{"id":12538,"date":"2025-06-11T07:53:50","date_gmt":"2025-06-11T11:53:50","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/androgen-deprivation-therapy-adt\/"},"modified":"2025-06-11T07:53:50","modified_gmt":"2025-06-11T11:53:50","slug":"terapia-de-deprivacao-androgenica-tda","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/terapia-de-deprivacao-androgenica-tda\/","title":{"rendered":"Terapia de Depriva\u00e7\u00e3o Androg\u00eanica (TDA)"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[137],"glossary-product":[108,107,104,105],"class_list":["post-12538","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-hormone-therapy","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus","glossary-product-infla10-pulse-ipp-series","glossary-product-rigi10-malleable-penile-prosthesis"],"acf":{"gt-definition":"A terapia de priva\u00e7\u00e3o androg\u00eanica (ADT) \u00e9 um tratamento fundamental para o c\u00e2ncer de pr\u00f3stata, especialmente em est\u00e1gios avan\u00e7ados. Funciona reduzindo os n\u00edveis de andr\u00f3genos (horm\u00f4nios masculinos como a testosterona) no corpo ou impedindo que esses horm\u00f4nios cheguem \u00e0s c\u00e9lulas cancer\u00edgenas.\u00b9 Os andr\u00f3genos alimentam o crescimento das c\u00e9lulas cancer\u00edgenas da pr\u00f3stata; portanto, reduzir seus n\u00edveis ou bloquear sua a\u00e7\u00e3o pode retardar o crescimento do tumor, encolher tumores e aliviar os sintomas.\u00b9 ADT pode ser alcan\u00e7ada por meios cir\u00fargicos (orquiectomia, remo\u00e7\u00e3o de test\u00edculos) ou, mais comumente, por meio de medicamentos como agonistas de LHRH (horm\u00f4nio liberador do horm\u00f4nio luteinizante), antagonistas de LHRH ou antiandrog\u00eanios.\u00b9 Agonistas e antagonistas de LHRH funcionam interrompendo a via de sinaliza\u00e7\u00e3o que leva \u00e0 produ\u00e7\u00e3o de testosterona nos test\u00edculos, alcan\u00e7ando efetivamente a castra\u00e7\u00e3o m\u00e9dica.\u00b9 Os antiandrog\u00eanios, por outro lado, bloqueiam os receptores de andr\u00f3genos nas c\u00e9lulas cancerosas, impedindo que a testosterona se ligue e exer\u00e7a seus efeitos de promo\u00e7\u00e3o do crescimento.\u00b9 Alguns agentes mais novos, conhecidos como inibidores da s\u00edntese de andr\u00f3genos, podem bloquear a produ\u00e7\u00e3o de andr\u00f3genos em todo o corpo, inclusive nas gl\u00e2ndulas supra-renais e nas c\u00e9lulas cancer\u00edgenas. eles mesmos.\u00b9\n<p>A terapia de depriva\u00e7\u00e3o androg\u00eanica (TDA) \u00e9 a supress\u00e3o dos n\u00edveis de testosterona a n\u00edveis de castra\u00e7\u00e3o (< 50 ng\/dL) para controle do c\u00e2ncer de pr\u00f3stata. As op\u00e7\u00f5es incluem agonistas de GnRH (leuprorelina, goserelina), antagonistas de GnRH (degarelix, relugolix oral) e orquiectomia bilateral. A TDA \u00e9 a base do tratamento do c\u00e2ncer de pr\u00f3stata metast\u00e1tico e localmente avan\u00e7ado.