Current and Future Management of Locally Advanced and Metastatic Prostate Cancer.

Reviews in urology Pub Date : 2020-01-01
Neal D Shore
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Abstract

With increasing treatment options available, the management of locally advanced and metastatic prostate cancer (PCa) is growing more complex, nuanced, and individualized. Strategies for combining surgery, radiation, chemotherapy, and androgen deprivation therapy (ADT) continue to evolve, as do ADT and immunotherapy options. Additionally, multiple adjunctive agents for metastatic PCa have been recently approved or are pending approval. As the number of locally advanced and metastatic prostate cancers being diagnosed rises, so does the need to consider patients' clinical situations and personal preferences. This review discusses current and potential future approaches to managing locally advanced and metastatic PCa.

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局部晚期和转移性前列腺癌的当前和未来管理。
随着可供选择的治疗方法越来越多,局部晚期和转移性前列腺癌(PCa)的治疗也变得越来越复杂、微妙和个性化。结合手术、放疗、化疗和雄激素剥夺疗法(ADT)的策略在不断发展,ADT 和免疫疗法的选择也在不断增加。此外,治疗转移性 PCa 的多种辅助药物最近已获得批准或正在等待批准。随着确诊的局部晚期和转移性前列腺癌数量的增加,考虑患者临床情况和个人偏好的必要性也在增加。本综述将讨论治疗局部晚期和转移性 PCa 的现有方法和未来可能采用的方法。
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