Genitourinary Malignancies Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Nat Rev Urol. 2018 Jul;15(7):400-401. doi: 10.1038/s41585-018-0018-9.
The role of 5α-reductase inhibitors (5-ARI) in prostate cancer chemoprevention remains a controversy, as cancer prevention trials with 5-ARIs have shown a decreased incidence of low-grade prostate cancer but a potential increased risk in high-grade disease. Recent studies have shed light on the long-term safety of 5-ARIs in terms of influencing prostate cancer risk.
5α-还原酶抑制剂(5-ARI)在前列腺癌化学预防中的作用仍然存在争议,因为使用 5-ARI 的癌症预防试验显示低级别前列腺癌的发病率降低,但高级别疾病的潜在风险增加。最近的研究揭示了 5-ARI 对前列腺癌风险影响的长期安全性。