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碳离子放疗作为治疗原发性高危前列腺癌的剂量递增工具。

Carbon ion radiotherapy as a dose escalation tool in the treatment of primary high-risk prostate cancer.

作者信息

Moll Matthias, Fossati Piero, Lütgendorf-Caucig Carola, Hug Eugen

机构信息

MedAustron Ion Therapy Centre, Marie-Curie-Straße 5, Wiener Neustadt.

Karl Landsteiner University for Health Sciences, Krems, Austria.

出版信息

Curr Opin Urol. 2025 Sep 1;35(5):568-573. doi: 10.1097/MOU.0000000000001327. Epub 2025 Jul 17.

Abstract

PURPOSE OF REVIEW

Prostate cancer is the most common cancer in men. In the high-risk group, carbon ion radiotherapy (CIRT) is being developed as a state-of-the-art alternative for treatment.

RECENT FINDINGS

Data conducted from studies in Japan, as published by the J-CROS group, suggest that CIRT provides a tool to deliver a treatment for high-risk prostate cancer that delivers tumour control similar to a brachytherapy boost, but without the associated increase in toxicity.

SUMMARY

While a considerable number of patients has been treated with CIRT, a randomized controlled trial showing the benefits of low toxicity while maintaining excellent tumour control has not yet been published and is highly warranted.

摘要

综述目的

前列腺癌是男性最常见的癌症。在高危组中,碳离子放疗(CIRT)正在被开发为一种先进的治疗选择。

最新发现

J-CROS组发表的来自日本研究的数据表明,CIRT为高危前列腺癌提供了一种治疗手段,其肿瘤控制效果与近距离放疗增强相似,但不会增加相关毒性。

总结

虽然已有相当数量的患者接受了CIRT治疗,但一项显示低毒性且能维持良好肿瘤控制效果的随机对照试验尚未发表,这非常有必要进行。

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