Focal Therapy for Prostate Cancer: Recent Advances and Insights

被引:2
作者
Lasorsa, Francesco [1 ,2 ]
Biasatti, Arianna [1 ,3 ]
Orsini, Angelo [1 ,4 ]
Bignante, Gabriele [1 ,5 ]
Farah, Gabriana M. [1 ]
Pandolfo, Savio Domenico [6 ,7 ]
Lambertini, Luca [8 ]
Reddy, Deepika [9 ]
Damiano, Rocco [10 ]
Ditonno, Pasquale [2 ]
Lucarelli, Giuseppe [2 ]
Autorino, Riccardo [1 ]
Vourganti, Srinivas [1 ]
机构
[1] Rush Univ, Dept Urol, Chicago, IL 60612 USA
[2] Univ Bari Aldo Moro, Dept Precis & Regenerat Med & Ionian Area Urol, Androl & Kidney Transplantat Unit, I-70121 Bari, Italy
[3] Univ Trieste, Dept Med Surg & Hlth Sci, Urol Clin, I-34127 Trieste, Italy
[4] Univ G dAnnunzio, Dept Med Oral & Biotechnol Sci, Urol Unit, I-66013 Chieti, Italy
[5] Univ Turin, San Luigi Gonzaga Hosp, Dept Oncol, Div Urol, I-10043 Turin, Italy
[6] Univ Aquila, Dept Urol, I-67100 Laquila, Italy
[7] Univ Naples Federico II, Dept Neurosci Sci Reprod & Odontostomatol, I-80138 Naples, Italy
[8] Univ Florence, Careggi Hosp, Dept Expt & Clin Med, I-50121 Florence, Italy
[9] NHS Imperial Coll London, London W2 1NY, England
[10] Magna Graecia Univ Catanzaro, Dept Urol, I-88100 Catanzaro, Italy
关键词
prostate cancer; focal therapy; ablation; TARGETED PHOTODYNAMIC THERAPY; INTENSITY FOCUSED ULTRASOUND; IRREVERSIBLE ELECTROPORATION; ARTERY EMBOLIZATION; LASER-ABLATION; FOLLOW-UP; RADIOFREQUENCY; OUTCOMES; CRYOABLATION; MULTICENTER;
D O I
10.3390/curroncol32010015
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Focal therapy has emerged as a balanced middle ground aiming to reduce overtreatment and the risk of progression, as well as patients' distress and anxiety. Focal therapy and partial gland ablation prioritize the precise elimination of the index lesion and a surrounding safety margin to optimize treatment outcomes and lower the risk of residual disease. The paradigm of whole-gland ablation has shifted towards more targeted approaches. Several treatment templates ranging from subtotal and hemiablation to "hockey-stick", quadrant, and even focal lesion ablation have emerged. Many types of energy may be utilized during focal treatment. First, focal therapy can be grossly classified into thermal vs. non-thermal energy. The aim of this non-systematic review is to offer a comprehensive analysis of recently available evidence on focal therapy for PCa.
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页数:12
相关论文
共 75 条
[1]   Contemporary treatments in prostate cancer focal therapy [J].
Ahdoot, Michael ;
Lebastchi, Amir H. ;
Turkbey, Baris ;
Wood, Bradford ;
Pinto, Peter A. .
CURRENT OPINION IN ONCOLOGY, 2019, 31 (03) :200-206
[2]  
Alonso-González R, 2024, RADIOLOGIA-MADRID, V66, P47, DOI [10.1016/j.rxeng.2023.04.002, 10.1016/j.rx.2023.04.007]
[3]  
[Anonymous], 2024, EAU ANN C
[4]  
Anttinen M, 2019, SCAND J UROL, V53, P295, DOI [10.1080/21681805.2019.1660707, 10.1080/21681805.2019.1685795]
[5]   Evolution of Focal Therapy in Prostate Cancer Past, Present, and Future [J].
Arcot, Rohith ;
Polascik, Thomas J. .
UROLOGIC CLINICS OF NORTH AMERICA, 2022, 49 (01) :129-152
[6]   Focal Cryoablation of Image-Localized Prostate Cancer [J].
Arcot, Rohith ;
Potts, Bradley A. ;
Polascik, Thomas J. .
JOURNAL OF ENDOUROLOGY, 2021, 35 :S17-S23
[7]   Focal bipolar radiofrequency ablation for localized prostate cancer: Safety and feasibility [J].
Aydin, Ahmet Murat ;
Gage, Kenneth ;
Dhillon, Jasreman ;
Cheriyan, Salim K. ;
Poch, Michael A. ;
Manley, Brandon J. ;
Li, Roger ;
Sexton, Wade J. ;
Spiess, Philippe E. ;
Gilbert, Scott M. ;
Pow-Sang, Julio M. .
INTERNATIONAL JOURNAL OF UROLOGY, 2020, 27 (10) :882-889
[8]   Padeliporfi n vascular-targeted photodynamic therapy versus active surveillance in men with low-risk prostate cancer (CLIN1001 PCM301): an open-label, phase 3, randomised controlled trial [J].
Azzouzi, Abdel-Rahmene ;
Vincendeau, Sebastien ;
Barret, Eric ;
Cicco, Antony ;
Kleinclauss, Francois ;
van der Poel, Henk G. ;
Stief, Christian G. ;
Rassweiler, Jens ;
Salomon, Georg ;
Solsona, Eduardo ;
Alcaraz, Antonio ;
Tammela, Teuvo T. ;
Rosario, Derek J. ;
Gomez-Veiga, Francisco ;
Ahlgren, Goran ;
Benzaghou, Fawzi ;
Gaillac, Bertrand ;
Amzal, Billy ;
Debruyne, Frans M. J. ;
Fromont, Gaelle ;
Gratzke, Christian ;
Emberton, Mark .
LANCET ONCOLOGY, 2017, 18 (02) :181-191
[9]   Focal therapy for prostate cancer [J].
Basseri, Sana ;
Perlis, Nathan ;
Ghai, Sangeet .
ABDOMINAL RADIOLOGY, 2025, 50 (02) :757-769
[10]   Targeting the cancer lesion, not the whole prostate [J].
Bedi, Nishant ;
Reddy, Deepika ;
Ahmed, Hashim U. .
TRANSLATIONAL ANDROLOGY AND UROLOGY, 2020, 9 (03) :1518-1525