[接受药物阉割治疗的前列腺癌患者随访管理中国专家共识(2024 年版)"。

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引用次数: 0

摘要

随着前列腺癌(PCa)诊断和治疗技术的进步,5 年生存率显著提高,PCa 已进入慢性病管理时代。药物阉割治疗仍是 PCa 患者的基础治疗方案,并贯穿于患者治疗的各个阶段。药物阉割后 PCa 患者的疾病进展、治疗相关不良反应及相关并发症已成为 PCa 患者长期管理中的一大难题,影响着患者的生存和生活质量。除了在诊断和治疗过程中关注前列腺患者的疾病管理外,还应对药物阉割后的患者进行密切随访,尤其是处于疾病治疗关键期的患者。在疾病的重要节点(疾病起始期和治疗转换点)应监测睾酮或其他指标,以免错过最佳治疗窗口期。PCa的随访管理应结合疾病治疗阶段的特点(疾病分期、既往症状、预后因素和治疗策略)和患者自身的需求,推荐个性化的随访策略,以更好地提高患者的治疗依从性,改善患者的预后。目前,中国在PCa患者药物阉割后的随访管理和生活质量方面缺乏指南或共识。因此,中国前列腺癌联盟组织国内专家制定了本共识,旨在为接受药物阉割治疗的PCa患者的随访和生活质量管理提供参考,进一步改善我国PCa患者的预后和生活质量。
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[Chinese expert consensus on the follow-up management of patients with prostate cancer receiving medical castration therapy(2024 edition)].

With the advancement of prostate cancer (PCa) diagnosis and treatment technology, the 5-year survival rate has remarkably increased, and PCa has entered the era of chronic disease management. Medical castration therapy remains the cornerstone treatment option for PCa patients, and run throughout the various stages of patient treatment. The disease progression, treatment-related adverse reactions and related complications of PCa patients after medical castration have become a major problem in the long-term management of PCa patients, affecting the survival and quality of life of patients. In addition to focus on the disease management of prostate patients during diagnosis and treatment, patients should be closely followed up after medical castration, especially for those at the critical stage of disease treatment. Testosterone or other indicators should be monitored at important nodes of the disease (the point of initiation disease phase and the point of treatment switch) to avoid missing the optimal treatment window. Follow-up management of PCa should take into account the characteristics of the treatment stage of the disease (disease stage, previous symptoms, prognostic factors and treatment strategy) and patients' own demands, and personalized follow-up strategies should be recommended to better increase patients' treatment compliance and improve patients' prognosis. Currently, there is a lack of guidelines or consensus on the management on the follow-up and quality of life of PCa patients after medical castration in China. Therefore, the Chinese Prostate Cancer Consortium has organized domestic experts to formulate this consensus, with the aim of providing a reference for the management on the follow-up and quality of life of PCa patients receiving medical castration therapy, and to further improve the prognosis and quality of life of PCa patients in China.

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来源期刊
中华肿瘤杂志
中华肿瘤杂志 Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
10433
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