首页 | 本学科首页   官方微博 | 高级检索  
检索        


Traitements de rattrapage après irradiation prostatique : place de l’urologue
Institution:1. Département d’urologie, d’andrologie et de transplantation rénale, université Paul-Sabatier, CHU Rangueil, 1, avenue Jean-Poulhès, 31403 Toulouse cedex 4, France;2. Service d’urologie, université de Créteil, CHU Henri-Mondor, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France;1. Department of Urology, University Hospital “Carl Gustav Carus,” Technische Universität Dresden, Dresden, Germany;2. Department of Anesthesiology, University Hospital “Carl Gustav Carus,” Technische Universität Dresden, Dresden, Germany;3. Department of Anesthesiology, University Hospital Bergmannsheil, Bürkle-de-la-Camp-Platz, Bochum, Germany;4. Department of Medical Statistics and Biometry University Hospital “Carl Gustav Carus”, Technische Universität Dresden, Dresden, Germany;5. Department of Pathology, University Hospital “Carl Gustav Carus,” Technische Universität Dresden, Dresden, Germany;1. Physics Institute and Center for Space and Habitability, University of Bern, Bern, Switzerland;2. UJF-Grenoble 1, CNRS-INSU, Institut de Planétologie et d’Astrophysique de Grenoble (IPAG), UMR 5274, 38041 Grenoble, France;1. Polytechnic Institute of Tomar, Geobiotec Research Unit, Quinta do Contador, Estrada da Serra, PT – 2300-313 Tomar, Portugal;2. Geosciences Department, University of Aveiro, Geobiotec Research Unit, Campus Universitário de Santiago, PT – 3810-193 Aveiro, Portugal;3. Civil Engineering Department, University of Aveiro, Geobiotec Research Unit, Campus Universitário de Santiago, PT – 3810-193 Aveiro, Portugal;4. Materials Department, National Laboratory of Civil Engineering, Av. do Brasil 101, PT – 1700-066 Lisboa, Portugal;1. Laboratoire de Gestion et Valorisation des Ressources Naturelles, Equipe de Génétique et Biotechnologie Végétale, Université Sultan Moulay Slimane, Faculté des Sciences et Techniques, B.P 523 Béni Mellal, Morocco;2. Laboratoire de Génétique Moléculaire, Immunologie et Biotechnologie. Faculté des Sciences de Tunis, Université de Tunis El Manar, 2092 Tunis, Tunisia;3. Plant Science and Microbiology Department, EPSO, University Miguel Hernández, Ctra. Beniel, km. 3.2, 03312 Orihuela, Alicante, Spain
Abstract:The management of recurrent prostate cancer after radiotherapy or brachytherapy is non-standardized and rapidly evolving. Local recurrence is observed on average in 30% of cases several years following irradiation. A key challenge is to determine the site of recurrence and imaging (MRI and PET choline) coupled to prostate biopsies are important to confirm the local character. Salvage therapy performed by the urologist can then control the situation. Radical prostatectomy subject to strict technical conditions is one of the most efficient local treatments, however it comes at the cost of significant urinary morbidity; minimally invasive therapies (focused ultrasound and cryotherapy) have also their place in specific indications. Each clinical situation should be discussed in pluridisciplinary meetings integrating the oncologic and functional status at recurrence, the risk/benefit ratio of each treatment, the patient's wishes and probability of survival.
Keywords:Recurrent prostate cancer  Radiotherapy  Brachytherapy  Salvage radical prostatectomy  High intensity focused ultrasound  Cryotherapy
本文献已被 ScienceDirect 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号