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Asian Journal of Urology, 2014, 1(1): 38-43    
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Locally advanced and high risk prostate cancer: the best indication for initial radical prostatectomy?
Hendrik van Poppel
Department of Urology, University Hospitals Leuven, Leuven, Belgium
Locally advanced and high risk prostate cancer: the best indication for initial radical prostatectomy?
Hendrik van Poppel
Department of Urology, University Hospitals Leuven, Leuven, Belgium
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摘要 High risk prostate cancer is a deadly disease that needs aggressive treatment.High risk prostate cancer is often treated with androgen deprivation therapy or combined radiohormonotherapy while there is a place for surgery in cases of operable and resectable locally advanced or high risk disease.This review summarizes the results of the different treatment strategies for locally advanced and high risk prostate cancer.Radical prostatectomy monotherapy or in combination with radiotherapy and/or hormonal treatment are analyzed.They show that radical prostatectomy is an effective treatment modality for these tumors.After surgery, the results of the pathology and the follow-up of serum PSA may indicate the need of additional adjuvant or salvage treatment strategies.
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Hendrik van Poppel
关键词:  Prostate cancer  High risk  Radical prostatectomy  Extracapsular extension  High grade prostate cancer    
Abstract: High risk prostate cancer is a deadly disease that needs aggressive treatment.High risk prostate cancer is often treated with androgen deprivation therapy or combined radiohormonotherapy while there is a place for surgery in cases of operable and resectable locally advanced or high risk disease.This review summarizes the results of the different treatment strategies for locally advanced and high risk prostate cancer.Radical prostatectomy monotherapy or in combination with radiotherapy and/or hormonal treatment are analyzed.They show that radical prostatectomy is an effective treatment modality for these tumors.After surgery, the results of the pathology and the follow-up of serum PSA may indicate the need of additional adjuvant or salvage treatment strategies.
Key words:  Prostate cancer    High risk    Radical prostatectomy    Extracapsular extension    High grade prostate cancer
收稿日期:  2014-08-01      修回日期:  2014-09-05           出版日期:  2014-10-01      发布日期:  2014-10-28      整期出版日期:  2014-10-01
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Hendrik van Poppel. Locally advanced and high risk prostate cancer: the best indication for initial radical prostatectomy?[J]. Asian Journal of Urology, 2014, 1(1): 38-43.
Hendrik van Poppel. Locally advanced and high risk prostate cancer: the best indication for initial radical prostatectomy?. Asian Journal of Urology, 2014, 1(1): 38-43.
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http://www.ajurology.com/CN/  或          http://www.ajurology.com/CN/Y2014/V1/I1/38
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