<\/p>","gt-synonyms":"Terapia hormonal para c\u00e2ncer de pr\u00f3stata, Terapia de supress\u00e3o androg\u00eanica, Castra\u00e7\u00e3o m\u00e9dica, Castra\u00e7\u00e3o cir\u00fargica (se orquiectomia), Bloqueio androg\u00eanico combinado (CAB) (quando usado com antiandrog\u00eanios)","gt-citation":"[1] National Cancer Institute. Hormone Therapy for Prostate Cancer Fact Sheet. National Institutes of Health. Updated October 4, 2024. Accessed May 14, 2025. https:\/\/www.cancer.gov\/types\/prostate\/prostate-hormone-therapy-fact-sheet\n\n[2] Singh M, Agarwal V, Pancham P, et al. A Comprehensive Review and Androgen Deprivation Therapy and Its Impact on Alzheimer\u2019s Disease Risk in Older Men with Prostate Cancer. Degener Neurol Neuromuscul Dis. 2024;14:33-46. Published 2024 May 17. doi:10.2147\/DNND.S445130","gt-clinical-context":"ADT \u00e9 empregada em v\u00e1rios cen\u00e1rios cl\u00ednicos para o tratamento do c\u00e2ncer de pr\u00f3stata.\u00b9 \u00c9 um padr\u00e3o de tratamento para c\u00e2ncer de pr\u00f3stata metast\u00e1tico, onde a doen\u00e7a se espalhou para outras partes do corpo.\u00b9 Tamb\u00e9m \u00e9 usado para c\u00e2ncer de pr\u00f3stata localmente avan\u00e7ado, muitas vezes em conjunto com radioterapia, para melhorar a efic\u00e1cia do tratamento.\u00b9 Em homens com c\u00e2ncer de pr\u00f3stata recorrente ap\u00f3s tratamentos iniciais, como cirurgia ou radioterapia, a ADT pode ser usada para controlar a doen\u00e7a, especialmente se a recorr\u00eancia for sintom\u00e1tica ou se houver evid\u00eancia de aumento dos n\u00edveis de PSA (ant\u00edgeno espec\u00edfico da pr\u00f3stata), indicando progress\u00e3o da doen\u00e7a.\u00b9 A sele\u00e7\u00e3o de pacientes para ADT considera fatores como o est\u00e1gio e o grau do c\u00e2ncer, a sa\u00fade geral do paciente, poss\u00edveis efeitos colaterais e prefer\u00eancias do paciente.\u00b9 Os resultados esperados incluem uma redu\u00e7\u00e3o nos n\u00edveis de PSA, redu\u00e7\u00e3o de tumores, al\u00edvio de doen\u00e7as relacionadas ao c\u00e2ncer. sintomas (como dor \u00f3ssea) e, em muitos casos, uma extens\u00e3o da sobreviv\u00eancia.\u00b9 No entanto, a ADT est\u00e1 associada a uma s\u00e9rie de efeitos colaterais, incluindo ondas de calor, perda de libido, disfun\u00e7\u00e3o er\u00e9til, fadiga e potenciais efeitos de longo prazo, como perda de densidade \u00f3ssea e altera\u00e7\u00f5es metab\u00f3licas, que precisam ser gerenciados.\u00b9\n<p>A EAU 2023 recomenda TDA cont\u00ednua para c\u00e2ncer metast\u00e1tico e intermitente como op\u00e7\u00e3o em casos selecionados com doen\u00e7a metast\u00e1tica de baixo volume. A combina\u00e7\u00e3o com antiandrog\u00eanios de nova gera\u00e7\u00e3o (enzalutamida, apalutamida, darolutamida) melhora significativamente a sobrevida. Efeitos colaterais incluem perda de libido, disfun\u00e7\u00e3o er\u00e9til, osteoporose, s\u00edndrome metab\u00f3lica, fadiga e ondas de calor. O monitoramento cardiovascular e metab\u00f3lico \u00e9 essencial durante o tratamento.<\/p>","gt-related-evidence":null,"gt-featured":false,"gt-ai-referenced":false,"gt-view-count":130},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Terapia de Depriva\u00e7\u00e3o Androg\u00eanica (TDA): C\u00e2ncer de Pr\u00f3stata | Rigicon<\/title>\n<meta name=\"description\" content=\"Guia sobre TDA para c\u00e2ncer de pr\u00f3stata: agonistas e antagonistas GnRH, castra\u00e7\u00e3o cir\u00fargica, efeitos colaterais e monitoramento. 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