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[前列腺癌治疗中睾丸切除术后潮热——一种严重的副作用]

[Hot flashes after orchiectomy in treatment of prostate cancer-- a serious side effect].

作者信息

Buchholz N P, Mattarelli G

机构信息

Urologische Klinik Kantonsspital Basel/Schweiz.

出版信息

Z Gerontol. 1994 Sep-Oct;27(5):334-6.

PMID:7528960
Abstract

Orchiectomy is a frequently performed therapy for prostatic carcinoma in elderly men. A so far widely neglected side-effect is the occurrence of hot flushes. They considerably decrease the quality of life of a large number of the patients who often are in a palliative situation and handicapped by other diseases. Therapeutic options are widely unknown. Therefore, the patients often consult their doctors in vain. In a study with 32 patients clinical appearance of hot flushes and their effects on the patient's quality of life were analyzed. 69% of patients with a mean age of 75 years experienced hot flushes, whereas 31% of patients with a mean age of 80 years had not been bothered by hot flushes. Possible therapeutic options are presented and discussed. Ciproteronacetate seems to be the most effective therapy with the least side-effects (9).

摘要

睾丸切除术是老年男性前列腺癌常用的治疗方法。潮热是一种至今广泛被忽视的副作用。潮热会显著降低大量患者的生活质量,这些患者通常处于姑息治疗阶段且因其他疾病而行动不便。治疗方案鲜为人知。因此,患者常常徒劳地咨询医生。在一项针对32名患者的研究中,分析了潮热的临床表现及其对患者生活质量的影响。平均年龄75岁的患者中有69%经历过潮热,而平均年龄80岁的患者中有31%未受到潮热困扰。文中介绍并讨论了可能的治疗方案。醋酸环丙孕酮似乎是副作用最小且最有效的治疗方法(9)。

相似文献

1
[Hot flashes after orchiectomy in treatment of prostate cancer-- a serious side effect].[前列腺癌治疗中睾丸切除术后潮热——一种严重的副作用]
Z Gerontol. 1994 Sep-Oct;27(5):334-6.
2
Incidence and management of hot flashes in prostate cancer.前列腺癌潮热的发生率与管理
J Support Oncol. 2003 Nov-Dec;1(4):263-6, 269-70, 272-3; discussion 267-8, 271-2.
3
[Cyproterone acetate in the treatment of post-orchiectomy flushing].醋酸环丙孕酮治疗睾丸切除术后潮热
Ugeskr Laeger. 1989 Feb 27;151(9):560-1.
4
Acupuncture treatment of vasomotor symptoms in men with prostatic carcinoma: a pilot study.针刺治疗前列腺癌男性血管舒缩症状的一项初步研究。
J Urol. 1999 Mar;161(3):853-6.
5
Hot flushes: mechanism and prevention.潮热:机制与预防
Prog Clin Biol Res. 1990;359:131-40; discussion 141-53.
6
Physiology and endocrinology of hot flashes in prostate cancer.前列腺癌热潮红的生理学和内分泌学。
Am J Mens Health. 2007 Mar;1(1):8-17. doi: 10.1177/1557988306294162.
7
Relationship between hot flashes and distress in men receiving androgen deprivation therapy for prostate cancer.接受前列腺癌雄激素剥夺治疗的男性潮热与痛苦之间的关系。
Psychooncology. 2009 Jun;18(6):598-605. doi: 10.1002/pon.1427.
8
Momentary increase in plasma calcitonin gene-related peptide is involved in hot flashes in men treated with castration for carcinoma of the prostate.血浆降钙素基因相关肽的短暂升高与接受去势治疗前列腺癌的男性潮热有关。
J Urol. 2001 Nov;166(5):1720-3.
9
Influence of hot flashes on quality of life in patients with prostate cancer treated with androgen deprivation therapy.潮热对接受雄激素剥夺治疗的前列腺癌患者生活质量的影响。
Int J Urol. 2004 Sep;11(9):735-41. doi: 10.1111/j.1442-2042.2004.00896.x.
10
The patient's choice of androgen-deprivation therapy in locally advanced prostate cancer: bicalutamide, a gonadotrophin-releasing hormone analogue or orchidectomy.局部晚期前列腺癌患者雄激素剥夺治疗的选择:比卡鲁胺、促性腺激素释放激素类似物或睾丸切除术。
BJU Int. 2005 Nov;96(7):1014-8. doi: 10.1111/j.1464-410X.2005.05802.x.

引用本文的文献

1
Mechanism of hot flashes.热潮的机制。
Clin Transl Oncol. 2011 Mar;13(3):143-7. doi: 10.1007/s12094-011-0633-x.
2
'Hot flush', an unpleasant symptom accompanying antiandrogen therapy of prostatic cancer and its treatment by cyproterone acetate.“潮热”是前列腺癌抗雄激素治疗及醋酸环丙孕酮治疗过程中出现的一种令人不适的症状。
Int Urol Nephrol. 2000;32(1):77-9. doi: 10.1023/a:1007164319067.