Therapeutic Sequences in the Treatment of High-Risk Prostate Cancer: Paving the Way Towards Multimodal Tailored Approaches.

hadrontherapy high risk prostate cancer iPARP treatment narrative review personalized medicine second-generation antiandrogens

Journal

Frontiers in oncology
ISSN: 2234-943X
Titre abrégé: Front Oncol
Pays: Switzerland
ID NLM: 101568867

Informations de publication

Date de publication:
2021
Historique:
received: 29 06 2021
accepted: 13 07 2021
entrez: 23 8 2021
pubmed: 24 8 2021
medline: 24 8 2021
Statut: epublish

Résumé

Various definitions are currently in use to describe high-risk prostate cancer. This variety in definitions is important for patient counseling, since predicted outcomes depend on which classification is applied to identify patient's prostate cancer risk category. Historically, strategies for the treatment of localized high-risk prostate cancer comprise local approaches such as surgery and radiotherapy, as well as systemic approaches such as hormonal therapy. Nevertheless, since high-risk prostate cancer patients remain the group with higher-risk of treatment failure and mortality rates, nowadays, novel treatment strategies, comprising hypofractionated-radiotherapy, second-generation antiandrogens, and hadrontherapy, are being explored in order to improve their long-term oncological outcomes. This narrative review aims to report the current management of high-risk prostate cancer and to explore the future perspectives in this clinical setting.

Identifiants

pubmed: 34422672
doi: 10.3389/fonc.2021.732766
pmc: PMC8371196
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

732766

Informations de copyright

Copyright © 2021 Marvaso, Corrao, Zaffaroni, Pepa, Augugliaro, Volpe, Musi, Luzzago, Mistretta, Verri, Cossu Rocca, Ferro, Petralia, Nolè, De Cobelli, Orecchia and Jereczek-Fossa.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The handling editor declared a past co-authorship with one of the authors BJ.

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Auteurs

Giulia Marvaso (G)

Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.

Giulia Corrao (G)

Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.

Mattia Zaffaroni (M)

Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Matteo Pepa (M)

Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Matteo Augugliaro (M)

Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Stefania Volpe (S)

Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.

Gennaro Musi (G)

Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Department of Urology, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Stefano Luzzago (S)

Department of Urology, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Francesco Alessandro Mistretta (FA)

Department of Urology, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Elena Verri (E)

Department of Medical Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Maria Cossu Rocca (M)

Department of Medical Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Matteo Ferro (M)

Department of Urology, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Giuseppe Petralia (G)

Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Precision Imaging and Research Unit, Department of Medical Imaging and Radiation Sciences, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Franco Nolè (F)

Medical Oncology Division of Urogenital & Head & Neck Tumors, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Ottavio De Cobelli (O)

Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Department of Urology, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Roberto Orecchia (R)

Scientific Directorate, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Barbara Alicja Jereczek-Fossa (BA)

Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.

Classifications MeSH