An overview of current clinical experience with strontium‐89 (Metastron®)

An overview of current clinical experience with strontium‐89 (Metastron®)
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锶-89 (Metastron®) 当前临床经验概述

DOI:
10.1002/pros.2990250708
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发表时间:
1994
期刊:
The Prostate
影响因子:
--
通讯作者:
S. Bos
S. Bos
中科院分区:
--
文献类型:
--
作者:
S. Bos

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前列腺癌是男性最常见的肿瘤之一。在介绍中,50%的患者有晚期疾病,25%有骨转移。激素缓解是转移性骨痛的首选治疗,16 - 18个月的无疼痛缓解率为75%。化疗的二线治疗具有中度和短期效果。一旦内分泌治疗和化疗不再有效,放射治疗是复发性疼痛性骨转移的一个很好的选择。弥漫性疼痛性转移可以用半身照射治疗,有效率高达70%,但毒性相当大。
Prostate cancer is one of the most common tumors in men. At presentation, 50% of patients have advanced disease and 25% have bone metastases. Hormonal palliation is the treatment of choice for metastatic bone pain, with a pain‐free response rate of 75% for a period of 16‐18 months. Second‐line treatment with chemotherapy has a moderate and short‐term effect. Once endocrine therapy and chemotherapy cease to be effective, radiotherapy is a good option for recurrent painful bone metastases. Diffuse painful metastases can be treated with half‐body irradiation with a response rate of up to 70%, but there is considerable toxicity.