Pregledni rad
https://doi.org/10.20471/acc.2019.58.s2.06
Who Should Receive Radiotherapy in Metastatic Hormone-Sensitive Prostate Cancer?
Vesna Bišof
orcid.org/0000-0002-2826-9664
; Department of Oncology, Clinical Hospital Centre Zagreb, Zagreb, Croatia; School of Medicine, University of Osijek, Osijek, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Sažetak
The standard of treatment of metastatic hormone-sensitive prostate cancer (mHSPC) is androgen deprivation therapy (ADT ) with docetaxel or abiraterone. However, numerous retrospective studies suggested outcome benefit of prostate radiotherapy. Small randomized trial
(HORRAD) showed no overall survival (OS) benefit of the addition of prostate radiotherapy to ADT but there was a trend toward survival benefit in a low volume disease. Although the results of large randomized study (STAMPEDE ) have also not proved improvement of OS in unselected patients, robust improvement of failure-free survival was found. In addition, OS was significantly improved in patients with a low volume disease. In the absence of reliable molecular markers, the extent of metastatic disease has emerged as an important factor for treatment decision making. In this review, we summarize data from non-randomized as well as from randomized studies concerning prostate radiotherapy to contribute to the improvement of treatment tailoring for each individual patient with mHSPC in order to achieve the best possible treatment outcomes.
Ključne riječi
metastatic hormone-sensitive prostate cancer; prostate radiotherapy; low volume disease
Hrčak ID:
234259
URI
Datum izdavanja:
1.11.2019.
Posjeta: 860 *