首页> 外文期刊>Endocrinology and Metabolism Clinics of North America >The timing and extent of androgen deprivation therapy for prostate cancer: weighing the clinical evidence.
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The timing and extent of androgen deprivation therapy for prostate cancer: weighing the clinical evidence.

机译:前列腺癌雄激素剥夺治疗的时间和范围:权衡临床证据。

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摘要

Androgen deprivation therapy (ADT) is an effective means of palliating symptoms of prostate cancer but is associated with significant toxicities that increase with treatment duration. Primary ADT in men with localized disease provides no survival advantage. Neoadjuvant ADT, when combined with external beam radiation, improves survival for men with locally advanced disease. Immediate adjuvant androgen deprivation does not seem to benefit most men undergoing radical prostatectomy. No evidence supports combined androgen blockade or monotherapy with nonsteroidal antiandrogens for locally advanced prostate cancer. ADT with orchiectomy or gonadotropin-releasing hormone agonists or antagonists is standard care for men with metastatic prostate cancer.
机译:雄激素剥夺疗法(ADT)是缓解前列腺癌症状的有效手段,但伴随着显着的毒性,这种毒性随着治疗时间的延长而增加。患有局部疾病的男性的原发性ADT没有生存优势。新辅助ADT与外部放射线结合使用时,可以改善患有局部晚期疾病的男性的生存率。立即进行辅助雄激素剥夺似乎并没有使大多数接受前列腺癌根治术的男性受益。没有证据支持联合雄激素阻断或非甾体类抗雄激素单一疗法治疗局部晚期前列腺癌。睾丸切除术或促性腺激素释放激素激动剂或拮抗剂的ADT是转移性前列腺癌男性的标准护理。

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