Panzone John, Byler Timothy, Bratslavsky Gennady, Goldberg Hanan
Urology Department, SUNY Upstate Medical University, Syracuse, NY 13210, USA.
Cancers (Basel). 2022 Mar 17;14(6):1536. doi: 10.3390/cancers14061536.
Traditional cancer treatments have been associated with substantial morbidity for patients. Focused ultrasound offers a novel modality for the treatment of various forms of cancer which may offer effective oncological control and low morbidity. We performed a review of PubMed articles assessing the current applications of focused ultrasound in the treatment of genitourinary cancers, including prostate, kidney, bladder, penile, and testicular cancer. Current research indicates that high-intensity focused ultrasound (HIFU) focal therapy offers effective short-term oncologic control of localized prostate and kidney cancer with lower associated morbidity than radical surgery. In addition, studies in mice have demonstrated that focused ultrasound treatment increases the accuracy of chemotherapeutic drug delivery, the efficacy of drug uptake, and cytotoxic effects within targeted cancer cells. Ultrasound-based therapy shows promise for the treatment of genitourinary cancers. Further research should continue to investigate focused ultrasound as an alternative cancer treatment option or as a complement to increase the efficacy of conventional treatments such as chemotherapy and radiotherapy.
传统的癌症治疗方法给患者带来了相当大的发病率。聚焦超声为各种癌症的治疗提供了一种新的方式,可能实现有效的肿瘤控制且发病率较低。我们对PubMed上评估聚焦超声在泌尿生殖系统癌症(包括前列腺癌、肾癌、膀胱癌、阴茎癌和睾丸癌)治疗中的当前应用的文章进行了综述。当前研究表明,高强度聚焦超声(HIFU)聚焦治疗能对局限性前列腺癌和肾癌提供有效的短期肿瘤控制,且与根治性手术相比,相关发病率更低。此外,对小鼠的研究表明,聚焦超声治疗可提高化疗药物递送的准确性、药物摄取的疗效以及靶向癌细胞内的细胞毒性作用。基于超声的治疗方法在泌尿生殖系统癌症治疗方面显示出前景。进一步的研究应继续探索聚焦超声作为一种替代性癌症治疗选择,或作为一种补充手段以提高化疗和放疗等传统治疗方法的疗效。