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2
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本文引用的文献

1
The FocAL therapy CONsensus (FALCON): enhancing partial gland ablation for localised prostate cancer.聚焦治疗共识(FALCON):增强局限性前列腺癌的部分腺体消融
BJU Int. 2024 Jul;134(1):50-53. doi: 10.1111/bju.16360. Epub 2024 Apr 13.
2
Focal therapy versus radical prostatectomy and external beam radiotherapy as primary treatment options for non-metastatic prostate cancer: results of a cost-effectiveness analysis.聚焦治疗与根治性前列腺切除术及外照射放疗作为非转移性前列腺癌的主要治疗选择:成本效益分析结果
J Med Econ. 2023 Jan-Dec;26(1):1099-1107. doi: 10.1080/13696998.2023.2251849.
3
Evaluation of Outcomes Following Focal Ablative Therapy for Treatment of Localized Clinically Significant Prostate Cancer in Patients >70 Years: A Multi-institute, Multi-energy 15-Year Experience.70 岁以上局限性临床显著前列腺癌患者行局灶性消融治疗的疗效评估:多机构、多能量 15 年经验。
J Urol. 2023 Jul;210(1):108-116. doi: 10.1097/JU.0000000000003443. Epub 2023 Apr 4.
4
Functional and quality of life outcomes of localised prostate cancer treatments (Prostate Testing for Cancer and Treatment [ProtecT] study).局限性前列腺癌治疗的功能和生活质量结局(前列腺癌检测和治疗研究 [ProtecT])。
BJU Int. 2022 Sep;130(3):370-380. doi: 10.1111/bju.15739. Epub 2022 May 3.
5
Cancer Control Outcomes Following Focal Therapy Using High-intensity Focused Ultrasound in 1379 Men with Nonmetastatic Prostate Cancer: A Multi-institute 15-year Experience.1379 例非转移性前列腺癌患者接受高强度聚焦超声局灶治疗后的癌症控制结果:一项多机构 15 年经验。
Eur Urol. 2022 Apr;81(4):407-413. doi: 10.1016/j.eururo.2022.01.005. Epub 2022 Feb 3.
6
Focal High-Intensity Focused Ultrasound Ablation of the Prostate.前列腺局灶性高强度聚焦超声消融术。
J Endourol. 2021 Sep;35(S2):S24-S32. doi: 10.1089/end.2020.1161.
7
Conventional radical versus focal treatment for localised prostate cancer: a propensity score weighted comparison of 6-year tumour control.常规根治性治疗与局部前列腺癌的局部治疗:6 年肿瘤控制的倾向评分加权比较。
Prostate Cancer Prostatic Dis. 2021 Dec;24(4):1120-1128. doi: 10.1038/s41391-021-00369-6. Epub 2021 May 1.
8
Outcomes of the RAFT trial: robotic surgery after focal therapy.RAFT 试验结果:局部治疗后的机器人手术。
BJU Int. 2021 Oct;128(4):504-510. doi: 10.1111/bju.15432. Epub 2021 May 13.
9
Focal therapy compared to radical prostatectomy for non-metastatic prostate cancer: a propensity score-matched study.局部治疗与根治性前列腺切除术治疗非转移性前列腺癌的比较:一项倾向评分匹配研究。
Prostate Cancer Prostatic Dis. 2021 Jun;24(2):567-574. doi: 10.1038/s41391-020-00315-y. Epub 2021 Jan 28.
10
Active monitoring, radical prostatectomy and radical radiotherapy in PSA-detected clinically localised prostate cancer: the ProtecT three-arm RCT.主动监测、根治性前列腺切除术和根治性放疗在 PSA 检测到的局限性前列腺癌中的应用:ProtecT 三臂 RCT。
Health Technol Assess. 2020 Aug;24(37):1-176. doi: 10.3310/hta24370.

前列腺癌的聚焦治疗:英国的发展、应用与成果

Focal therapy in prostate cancer: Development, application and outcomes in the United Kingdom.

作者信息

Rokan Nadia, Reddy Deepika

机构信息

King's College Hospital NHS Foundation Trust London UK.

Guy's and St Thomas' NHS Foundation Trust London UK.

出版信息

BJUI Compass. 2025 Feb 20;6(2):e70000. doi: 10.1002/bco2.70000. eCollection 2025 Feb.

DOI:10.1002/bco2.70000
PMID:39980983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11840424/
Abstract

Prostate cancer is a significant health issue in the United Kingdom, with rising incidence rates prompting the exploration of innovative treatment options. Focal therapy has emerged as a targeted approach that aims to treat localised prostate cancer while minimising damage to surrounding healthy tissue and subsequent adverse side effects. Focal therapy is National Institute for Health and Care Excellence (NICE)-approved treatment modality for patients with intermediate-risk localised prostate cancer. This is an evolving field, reflecting the rapidly improved understanding of both the trajectory patients face following a diagnosis of prostate cancer, and how best to apply ablative techniques. In this narrative review, we evaluate the historical development, current practices, clinical outcome reported in UK-based studies, and future directions of focal therapy for prostate cancer in the United Kingdom, highlighting its evolution as a viable treatment option.

摘要

前列腺癌是英国一个重大的健康问题,发病率不断上升促使人们探索创新的治疗方案。聚焦治疗已成为一种靶向治疗方法,旨在治疗局限性前列腺癌,同时将对周围健康组织的损害及后续不良副作用降至最低。聚焦治疗是英国国家卫生与临床优化研究所(NICE)批准的用于治疗中危局限性前列腺癌患者的治疗方式。这是一个不断发展的领域,反映出人们对前列腺癌诊断后患者所面临的病程以及如何最佳应用消融技术的理解迅速加深。在这篇叙述性综述中,我们评估了英国前列腺癌聚焦治疗的历史发展、当前实践、英国研究报告的临床结果以及未来方向,突出了其作为一种可行治疗选择的演变过程。