2010年泌尿道癌年度报告.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * Summary of treatment of metastasis prostate Ca Androgen suppression using bilateral orchiectomy or LHRH agonist should be the first line treatment . Two weeks course of antiandrogen treatment should be used to prevent disease flare on starting LHRH agonist. P’ts with HRPC should hold androgen suppression temporally. After observation of androgen withdrawal syndrome, 2nd-line hormone therapy (Different antiandrogen), 3rd-line (e.g. corticosteroid, vit D,) even 4th-line hormone therapy (e.g. DES) should be considered. Docetaxel (Q3W s