Focal Therapy for Prostate Cancer: Recent Advances and Insights

Focal therapy has emerged as a balanced middle ground aiming to reduce overtreatment and the risk of progression, as well as patients’ distress and anxiety. Focal therapy and partial gland ablation prioritize the precise elimination of the index lesion and a surrounding safety margin to optimize tre...

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Main Authors: Francesco Lasorsa, Arianna Biasatti, Angelo Orsini, Gabriele Bignante, Gabriana M. Farah, Savio Domenico Pandolfo, Luca Lambertini, Deepika Reddy, Rocco Damiano, Pasquale Ditonno, Giuseppe Lucarelli, Riccardo Autorino, Srinivas Vourganti
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Current Oncology
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Online Access:https://www.mdpi.com/1718-7729/32/1/15
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author Francesco Lasorsa
Arianna Biasatti
Angelo Orsini
Gabriele Bignante
Gabriana M. Farah
Savio Domenico Pandolfo
Luca Lambertini
Deepika Reddy
Rocco Damiano
Pasquale Ditonno
Giuseppe Lucarelli
Riccardo Autorino
Srinivas Vourganti
author_facet Francesco Lasorsa
Arianna Biasatti
Angelo Orsini
Gabriele Bignante
Gabriana M. Farah
Savio Domenico Pandolfo
Luca Lambertini
Deepika Reddy
Rocco Damiano
Pasquale Ditonno
Giuseppe Lucarelli
Riccardo Autorino
Srinivas Vourganti
author_sort Francesco Lasorsa
collection DOAJ
description Focal therapy has emerged as a balanced middle ground aiming to reduce overtreatment and the risk of progression, as well as patients’ distress and anxiety. Focal therapy and partial gland ablation prioritize the precise elimination of the index lesion and a surrounding safety margin to optimize treatment outcomes and lower the risk of residual disease. The paradigm of whole-gland ablation has shifted towards more targeted approaches. Several treatment templates ranging from subtotal and hemiablation to “hockey-stick”, quadrant, and even focal lesion ablation have emerged. Many types of energy may be utilized during focal treatment. First, focal therapy can be grossly classified into thermal vs. non-thermal energy. The aim of this non-systematic review is to offer a comprehensive analysis of recently available evidence on focal therapy for PCa.
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language English
publishDate 2024-12-01
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series Current Oncology
spelling doaj-art-f5b43742f92e472d81b5b0061339dfc72025-01-24T13:28:22ZengMDPI AGCurrent Oncology1198-00521718-77292024-12-013211510.3390/curroncol32010015Focal Therapy for Prostate Cancer: Recent Advances and InsightsFrancesco Lasorsa0Arianna Biasatti1Angelo Orsini2Gabriele Bignante3Gabriana M. Farah4Savio Domenico Pandolfo5Luca Lambertini6Deepika Reddy7Rocco Damiano8Pasquale Ditonno9Giuseppe Lucarelli10Riccardo Autorino11Srinivas Vourganti12Department of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Experimental and Clinical Medicine, Careggi Hospital, University of Florence, 50121 Florence, ItalyNHS Imperial College London, London W2 1NY, UKDepartment of Urology, Magna Graecia University, 88100 Catanzaro, ItalyDepartment of Precision and Regenerative Medicine and Ionian Area-Urology, Andrology and Kidney Transplantation Unit, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Precision and Regenerative Medicine and Ionian Area-Urology, Andrology and Kidney Transplantation Unit, University of Bari “Aldo Moro”, 70121 Bari, ItalyDepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USAFocal therapy has emerged as a balanced middle ground aiming to reduce overtreatment and the risk of progression, as well as patients’ distress and anxiety. Focal therapy and partial gland ablation prioritize the precise elimination of the index lesion and a surrounding safety margin to optimize treatment outcomes and lower the risk of residual disease. The paradigm of whole-gland ablation has shifted towards more targeted approaches. Several treatment templates ranging from subtotal and hemiablation to “hockey-stick”, quadrant, and even focal lesion ablation have emerged. Many types of energy may be utilized during focal treatment. First, focal therapy can be grossly classified into thermal vs. non-thermal energy. The aim of this non-systematic review is to offer a comprehensive analysis of recently available evidence on focal therapy for PCa.https://www.mdpi.com/1718-7729/32/1/15prostate cancerfocal therapyablation
spellingShingle Francesco Lasorsa
Arianna Biasatti
Angelo Orsini
Gabriele Bignante
Gabriana M. Farah
Savio Domenico Pandolfo
Luca Lambertini
Deepika Reddy
Rocco Damiano
Pasquale Ditonno
Giuseppe Lucarelli
Riccardo Autorino
Srinivas Vourganti
Focal Therapy for Prostate Cancer: Recent Advances and Insights
Current Oncology
prostate cancer
focal therapy
ablation
title Focal Therapy for Prostate Cancer: Recent Advances and Insights
title_full Focal Therapy for Prostate Cancer: Recent Advances and Insights
title_fullStr Focal Therapy for Prostate Cancer: Recent Advances and Insights
title_full_unstemmed Focal Therapy for Prostate Cancer: Recent Advances and Insights
title_short Focal Therapy for Prostate Cancer: Recent Advances and Insights
title_sort focal therapy for prostate cancer recent advances and insights
topic prostate cancer
focal therapy
ablation
url https://www.mdpi.com/1718-7729/32/1/15
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