CURRENT METHODS FOR LOCAL TREATMENT OF PROSTATE CANCER
https://doi.org/10.24884/1561-6274-2009-13-3-153-158
Abstract
Development of biopsy methods and modern means of visualization (spiral computer and magnetic-resonance tomography, ultrasonic examination) allow to define more precisely the character of tumor growth and its localization, in this connection the possibilities of local intervention in the prostate neoplasm foci are of growing interest. At present the intervention is carried out on the whole prostate, including radical prostatectomy, though in 10-50% of patients it is more expedient to influence only a half of the prostate or to perform local therapy of particular tumor foci. The main arguments against local treatment: possibly not revealed multi-focal neoplasm, insufficient accuracy in staging procedure, unpredictable aggressivity of the secondary foci and the absence of common technological standards for these methods. Potential developing technologies of local treatment include focused ultrasonic radiation of high intensity, cryotherapy, radio-frequency ablation and photodynamic therapy. Further study of indications, efficiency and follow-up results of available methods will permit to introduce them into clinical practice, and itwill become possible in some cases to refuse radical prostatectomy when treating patients with localized forms of the prostate gland cancer.
About the Authors
S. Kh. Al-Shukri
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation
Russian Federation
S. Yu. Borovets
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation
Russian Federation
M. A. Rybalov
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation
Russian Federation
R. B. Saidov
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation
Russian Federation
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Review
For citations:
Al-Shukri S.Kh., Borovets S.Yu., Rybalov M.A., Saidov R.B. CURRENT METHODS FOR LOCAL TREATMENT OF PROSTATE CANCER. Nephrology (Saint-Petersburg). 2009;13(3):153-158. (In Russ.) https://doi.org/10.24884/1561-6274-2009-13-3-153-158
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