Metabolic syndrome in prostate cancer: impact on risk and outcomes

被引:13
作者
Karzai, Fatima H. [1 ]
Madan, Ravi A. [1 ]
Dahut, William L. [1 ]
机构
[1] NCI, Genitourinary Malignancies Branch, NIH, Bethesda, MD 20892 USA
关键词
androgen-deprivation therapy; androgen receptor; cardiovascular risk; diabetes; gonadotropin-releasing hormone agonist/antagonist; hypertriglyceridemia; insulin resistance; metabolic syndrome; prostate cancer; ANDROGEN-DEPRIVATION THERAPY; INSULIN-RESISTANCE; CARDIOVASCULAR MORTALITY; RADICAL PROSTATECTOMY; ASSOCIATION; MEN; ENZALUTAMIDE; BLOCKADE; ESTROGEN; OBESITY;
D O I
10.2217/fon-2016-0061
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Androgen-deprivation therapy (ADT) is a fundamental element of treatment for nonlocalized prostate cancer and for patients with high-risk disease who are not candidates for radical treatment. ADT has been linked to metabolic syndrome, which involves changes in metabolic factors. While distinct from classic metabolic syndrome, this type does include changes in body composition, lipid profiles and insulin resistance. The constellation of risk factors may be associated with cardiovascular morbidity and the onset of diabetes mellitus. Physicians should discuss in detail the risk and benefits of ADT, as well as any needed lifestyle modifications with patients before beginning therapy.
引用
收藏
页码:1947 / 1955
页数:9
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