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镭-223治疗合并真性红细胞增多症的转移性去势抵抗性前列腺癌患者

Radium-223 Treatment in mCRPC Patient with Polycythemia Vera.

作者信息

de Angelis Cristina, Frantellizzi Viviana, Pontico Mariano, de Feo Maria Silvia, Lazri Julia, de Vincentis Giuseppe

机构信息

Sapienza University of Rome, Department of Radiological Sciences, Oncology and Anatomical Pathology, Rome, Italy

apienza University of Rome, Ph.D. Program in Morphogenesis and Tissue Engineering, Department of Medico-surgical Sciences and Biotechnologies, Rome, Italy

出版信息

Mol Imaging Radionucl Ther. 2021 Oct 15;30(3):193-196. doi: 10.4274/mirt.galenos.2020.58661.

DOI:10.4274/mirt.galenos.2020.58661
PMID:34660164
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8522512/
Abstract

There have been several studies on the clinical outcomes of Radium-223 treatment in patients with metastatic castration-resistant prostate cancer (mCRPC) who may have an increased risk of hematologic comorbidities. To the best of our knowledge, this is the first study to explore the potential bone marrow adverse effects (AEs) of Radium-223 administered with specific drugs used for hematologic conditions, such as polycythemia vera (PV). We report the case of a patient with mCRPC who was administered a combined treatment of Radium-223 and hydroxyurea for PV, aiming to support clinicians in predicting eventual AEs.

摘要

已有多项关于镭-223治疗转移性去势抵抗性前列腺癌(mCRPC)患者临床结局的研究,这些患者可能有血液系统合并症风险增加的情况。据我们所知,这是第一项探索镭-223与用于血液系统疾病(如真性红细胞增多症(PV))的特定药物联合使用时潜在骨髓不良反应(AE)的研究。我们报告了一例mCRPC患者,该患者接受了镭-223和羟基脲联合治疗PV,旨在帮助临床医生预测最终的AE。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1402/8522512/dc994172f89e/MIRT-30-193-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1402/8522512/c64d526dc380/MIRT-30-193-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1402/8522512/dc994172f89e/MIRT-30-193-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1402/8522512/c64d526dc380/MIRT-30-193-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1402/8522512/dc994172f89e/MIRT-30-193-g2.jpg

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Radium-223 Treatment in mCRPC Patient with Polycythemia Vera.镭-223治疗合并真性红细胞增多症的转移性去势抵抗性前列腺癌患者
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本文引用的文献

1
Reversibility of castration resistance status after Radium-223 dichloride treatment: clinical evidence and review of the literature.镭-223 二氯化物治疗后去势抵抗状态的逆转:临床证据和文献复习。
Int J Radiat Biol. 2019 May;95(5):554-561. doi: 10.1080/09553002.2019.1558301. Epub 2019 Jan 17.
2
Narrative medicine in metastatic prostate cancer reveals ways to improve patient awareness & quality of care.叙事医学在转移性前列腺癌中揭示了改善患者意识和护理质量的方法。
Future Oncol. 2018 Nov;14(27):2821-2832. doi: 10.2217/fon-2018-0318. Epub 2018 Jun 15.
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Ra-dichloride therapy in an elderly bone metastatic castration-resistant prostate cancer patient: a case report presentation and comparison with existing literature.
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4
Hematologic Safety of Radium-223 Dichloride: Baseline Prognostic Factors Associated With Myelosuppression in the ALSYMPCA Trial.二氯化镭-223的血液学安全性:ALSYMPCA试验中与骨髓抑制相关的基线预后因素
Clin Genitourin Cancer. 2017 Feb;15(1):42-52.e8. doi: 10.1016/j.clgc.2016.07.027. Epub 2016 Aug 8.
5
Radium-223 and concomitant therapies in patients with metastatic castration-resistant prostate cancer: an international, early access, open-label, single-arm phase 3b trial.镭-223 联合治疗转移性去势抵抗性前列腺癌患者:一项国际性、早期准入、开放标签、单臂 3b 期试验。
Lancet Oncol. 2016 Sep;17(9):1306-16. doi: 10.1016/S1470-2045(16)30173-5. Epub 2016 Jul 26.
6
Global Incidence and Mortality for Prostate Cancer: Analysis of Temporal Patterns and Trends in 36 Countries.全球前列腺癌发病率和死亡率:36 个国家时间模式和趋势分析。
Eur Urol. 2016 Nov;70(5):862-874. doi: 10.1016/j.eururo.2016.05.043. Epub 2016 Jun 8.
7
Prostate-Specific Antigen Flare Phenomenon During Ra-Dichloride Treatment for Bone Metastatic Castration-Resistant Prostate Cancer: A Case Report.二氯化镭治疗骨转移性去势抵抗性前列腺癌期间的前列腺特异性抗原激增现象:一例报告
Clin Genitourin Cancer. 2016 Oct;14(5):e529-e533. doi: 10.1016/j.clgc.2016.04.014. Epub 2016 Apr 27.
8
Alpha emitter radium-223 and survival in metastatic prostate cancer.α 粒子发射体镭-223 与转移性前列腺癌的生存。
N Engl J Med. 2013 Jul 18;369(3):213-23. doi: 10.1056/NEJMoa1213755.