Research Progress in Focal Treatment of Prostate Cancer

Prostate cancer is the second most common malignant tumor in men worldwide, and its incidence is increasing in China. Treatment methods of prostate cancer include surgery, radiotherapy, chemotherapy, endocrine therapy, and local therapy. Compared to all treatment options for prostate cancer, local t...

Full description

Bibliographic Details
Main Authors: Songtao Cheng, Shize Wang, Jing Liu, Jianlin Huang, iannan Liu
Format: Article
Language:English
Published: Asian Medical Press Ltd.(H.K.) 2023-06-01
Series:Annals of Urologic Oncology
Subjects:
Online Access:http://auo.asmepress.com/articles/new-1-458.html
_version_ 1797791723420647424
author Songtao Cheng
Shize Wang
Jing Liu
Jianlin Huang
iannan Liu
author_facet Songtao Cheng
Shize Wang
Jing Liu
Jianlin Huang
iannan Liu
author_sort Songtao Cheng
collection DOAJ
description Prostate cancer is the second most common malignant tumor in men worldwide, and its incidence is increasing in China. Treatment methods of prostate cancer include surgery, radiotherapy, chemotherapy, endocrine therapy, and local therapy. Compared to all treatment options for prostate cancer, local treatment has the advantage of less trauma and fewer complications. With the wide application of PSA screening, improvement and enhancement of transperineal puncture technology under template positioning and the development of multi-parameter MRI, more and more low-grade and localized prostate cancer are detected. Most prostate cancer patients receive total gland therapy after diagnosis, but patients with localized prostate cancer may not benefit from treatment because of the side effects of total gland therapy. With the development of imaging technology and the "main focus" theory, focal therapy techniques have been greatly developed. Focal therapy (FT) is a treatment method for localized prostate cancer (Pca), which mainly targets low and medium-risk localized disease to reduce whole-gland treatment. Such as radical prostatectomy (RP) or the adverse effects of radical external radiotherapy, FT has the advantage of preserving more sexual and bladder function while controlling the tumor. The current focal therapy techniques used in clinic mainly include high-intensity focused ultrasound, focal laser ablation, cryotherapy, irreversible electroporation, and photodynamic therapy. In this study, we reviewed the clinical trials of focal therapy in recent years and found that high-intensity focused ultrasound and focal laser ablation have better failure-free survival and postoperative functional control.
first_indexed 2024-03-13T02:23:50Z
format Article
id doaj.art-32121c58c738465fad9d70d733add5bf
institution Directory Open Access Journal
issn 2617-7765
2617-7773
language English
last_indexed 2024-03-13T02:23:50Z
publishDate 2023-06-01
publisher Asian Medical Press Ltd.(H.K.)
record_format Article
series Annals of Urologic Oncology
spelling doaj.art-32121c58c738465fad9d70d733add5bf2023-06-30T06:51:23ZengAsian Medical Press Ltd.(H.K.)Annals of Urologic Oncology2617-77652617-77732023-06-0162798610.32948/auo.2023.06.24Research Progress in Focal Treatment of Prostate CancerSongtao Cheng0Shize Wang1Jing Liu2Jianlin Huang3iannan Liu4Department of Urology, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu 610072, China.Department of Urology, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu 610072, China.Department of Urology, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu 610072, China.Department of Urology, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu 610072, China.Department of Urology, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu 610072, China.Prostate cancer is the second most common malignant tumor in men worldwide, and its incidence is increasing in China. Treatment methods of prostate cancer include surgery, radiotherapy, chemotherapy, endocrine therapy, and local therapy. Compared to all treatment options for prostate cancer, local treatment has the advantage of less trauma and fewer complications. With the wide application of PSA screening, improvement and enhancement of transperineal puncture technology under template positioning and the development of multi-parameter MRI, more and more low-grade and localized prostate cancer are detected. Most prostate cancer patients receive total gland therapy after diagnosis, but patients with localized prostate cancer may not benefit from treatment because of the side effects of total gland therapy. With the development of imaging technology and the "main focus" theory, focal therapy techniques have been greatly developed. Focal therapy (FT) is a treatment method for localized prostate cancer (Pca), which mainly targets low and medium-risk localized disease to reduce whole-gland treatment. Such as radical prostatectomy (RP) or the adverse effects of radical external radiotherapy, FT has the advantage of preserving more sexual and bladder function while controlling the tumor. The current focal therapy techniques used in clinic mainly include high-intensity focused ultrasound, focal laser ablation, cryotherapy, irreversible electroporation, and photodynamic therapy. In this study, we reviewed the clinical trials of focal therapy in recent years and found that high-intensity focused ultrasound and focal laser ablation have better failure-free survival and postoperative functional control.http://auo.asmepress.com/articles/new-1-458.htmlprostate cancerfocal treatmenthigh intensity focused ultrasoundfocal laser ablationcryotherapy
spellingShingle Songtao Cheng
Shize Wang
Jing Liu
Jianlin Huang
iannan Liu
Research Progress in Focal Treatment of Prostate Cancer
Annals of Urologic Oncology
prostate cancer
focal treatment
high intensity focused ultrasound
focal laser ablation
cryotherapy
title Research Progress in Focal Treatment of Prostate Cancer
title_full Research Progress in Focal Treatment of Prostate Cancer
title_fullStr Research Progress in Focal Treatment of Prostate Cancer
title_full_unstemmed Research Progress in Focal Treatment of Prostate Cancer
title_short Research Progress in Focal Treatment of Prostate Cancer
title_sort research progress in focal treatment of prostate cancer
topic prostate cancer
focal treatment
high intensity focused ultrasound
focal laser ablation
cryotherapy
url http://auo.asmepress.com/articles/new-1-458.html
work_keys_str_mv AT songtaocheng researchprogressinfocaltreatmentofprostatecancer
AT shizewang researchprogressinfocaltreatmentofprostatecancer
AT jingliu researchprogressinfocaltreatmentofprostatecancer
AT jianlinhuang researchprogressinfocaltreatmentofprostatecancer
AT iannanliu researchprogressinfocaltreatmentofprostatecancer