Доцетаксел и бисфосфонаты при гормоночувствительном раке предстательной железы

Автор: Павлов А.Ю., Гафанов Р.А., Фастовец С.В., Кравцов И.Б.

Журнал: Вестник Российского научного центра рентгенорадиологии Минздрава России @vestnik-rncrr

Рубрика: Обзоры, лекции

Статья в выпуске: 1 т.16, 2016 года.

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Рак предстательной железы (РПЖ) является одной из наиболее часто встречаемых форм злокачественных новообразований у мужчин. У некоторых больных могут выявляться распространенные или метастатические формы заболевания на момент постановки диагноза или после проведения начальной терапии, что может потребовать использования системного лечения, включая химиотерапию. Целью данного обзора является обобщение текущих стандартов медицинской помощи при гормоночувствительных и кастрационно-резистентных формах рака предстательной железы (КРРПЖ), в свете появившихся новых лекарственных методов лечения. Абиратерон ацетат и энзалутамид были впервые оценены у пациентов в качестве препаратов второй линии после прогрессирования опухоли при использовании доцетакселя. Показания к химиотерапевтическому применению этих препаратов могут быть расширены с включением пациентов с гормон-наивным местно-распространенным РПЖ. Тем не менее, существует некоторая неопределенность в отношении оптимальной лекарственной стратегии. Долгосрочные результаты исследований абиратерон ацетата и энзалутамида будут способствовать дальнейшему определению роли химиотерапии при раке предстательной железы, а также помогут уточнить генеральную стратегию лечения пациентов с мРПЖ.

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Рак предстательной железы, химиотерапия, уровень пса, гормональная терапия, метастазы, кастрационная резистентность

Короткий адрес: https://sciup.org/14955508

IDR: 14955508

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