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1.Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, Jemal A. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4. PMID: 38572751.
2.ÖйúǰÁÐÏÙ°©Ñо¿Ð×÷×é(CPCC),Ò¶¶¨Î°,»Æ½¡. CPCCÍíÆÚǰÁÐÏÙ°©Öйúר¼Ò¹²Ê¶¡ª¡ª×ªÒÆÐÔ¼¤ËØÃô¸ÐÐÔǰÁÐÏÙ°©ÆðʼӦÓÃÐÂÐÍÄÚ·ÖÃÚÖÎÁƵÄÈ«³Ì¹ÜÀí(2022Äê°æ)[J]. Öйú°©Ö¢ÔÓÖ¾,2022,32(12):1242-1258. DOI:10.19401/j.cnki.1007-3639.2022.12.013..
3. NCCN Clinical Practice Guidelines in Oncology: Prostate Cancer. Version 4. 2026
4.Freedland SJ, Davis M, Epstein AJ, Arondekar B, Ivanova JI. Real-world treatment patterns and overall survival among men with Metastatic Castration-Resistant Prostate Cancer (mCRPC) in the US Medicare population. Prostate Cancer Prostatic Dis. 2024 Jun;27(2):327-333. doi: 10.1038/s41391-023-00725-8. Epub 2023 Oct 2. PMID: 37783836; PMCID: PMC11096091.
5.Sayegh N, Tripathi N, Nussenzveig RH, Thomas VM, Tandar C, Goel D, Nordblad B, Sahu KK, Li H, L Maughan B, Agarwal N, Swami U. Survival of Patients with Metastatic Prostate Cancer After Disease Progression on an Androgen Receptor Axis-Targeted Therapy Given in the Metastatic Castration-Sensitive Versus Metastatic Castration-Resistant Prostate Cancer Setting. Eur Urol Focus. 2023 Jan;9(1):106-109. doi: 10.1016/j.euf.2022.06.015. Epub 2022 Jul 11. PMID: 35835693.
6.Caram MEV, Kumbier K, Tsao PA, Burns J, Sparks JB, Stensland KD, Reichert ZR, Alumkal JJ, Hollenbeck BK, Shahinian V, Tsodikov A, Skolarus TA. Survival by first-line therapy and prognostic group among men with metastatic castration-resistant prostate cancer. Cancer Med. 2024 Jun;13(12):e7334. doi: 10.1002/cam4.7334. PMID: 39143030; PMCID: PMC11193054.
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