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[前列腺癌的主动监测:最新进展]

[Active surveillance of prostate cancer : An update].

作者信息

Chaloupka M, Westhofen T, Kretschmer A, Grimm T, Stief C, Apfelbeck M

机构信息

Urologische Klinik und Poliklinik, Campus Großhadern, Klinikum der Universität München, Ludwig-Maximilians-Universität, Marchioninistraße 15, 81377, München, Deutschland.

出版信息

Urologe A. 2019 Mar;58(3):329-340. doi: 10.1007/s00120-019-0894-5.

DOI:10.1007/s00120-019-0894-5
PMID:30824971
Abstract

Prostate cancer is a heterogeneous disease. In cases of low-risk prostate cancer, active surveillance represents an attractive alternative treatment. Significant complications of a definitive treatment can therefore be delayed or completely avoided. Despite strict inclusion criteria for active surveillance, the diagnosis of low-risk prostate cancer can be inaccurate and there is therefore a risk of missing the optimal point in time for definitive treatment. Multimodal diagnostics and continuous aftercare are therefore crucial.

摘要

前列腺癌是一种异质性疾病。对于低风险前列腺癌病例,主动监测是一种有吸引力的替代治疗方法。因此,可以延迟或完全避免确定性治疗的重大并发症。尽管主动监测有严格的纳入标准,但低风险前列腺癌的诊断可能不准确,因此存在错过确定性治疗最佳时机的风险。因此,多模式诊断和持续的后续护理至关重要。

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[Active surveillance of prostate cancer : An update].[前列腺癌的主动监测:最新进展]
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本文引用的文献

1
Head-to-head Comparison of Transrectal Ultrasound-guided Prostate Biopsy Versus Multiparametric Prostate Resonance Imaging with Subsequent Magnetic Resonance-guided Biopsy in Biopsy-naïve Men with Elevated Prostate-specific Antigen: A Large Prospective Multicenter Clinical Study.经直肠超声引导前列腺活检与多参数前列腺磁共振成像引导活检在前列腺特异性抗原升高的初次活检男性中的头对头比较:一项大型前瞻性多中心临床研究。
Eur Urol. 2019 Apr;75(4):570-578. doi: 10.1016/j.eururo.2018.11.023. Epub 2018 Nov 23.
2
MRI-TRUS fusion biopsy of the prostate: Quality of image fusion in a clinical setting.前列腺的MRI-TRUS融合活检:临床环境下的图像融合质量
Clin Hemorheol Microcirc. 2018;70(4):433-440. doi: 10.3233/CH-189308.
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Prognostic Value of Biochemical Recurrence Following Treatment with Curative Intent for Prostate Cancer: A Systematic Review.
根治性治疗后生化复发对前列腺癌预后的价值:系统评价。
Eur Urol. 2019 Jun;75(6):967-987. doi: 10.1016/j.eururo.2018.10.011. Epub 2018 Oct 17.
4
Germline Mutations in ATM and BRCA1/2 Are Associated with Grade Reclassification in Men on Active Surveillance for Prostate Cancer.胚系 ATM 和 BRCA1/2 突变与主动监测前列腺癌男性的分级重新分类相关。
Eur Urol. 2019 May;75(5):743-749. doi: 10.1016/j.eururo.2018.09.021. Epub 2018 Oct 8.
5
The increase of stage, grading, and metastases in patients undergoing radical prostatectomy during the last decade.在过去十年中,接受根治性前列腺切除术的患者的分期、分级和转移增加。
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6
Active Surveillance for Low-risk Prostate Cancer: The European Association of Urology Position in 2018.主动监测低危前列腺癌:欧洲泌尿外科学会 2018 年立场声明。
Eur Urol. 2018 Sep;74(3):357-368. doi: 10.1016/j.eururo.2018.06.008. Epub 2018 Jun 22.
7
MRI-Targeted or Standard Biopsy for Prostate-Cancer Diagnosis.MRI 靶向或标准活检用于前列腺癌诊断。
N Engl J Med. 2018 May 10;378(19):1767-1777. doi: 10.1056/NEJMoa1801993. Epub 2018 Mar 18.
8
Variation in the use of active surveillance for low-risk prostate cancer.低风险前列腺癌主动监测使用情况的差异。
Cancer. 2018 Jan 1;124(1):55-64. doi: 10.1002/cncr.30983. Epub 2017 Sep 13.
9
Improved Recovery of Erectile Function in Younger Men after Radical Prostatectomy: Does it Justify Immediate Surgery in Low-risk Patients?年轻男性前列腺切除术后勃起功能恢复的改善:低危患者是否需要立即手术?
Eur Urol. 2018 Jan;73(1):33-37. doi: 10.1016/j.eururo.2017.08.007. Epub 2017 Aug 26.
10
The Contemporary Role of Multiparametric Magnetic Resonance Imaging in Active Surveillance for Prostate Cancer.多参数磁共振成像在前列腺癌主动监测中的当代作用
Curr Urol Rep. 2017 Jul;18(7):52. doi: 10.1007/s11934-017-0699-2.