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Guía de la eau para el cáncer de próstata(*)
EAU Guidelines on Prostate Cancer , Axel Heidenreich1,a, Gunna Ausb, Michel Bollac, Steven Joniaud, B. Matveev Vsevolode, Hans Peter Schmidf, Filliberto Zattonig
a aServicio de Urología, Hospital Universitario de Colonia, Colonia, Alemania.
b Servicio de Urología, Hospital Universitario de Sahlgrens, Göteborg, Suecia.
c Servicio de Radioterapia, C.H.U Grenoble, Grenoble, Francia.
d Servicio de Urología, Hospital Universitario de Gasthuisberg, Leuven, Bélgica.
e Servicio de Urología, Academia Rusa de Ciencias Médicas, Centro de Investigaciones Oncológicas, Moscú, Rusia.
f Servicio de Urología, Kantonspital St. Gallen, St. Gallen, Suiza.
g Servicio de Urología, Hospital Santa Maria Della Misericordia, Udine, Italia.
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentar un resumen de la version del 2007 de la guia de la Asociacion Europea de Urologia &#40;EAU&#41; para el cancer de prostata &#40;CaP&#41;&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se realizo por un grupo de trabajo una revision de los nuevos datos presentes desde 2004 hasta 2007 en la literatura&#46; Las guias han sido actualizadas y el nivel de evidencia&#47;grado de recomendacion ha sido anadido al texto basandose en una revision sistematica de la literatura&#44; que incluia una busqueda de las bases de datos online y revisiones bibliograficas&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Una version completa esta disponible en la EAU Office o en <span class="elsevierStyleInterRef" href="http://www.uroweb.org">www&#46;uroweb&#46;org&#46;</span> El metodo diagnostico de eleccion es la biopsia sistematizada de la prostata bajo control ecografico&#46; El tratamiento activo es el recomendado en la mayoria de los pacientes con enfermedad localizada y una larga esperanza de vida&#44; siendo la prostatectomia radical superior a la vigilancia &#40;&#8220;watchful waiting&#8221;&#41; en un ensayo randomizado prospectivo&#46; La prostatectomia radical con preservacion de bandeletas es la tecnica de eleccion en la enfermedad organo-confinada&#59; el bloqueo androgenico neoadyuvante no ha demostrado una mejoria en las variables de resultados&#46; La radioterapia debe realizarse con al menos 72 Gy en el CaP de bajo riesgo y con 78 Gy en el de intermedio - alto riesgo&#46; El bloqueo androgenico en monoterapia es el estandar del tratamiento en el CaP metastasico&#59; el bloqueo androgenico intermitente podria ser un tratamiento alternativo en pacientes seleccionados&#46; El seguimiento se basa principalmente en los niveles de PSA y en la anamnesis especifica de la enfermedad&#44; estando las pruebas de imagen solo indicadas cuando aparecen los sintomas&#46; La quimioterapia con docetaxel ha surgido como el tratamiento de referencia para el CaP metastasico hormonorefractario&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El conocimiento en el campo del CaP esta rapidamente cambiando&#46; Estas guias de la EAU resumen los hallazgos mas recientes y los aplican a la practica clinica&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To present a summary of the 2007 version of the European Association of Urology &#40;EAU&#41; guidelines on prostate cancer &#40;PCa&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A literature review of the new data emerging from 2004 to 2007 was performed by the working panel&#46; The guidelines have been updated&#44; and the level of evidence&#47;grade of recommendation was added to the text based on a systematic review of the literature&#44; which included a search of online databases and bibliographic reviews&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Afull version is available at the EAU Office or at <span class="elsevierStyleInterRef" href="http://www.uroweb.org">www&#46;uroweb&#46;org&#46;</span> Systemic prostate biopsy under ultrasound guidance is the preferred diagnostic method&#46; Active treatment is mostly recommended for patients with localized disease and a long life expectancy&#44; with radical prostatectomy being shown to be superior to watchful waiting in a prospective randomized trial&#46; Nerve-sparing radical prostatectomy represents the approach of choice in organ-confined disease&#59; neoadjuvant androgen deprivation demonstrates no improvement of outcome variables&#46; Radiation therapy should be performed with at least 72 and 78 Gy in low-risk and intermediate- to high-risk PCa&#44; respectively&#46; Monotherapeutic androgen deprivation is the standard of care in metastatic PCa&#59; intermittent androgen deprivation might be an alternative treatment option for selected patients&#46; Follow-up is largely based on prostate-specific antigen and a disease-specific history with imaging only indicated when symptoms occur&#46; Cytotoxic therapy with docetaxel has emerged as the reference treatment for metastatic hormone-refractory PCa&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The knowledge in the field of PCa is rapidly changing&#46; These EAU guidelines on PCa summarize the most recent findings and put them into clinical practice&#46;Keywords&#58; Androgen deprivation&#46; Chemotherapy&#46; Diagnosis&#46; EAU guidelines&#46; Follow-up&#46; Prostate cancer&#46; Radiation therapy&#46; Radical prostatectomy&#46; Review&#46; Treatment&#46;</p>"
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ISSN: 02104806
Idioma original: Español
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