Tratamiento focal del cáncer de próstata localizado: modelo "à La carte

Translated title of the contribution: Localized prostate cancer focal therapy: "A La carte" Model

Estefanía Linares Espinó, Eric Barret, Arjun Sivaraman, Jose I. Pérez-Reggeti, Rafael Sánchez-Sala, François Rozet, Marc Galiano, Xavier Cathelineau

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Focal therapy has settled as an alternative to radical treatment in selected cases of localized prostate cancer. The selection of patients who are candidates for focal therapy is based on imaging diagnosis relying on multiparametric MRI and image fusion techniques. Thanks to the oncological results and safety profiles of initial series, various energy sources have been developed over the last years. The availability of multiple types of energy sources for focal therapy, commits us to evaluate what type of energy would be the optimal depending on patient's profile and type of lesion. A unique energy for focal therapy would be ideal, but facing the research of the various types of energy we must identify which one is recommended for each lesion. With the experience of our center in different approaches of focal therapy we propose the "A LA CARTE" MODEL based on localization of the lesion. We present the criteria the "a La carte" model is based on, supported by the published evidence on the use of different ablative therapies for the treatment of localized prostate cancer. Lesion localization, technical characteristics of each type of energy, patient's profile and secondary effects must be considered in every choice of focal therapy.

Translated title of the contributionLocalized prostate cancer focal therapy: "A La carte" Model
Original languageSpanish
Pages (from-to)345-352
Number of pages8
JournalArchivos Espanoles de Urologia
Issue number6
StatePublished - Jul 1 2016


  • Cryotherapy
  • Focal therapy
  • HIFU
  • MRI
  • Photodynamic vascular therapy
  • Prostate cancer


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