Medical management of metastatic prostate cancer

被引:9
|
作者
Body, Amy [1 ]
Pranavan, Ganes [1 ,2 ]
Tan, Thean Hsiang [3 ]
Slobodian, Peter [4 ]
机构
[1] Canberra Hosp, Dept Med Oncol, Garran, Australia
[2] Australian Natl Univ, Med Sch, Canberra, ACT, Australia
[3] Royal Adelaide Hosp, Dept Med Oncol, Adelaide, SA, Australia
[4] Royal Adelaide Hosp, Pharm, Adelaide, SA, Australia
关键词
abiraterone; androgen deprivation therapy; chemotherapy; docetaxel; enzalutamide; prostate cancer; radium;
D O I
10.18773/austprescr.2018.046
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Androgen deprivation therapy has an important role in the medical treatment of advanced and metastatic prostate cancer. The treatment of metastatic prostate cancer is influenced by whether the patient's disease has progressed on androgen deprivation therapy or not. It is considered to be castrate-resistant disease if the cancer has progressed despite adequate suppression of androgens. Chemotherapy using docetaxel or cabazitaxel and anti-androgen drugs such as abiraterone and enzalutamide can be used to treat castrate-resistant disease. Radium-223 is an option for patients with bony metastases. Metastatic castrate-resistant prostate cancer is now considered a chronic illness as the life expectancy of patients has almost doubled due to the new treatments. General practitioners are therefore more likely to encounter patients with disease- and treatment-related complications.
引用
收藏
页码:154 / 159
页数:6
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