Time to raise awareness regarding complications of androgen deprivation therapy
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摘要:
No treatment is devoid of adverse effects,and androgen deprivation therapy (ADT) in men with prostate cancer (PCa) bears no exception.PCa is the most common non-cutaneous malignancy in men worldwide.In 2011,approximately 240 890 new cases of PCa were diagnosed in the United States and 33 720 men died because of the disease.1 In intermediate- and high-risk patients with locally advanced disease,ADT,when added to external bean radiation therapy,has shown improved survival,while in men with metastatic PCa,ADT improves quality of life (QoL).2-4 However,patients with localized cancer and those encountering biochemical recurrences after definitive therapy are also being started on ADT,even though survival advantage has not been conclusively demonstrated in these clinical settings.As a result,the use of ADT has significantly increased in the last 15 years.