老年前列腺癌临床诊治专家共识(2024版)  

Chinese expert consensus on the diagnosis and management of prostate cancer in the elderly(2024 edition)

作　　者：逄城 钟秋子[2] 朱刚[3] 刘明[1] 中华医学会老年医学分会 Pang Cheng;Zhong Qiuzi;Zhu Gang;Liu Ming;Chinese Medical Association Geriatrics(Department of Urology,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Radiotherapy,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Urology,Beijing United Family Hospital and Clinics,Beijing 100101,China;不详)

机构地区：[1]北京医院泌尿外科、国家老年医学中心、中国医学科学院老年医学研究院,北京100730 [2]北京医院放疗科、国家老年医学中心、中国医学科学院老年医学研究院,北京100730 [3]北京和睦家医院泌尿外科,北京100101 [4]不详

出　　处：《中华老年医学杂志》2025年第2期107-116,共10页Chinese Journal of Geriatrics

基　　金：中央高水平医院临床科研业务费(BJ-2022-083);中央高水平医院临床科研业务费(BJ-2022-115)。

摘　　要：我国老龄化形势日益严峻,增龄成为我国老年人群前列腺癌疾病发生发展的独立危险因素。老年前列腺癌患者通常具有身体机能减退、合并症较多等特点,诊断治疗方面与非老年人群存在一定差异。了解和掌握老年前列腺癌患者的特点与临床诊治流程,有助于规范并提高诊疗水平。本共识根据我国老年前列腺癌患者诊治现状与国内外相关指南,总结了老年前列腺癌患者一般健康状况评估方法,并从局限性前列腺癌、晚期前列腺癌及老年前列腺癌患者支持治疗等方面给出了相关共识意见,为医务人员正确评估老年前列腺癌患者健康状况,并进行有效干预及管理提供指导意见。The aging demographic in China raises significant concerns,as advanced age has been identified as an independent risk factor for the onset and progression of prostate cancer among the elderly population.Patients with prostate cancer in this age group often exhibit reduced physical functionality and a higher prevalence of comorbidities,leading to notable differences in their diagnosis and treatment compared to younger patients.A comprehensive understanding of the unique characteristics,as well as the clinical diagnostic and treatment protocols for elderly prostate cancer patients,is essential for standardizing and enhancing the quality of care.This consensus,informed by the current state of diagnosis and treatment for elderly prostate cancer patients in China,along with relevant guidelines from both domestic and international sources,outlines methods for assessing the general health status of these patients.It also provides guidance on the management of localized and advanced prostate cancer,in addition to supportive care for elderly patients.The consensus aims to assist healthcare professionals in accurately evaluating the health status of elderly prostate cancer patients and implementing effective interventions and management strategies.

关 键 词：前列腺 治疗 前列腺癌 专家共识 

分 类 号：R737.25[医药卫生—肿瘤]