고위험도 전립선암 환자의 치료
Treatment of Patients With High Risk Prostate Cancer
김종욱, 김광택, 박재영, 여정균,
소속 상세정보
김종욱 ( Kim Jong-Wook )
고려대학교 의과대학 비뇨기과학교실
김광택 ( Kim Kwang-Taek )
가천대학교 의과대학 비뇨기과학교실
박재영 ( Park Jae-Young )
고려대학교 의과대학 비뇨기과학교실
여정균 ( Yeo Jeong-Kyun )
인제대학교 의과대학 비뇨기과학교실
Abstract
The Korean Urological Oncology Society has developed a guideline for treatment of prostate cancer by adapting various prostate cancer guidelines in a systematic manner in order to create a guideline that reflects the real practice in Korea. In this article, 5 key questions for treatment of the patients with high risk prostate cancer were suggested, and the answers were presented. Active surveillance in patients with high risk prostate cancer is not recommended. External radiotherapy combined prolonged androgen deprivation therapy are recommended rather than external radiation therapy alone for them. Extended pelvic lymphadenectomy could be considered since it provides information of accurate staging, however, it is questionable that extended pelvic lymphadenectomy increases the survival rate of high-risk prostate cancer patients. Both postoperative adjuvant radiotherapy and salvage radiotherapy can be considered when adverse pathologic features are found after radical prostatectomy. If lymph node metastasis is confirmed after radical prostatectomy with pelvic lymphadenectomy, adjuvant androgen deprivation therapy is recommended.
키워드
Prostatic neoplasms; High risk; Treatment; Guideline
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