Traitement adjuvant après prostatectomie totale

P.Richaud , A.Descazeaud
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Abstract

Several adjuvant treatments are used after radical prostatectomy. In case of local risk of recurrence, adjuvant radiotherapy decreases the risk of biochemical recurrence but does not improve the overall survival. In case of metastasis risk, adjuvant hormone therapy should be discussed. For positive lymph node patients, LHRH agonists after radical prostatectomy improve overall survival. For pT3 patients with positive surgical margins, non steroid anti androgens improve disease free survival. © 2007 Elsevier Masson SAS. Tous droits réservés.

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全前列腺切除术后的辅助治疗
根治性前列腺切除术后使用几种辅助治疗。在局部有复发风险的情况下,辅助放疗降低了生化复发的风险,但并没有提高总生存率。如果有转移风险,应讨论辅助激素治疗。对于淋巴结阳性患者,根治性前列腺切除术后使用LHRH激动剂可提高总生存率。对于手术切缘阳性的pT3患者,非甾体抗雄激素可提高无病生存率。©2007 Elsevier Masson SAS。我们的权利是:
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Annales D Urologie
Annales D Urologie 医学-泌尿学与肾脏学
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