METHODS: The first Advanced Prostate Cancer Consensus Conference (APCCC) satellite meeting for the Middle East was held in Beirut, Lebanon, November 2017. During this meeting a consortium of urologists, medical oncologists, radiation oncologist and imaging specialists practicing in Lebanon, Syria, Iraq, Kuwait and Saudi Arabia voted on a selection of consensus questions. An additional workshop to formulate resource-stratified consensus recommendations was held in March 2019.
RESULTS: Variations in practice based on available resources have been proposed to form resource-stratified recommendations for imaging at diagnosis, initial management of localized prostate cancer requiring therapy, treatment of castration-sensitive/naïve advanced prostate cancer and treatment of castration-resistant prostate cancer.
CONCLUSIONS: This is the first regional consensus on prostate cancer management from the Middle East. The following recommendations will be useful to urologists and oncologists practicing in all areas with limited access to specialist multi-disciplinary teams, diagnostic modalities and treatment resources.
方法:第一届中东晚期前列腺癌共识会议(APCCC)卫星会议在贝鲁特举行,黎巴嫩,2017年11月。在这次会议上,一个泌尿科医师联盟,医学肿瘤学家,在黎巴嫩执业的放射肿瘤学家和成像专家,叙利亚,伊拉克,科威特和沙特阿拉伯就一些协商一致的问题进行了表决。2019年3月举行了另一次研讨会,以制定资源分层的共识建议。
结果:已提出基于可用资源的实践变化,以形成诊断时成像的资源分层建议,需要治疗的局部前列腺癌的初始管理,去势敏感/初治晚期前列腺癌的治疗和去势抵抗前列腺癌的治疗。
结论:这是中东地区关于前列腺癌治疗的第一个区域共识。以下建议将是有用的泌尿科医师和肿瘤科医师在所有领域的实践有限的专家多学科团队,诊断方式和治疗资源。