Стабильный кастрационный уровень тестостерона при андрогенной депривации как фактор прогноза оптимального клинического контроляу больных раком предстательной железы
Автор: Грицкевич Александр Анатольевич, Мишугин Сергей Владимирович, Теплов Александр Александрович, Русаков Игорь Георгиевич
Журнал: Злокачественные опухоли @malignanttumors
Рубрика: Собственные исследования
Статья в выпуске: 1 (12), 2015 года.
Бесплатный доступ
Одной из важнейших стратегий лечения рака предстательной железы является достижение и поддержание эффективного подавления уровня тестостерона у мужчин, получающих андрогенную депривацию. Исторически уровень тестостерона ниже 50 нг/дл расценивался как кастрационный. Текущие данные показывают, что в попытке максимизировать терапевтический результат новой целью для любой хирургической или химической кастрации является уровень тестостерона ниже чем 20 нг/дл. Эффект «вспышки», обусловленный введением аналога лютеинизирующего рилизинг-гормона, может вызвать увеличение уровня тестостерона, иногда до некастрационных значений. Изучение андрогенной аблации заключается в выявлении тех агентов, при помощи которых достигаются и поддерживаются какие возможно самые низкие уровни тестостерона.
Рак предстательной железы, тестостерон, простатспецифический антиген, трипторелин
Короткий адрес: https://sciup.org/14045523
IDR: 14045523
Список литературы Стабильный кастрационный уровень тестостерона при андрогенной депривации как фактор прогноза оптимального клинического контроляу больных раком предстательной железы
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