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Radiation therapy or prostatectomy: an old conflict revisited in the PSA era. A radiation oncologist's viewpoint.

作者信息

Zietman A L

机构信息

Department of Radiation Oncology, Massachusetts General Hospital, Boston, MA 02114, USA.

出版信息

Semin Radiat Oncol. 1998 Apr;8(2):81-6. doi: 10.1016/s1053-4296(98)80003-9.

DOI:10.1016/s1053-4296(98)80003-9
PMID:9516588
Abstract

A close examination of the outcomes for the radical treatment of prostate cancer in the prostate-specific antigen (PSA) era shows no clear advantage to radical prostatectomy over external-beam radiation. Both modalities are highly effective against small impalpable tumors of low Gleason grade and with PSA values less than 10 ng/mL. Both modalities struggle against all other stages of prostate cancer. Radiation and surgery are currently in states of rapid evolution, and the results emerging become quickly outdated. It is hoped that the newer, more aggressive approaches will help a significant number of patients, perhaps the majority, not currently being cured by radical therapy.

摘要

相似文献

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2
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引用本文的文献

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Radiat Med. 2008 Feb;26(2):57-62. doi: 10.1007/s11604-007-0195-6. Epub 2008 Feb 27.
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The efficacy of conventional external beam, three-dimensional conformal, intensity-modulated, particle beam radiation, and brachytherapy for localized prostate cancer.传统外照射、三维适形放疗、调强放疗、粒子束放疗及近距离放疗用于局限性前列腺癌的疗效。
Curr Urol Rep. 2005 May;6(3):194-209. doi: 10.1007/s11934-005-0008-3.