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转移性前列腺癌治疗中化疗的当前趋势

Current Trends in Chemotherapy in the Treatment of Metastatic Prostate Cancer.

作者信息

Zhao Janice, Guercio Brendan J, Sahasrabudhe Deepak

机构信息

James P. Wilmot Cancer Institute, University of Rochester, Rochester, NY 14642, USA.

出版信息

Cancers (Basel). 2023 Aug 4;15(15):3969. doi: 10.3390/cancers15153969.

Abstract

Prostate cancer is the second most common cancer among men. Despite advances in diagnosis and management, prostate cancer led to more than 300,000 deaths globally in 2020. Chemotherapy is a cornerstone of therapy for advanced prostate cancer and can prolong survival of patients with both castration-sensitive and castration-resistant disease. Herein, we present a comprehensive review of the data supporting implementation of chemotherapy in the modern treatment of advanced prostate cancer, with special attention to the use of chemotherapy for aggressive variant prostate cancer (e.g., neuroendocrine prostate cancer) and the combination of chemotherapy with androgen signaling inhibitors. As the field of prostate cancer research continues to rapidly evolve yielding novel agents and treatment modalities, chemotherapy continues to play an essential role in prolonging the survival of patients with advanced and metastatic prostate cancer.

摘要

前列腺癌是男性中第二常见的癌症。尽管在诊断和治疗方面取得了进展,但2020年前列腺癌在全球导致了超过30万例死亡。化疗是晚期前列腺癌治疗的基石,可延长去势敏感性和去势抵抗性疾病患者的生存期。在此,我们全面综述了支持在晚期前列腺癌现代治疗中实施化疗的数据,特别关注化疗在侵袭性变异型前列腺癌(如神经内分泌前列腺癌)中的应用以及化疗与雄激素信号抑制剂的联合应用。随着前列腺癌研究领域不断快速发展,产生了新型药物和治疗方式,化疗在延长晚期和转移性前列腺癌患者的生存期方面继续发挥着重要作用。

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