Martinschek A, Ruf C G, Sparwasser C, Schmelz H U
Abteilung Urologie, Bundeswehrkrankenhaus, Oberer Eselsberg 40, 89081 Ulm, Deutschland.
Urologe A. 2008 Oct;47(10):1328-33. doi: 10.1007/s00120-008-1750-1.
Due to the introduction of tyrosine kinase-inhibitors in the treatment of metastatic renal cell cancer, targeted therapy raises hopes for other urological tumors as well. Even if excellent cure rates, achieved by standardization of diagnosis und therapy, have made testicular cancer a curable disease, up to 6% of young patients still die from tumors refractory to therapy. The quality of life of patients in advanced stages needing aggressive treatment should be improved by new therapies with reduced side effects. The role of tyrosine kinase inhibitors and angiogenesis inhibitors as well as intervention in the cell cycle and induction of apoptosis are discussed.
由于酪氨酸激酶抑制剂被引入转移性肾细胞癌的治疗,靶向治疗也为其他泌尿系统肿瘤带来了希望。尽管通过诊断和治疗的标准化已使睾丸癌的治愈率极高,成为可治愈的疾病,但仍有高达6%的年轻患者死于对治疗难治的肿瘤。对于需要积极治疗的晚期患者,应通过副作用更小的新疗法来改善其生活质量。本文讨论了酪氨酸激酶抑制剂和血管生成抑制剂的作用,以及对细胞周期的干预和细胞凋亡的诱导。