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阴茎癌治疗的最新进展:文献综述

Recent Advances in the Management of Penile Cancer: A Contemporary Review of the Literature.

作者信息

Stecca Carlos E, Alt Marie, Jiang Di Maria, Chung Peter, Crook Juanita M, Kulkarni Girish S, Sridhar Srikala S

机构信息

Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.

Department of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.

出版信息

Oncol Ther. 2021 Jun;9(1):21-39. doi: 10.1007/s40487-020-00135-z. Epub 2021 Jan 16.

Abstract

Penile cancer is a rare condition, which mostly affects men in their sixth decade of life. The most common histology is squamous cell carcinoma (SCC), with about half of the cases linked to human papilloma virus (HPV) infection. The lack of awareness and significant social and psychological stigma associated with penile cancer often leads to delays in presentation, diagnosis and management. Timely multidisciplinary care at experienced centers is therefore critical for improving outcomes. For patients with advanced disease, treatment options are limited and prognosis remains poor. Large international efforts are underway to further define the optimal standards of care. Targeted therapies and immune checkpoint inhibitors could potentially play a role in advanced disease and are under evaluation in clinical trials. In this review, we discuss the current management of penile cancer and future directions.

摘要

阴茎癌是一种罕见疾病,主要影响60岁左右的男性。最常见的组织学类型是鳞状细胞癌(SCC),约一半的病例与人类乳头瘤病毒(HPV)感染有关。对阴茎癌缺乏认识以及与之相关的严重社会和心理耻辱感常常导致就诊、诊断和治疗延误。因此,在经验丰富的中心进行及时的多学科治疗对于改善治疗效果至关重要。对于晚期疾病患者,治疗选择有限,预后仍然很差。国际上正在做出巨大努力以进一步明确最佳治疗标准。靶向治疗和免疫检查点抑制剂可能在晚期疾病中发挥作用,目前正在临床试验中进行评估。在这篇综述中,我们讨论了阴茎癌的当前治疗方法和未来方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/645e/8140030/6353967497fa/40487_2020_135_Fig1_HTML.jpg

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