イハラ トシコ   Toshiko Ito-Ihara
  猪原 登志子
   所属   川崎医科大学  医学部 応用医学 先端医療開発学
   職種   教授
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Clinical trial evaluating the efficacy and safety of percutaneous prostate cancer lesion-targeted microwave tissue coagulation for prostate functional preservation: MicroPro2.
掲載誌名 正式名:International journal of surgery protocols
略  称:Int J Surg Protoc
ISSNコード:24683574/24683574
掲載区分国外
巻・号・頁 29(3),pp.93-101
著者・共著者 Atsuko Fujihara, Takumi Shiraishi, Go Horiguchi, Takashi Ueda, Masatsugu Miyashita, Yuta Inoue, Yayoi Iwami, Akari Naito, Satoshi Teramukai, Toshiko Ito-Ihara, Osamu Ukimura
発行年月 2025/09
概要 INTRODUCTION:Focal therapy (FT) for localized prostate cancer (PC) aims to achieve cancer control and maintain quality of life. Microwave tissue coagulation (MTC) is a tissue-coagulation thermotherapy that has been used to treat solid tumors such as kidney, liver, and lung tumors. However, the use of this technology in lesion-targeted FT for PC has not been established.METHODS:We will perform a prospective multi-center, single-arm, clinical study to evaluate the efficacy and safety of lesion-targeted focal MTC for localized PC. In eight centers with expert urologists for performing magnetic resonance imaging (MRI)/ultrasound (US) fusion biopsy, patients will be evaluated prospectively after lesion-targeted MTC. The target sample size is 65. This study was registered with the Japan Registry of Clinical Trials and ClinicalTrials.gov. Inclusion criteria were patients who had a single MRI-visible lesion with Prostate Imaging Reporting and Data System (PI-RADS) category 3 or 4 that was proven as Gleason score of 7 or 8 cancer by enrollment biopsy or patients who had a single MRI-visible lesion with PI-RADS category 4 or 5 that was proven as Gleason score of 6 or 7 by enrollment biopsy. The primary endpoint is the disappearance of the targeted cancer lesion at 6 months after microwave coagulation, evaluated by a combined response in prostate-specific antigen, MRI, and prostate biopsy.DISCUSSION:The importance of this clinical trial is to establish a new ablative treatment option for lesion-targeted FT in PC.
DOI 10.1097/SP9.0000000000000051
PMID 40860205