根治性前列腺切除术后切缘阳性治疗和预测的最新进展  

Recent Advances in the Treatment and Prediction of Positive Surgical Margins after Radical Prostatectomy

作　　者：黄红林 张轶庠 袁也晴 

机构地区：[1]暨南大学第二临床医学院,广东 深圳 [2]深圳市人民医院泌尿外科(暨南大学附属第二临床医学院、南方科技大学第一附属医院),广东 深圳

出　　处：《临床医学进展》2025年第1期1551-1557,共7页Advances in Clinical Medicine

摘　　要：前列腺癌是男性恶性肿瘤中最常见的肿瘤之一,目前根治性前列腺切除术是治疗器官局限性及局部进展期前列腺癌的最主要手段。然而在手术后部分患者会出现切缘阳性,这有可能导致前列腺癌的生化复发甚至临床进展,因此有效的治疗和预测策略对改善患者预后至关重要。本文概述切缘阳性患者在根治前列腺切除后的最新诊治及预后,为这类病人的预防和治疗提供思路。Radical prostatectomy is the primary treatment for organ-confined and locally advanced prostate cancer, a malignancy that is one of the most frequent among men. Despite the possibility of positive surgical margins postoperatively, this may result in biochemical recurrence or even a clinical progression of prostate cancer. Therefore, effective treatment and predictive strategies are crucial for improving patient outcomes. The aim of this article is to provide an overview of the most recent progressions in diagnosing, treating, and forecasting those with positive surgical margins after radical prostatectomy, thereby offering insight into how to avert and treat them.

关 键 词：前列腺癌 根治性前列腺切除术 切缘阳性 预测 

分 类 号：R73[医药卫生—肿瘤]