯睾丸切除术;第四组,单纯戈舍瑞林。我们的初步数据未能证明在晚期前列腺癌患者治疗中,完全雄激素阻断疗法优于部分雄激素阻断疗法。

相似文献

1
Evaluation of total versus partial androgen blockade in the treatment of advanced prostatic cancer.评估全雄激素阻断与部分雄激素阻断在晚期前列腺癌治疗中的效果。
Urol Int. 1988;43(4):193-7. doi: 10.1159/000281336.
2
Total androgen blockade in advanced prostatic cancer. Critical review and personal experience.晚期前列腺癌的全雄激素阻断。批判性综述与个人经验。
Eur Urol. 1988;15(3-4):187-92. doi: 10.1159/000473430.
3
Zoladex and flutamide vs orchidectomy: a phase III EORTC 30853 trial. EORTC Urological Group.戈舍瑞林与氟他胺对比睾丸切除术:一项欧洲癌症研究与治疗组织(EORTC)30853 三期试验。EORTC 泌尿外科组。
Prog Clin Biol Res. 1989;303:129-43.
4
'Zoladex' versus 'Zoladex' plus flutamide in the treatment of advanced prostate cancer. First interim analysis of an international trial. International Prostate Cancer Study Group.“诺雷德”对比“诺雷德”联合氟他胺治疗晚期前列腺癌。一项国际试验的首次中期分析。国际前列腺癌研究组
Prog Clin Biol Res. 1989;303:145-51.
5
Maximal androgen blockade in prostatic cancer.
Scand J Urol Nephrol Suppl. 1991;138:137-44.
6
Phase III studies to compare goserelin (Zoladex) with orchiectomy and with diethylstilbestrol in treatment of prostatic carcinoma.
Urology. 1989 May;33(5 Suppl):45-52. doi: 10.1016/0090-4295(89)90106-4.
7
Zoladex plus flutamide vs. orchidectomy for advanced prostatic cancer. Danish Prostatic Cancer Group (DAPROCA).
Eur Urol. 1990;18 Suppl 3:41-4. doi: 10.1159/000463979.
8
Complete androgen blockade: data from an EORTC 30853 trial.全雄激素阻断:欧洲癌症研究与治疗组织(EORTC)30853试验的数据。
Semin Urol. 1990 Aug;8(3):166-74.
9
Advantages of the combination therapy in previously untreated and treated patients with advanced prostate cancer.联合治疗在既往未接受治疗及已接受治疗的晚期前列腺癌患者中的优势。
J Steroid Biochem. 1986 Nov;25(5B):877-83. doi: 10.1016/0022-4731(86)90319-5.
10
Zoladex and flutamide versus orchiectomy in the treatment of advanced prostatic cancer. A combined analysis of two European studies, EORTC 30853 and DAPROCA 86.
Cancer. 1990 Sep 1;66(5 Suppl):1067-73. doi: 10.1002/cncr.1990.66.s5.1067.

引用本文的文献

1
Maximal androgen blockade for the treatment of metastatic prostate cancer--a systematic review.最大雄激素阻断治疗转移性前列腺癌的系统评价。
Curr Oncol. 2006 Jun;13(3):81-93. doi: 10.3747/co.v13i3.85.
2
Maximal androgen blockade for advanced prostate cancer.晚期前列腺癌的最大雄激素阻断疗法
Cochrane Database Syst Rev. 2000;1999(2):CD001526. doi: 10.1002/14651858.CD001526.
3
Goserelin. A review of its pharmacodynamic and pharmacokinetic properties and therapeutic efficacy in prostate cancer.戈舍瑞林。其药效学和药代动力学特性以及在前列腺癌治疗中的疗效综述。
Drugs Aging. 1995 Apr;6(4):324-43. doi: 10.2165/00002512-199506040-00007.
4
Goserelin. A review of its pharmacodynamic and pharmacokinetic properties, and clinical use in sex hormone-related conditions.戈舍瑞林。对其药效学和药代动力学特性以及在性激素相关病症中的临床应用的综述。
Drugs. 1991 Feb;41(2):254-88. doi: 10.2165/00003495-199141020-00008.