Neuzillet Y, Rioux-Leclercq N, Escudier B
Service d'Urologie, Hôpital Foch, 40, rue Worth, 92151 Suresnes, France.
Prog Urol. 2011 Mar;21 Suppl 2:S23-6. doi: 10.1016/S1166-7087(11)70005-7.
There are 9 histological types of renal carcinoma. The most frequent is the renal clear cell carcinoma that has the multilocular cystic renal cell carcinoma and the Xp11-2 translocation renal cell carcinoma as main differential diagnosis and for which treatment is standardized. In other histologic forms, the most efficient medical treatments of metastatic diseases may be: sorafenib in the chromophobe renal cell carcinoma, mTOR inhibitors in papillar renal carcinomas, chemotherapy in Bellini carcinoma.
肾癌有9种组织学类型。最常见的是肾透明细胞癌,其主要鉴别诊断包括多房囊性肾细胞癌和Xp11-2易位性肾细胞癌,且针对其治疗已标准化。在其他组织学类型中,转移性疾病最有效的医学治疗方法可能是:嗜酸性细胞肾细胞癌用索拉非尼,乳头状肾癌用mTOR抑制剂,Bellini癌用化疗。