Treatment of Oligometastatic Disease

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  • เผยแพร่เมื่อ 20 ธ.ค. 2024

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  • @roberthuff3122
    @roberthuff3122 9 วันที่ผ่านมา

    🎯 Key points for quick navigation:
    00:18 *📜 Definitions of Oligometastatic Disease*
    - Oligometastatic disease is commonly defined by the "CHAARTED" definition published by Sweeney in 2015.
    - Other definitions include ESTRO, ACROP, and the HORRAD trial, which define oligometastatic disease differently, focusing on the number of lesions.
    01:56 *📚 Treatment of the Primary Site*
    - The STAMPEDE trial revolutionized the approach to treating prostate cancer with concurrent oligometastatic disease.
    - Radiation treatment to the prostate has shown to improve survival rates in low metastatic burden cases.
    06:05 *🧩 Impact of Prostate Radiation on Survival*
    - Radiation improved overall survival significantly in low burden oligometastatic disease, with median survival improvements.
    - High burden cases showed no difference, while both radiation schedules were effective.
    11:58 *🔄 Metastasis Directed Therapy Insights*
    - Trials like STOMP, ORACLE, and others highlight the benefits of directing therapy at metastases.
    - Treatment of metastases extends ADT-free survival and progression-free survival, showing a clear benefit in various metrics.
    15:29 *🔍 Future Directions and Conclusions*
    - Prostate treatment improves survival in low burden cases; metastasis-directed therapy can delay systemic treatment starts.
    - Clinical trials are needed for further insights, focusing on imaging and biological responses.
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