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转移性肾细胞癌的靶向治疗。

Targeted therapy in metastatic renal carcinoma.

机构信息

Chief of Urology, Denver Health Medical Center, 777 Bannock Street, Denver, CO 80204, United States.

Chief of Urology, Denver Health Medical Center, 777 Bannock Street, Denver, CO 80204, United States.

出版信息

Cancer Lett. 2014 Feb 28;343(2):156-60. doi: 10.1016/j.canlet.2013.09.038. Epub 2013 Nov 13.

DOI:10.1016/j.canlet.2013.09.038
PMID:24239667
Abstract

BACKGROUND

Advanced renal cell carcinoma is one of the most treatment-resistant malignancies to conventional cytotoxic chemotherapy. The development of new targeted therapy was result of understanding biological pathways underlying renal cell carcinoma. Our objective is to provide an overview of current therapies in metastatic renal cell carcinoma.

METHODS

MEDLINE/PUBMED was queried in December 2012 to identify abstracts, original and review articles. The research was conducted using the following words: "metastatic renal cell carcinoma" and "target therapy". Phase II and Phase III clinical trials were included followed FDA approval. Total of 40 studies were eligible for review.

CONCLUSION

The result of this review shows benefit of these target drugs in tumor burden, increase progression-free and overall survival and improvement the quality of life compared with previous toxic immunotherapy, although complete response remains rare.

摘要

背景

晚期肾细胞癌是对传统细胞毒化疗最具耐药性的恶性肿瘤之一。新的靶向治疗的发展是对肾细胞癌潜在生物学途径的理解的结果。我们的目的是提供转移性肾细胞癌的当前治疗方法概述。

方法

2012 年 12 月,我们在 MEDLINE/PUBMED 上查询了摘要、原始和综述文章。使用以下关键词进行了研究:“转移性肾细胞癌”和“靶向治疗”。包括 FDA 批准的 II 期和 III 期临床试验。共有 40 项研究符合审查标准。

结论

这项综述的结果表明,与以前的毒性免疫疗法相比,这些靶向药物在肿瘤负荷、无进展生存期和总生存期的改善以及生活质量的提高方面具有优势,尽管完全缓解仍然很少见。

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1
Targeted therapy in metastatic renal carcinoma.转移性肾细胞癌的靶向治疗。
Cancer Lett. 2014 Feb 28;343(2):156-60. doi: 10.1016/j.canlet.2013.09.038. Epub 2013 Nov 13.
2
Treatment of metastatic renal cell carcinoma.转移性肾细胞癌的治疗
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Neoadjuvant (presurgical) therapy for renal cell carcinoma: a new treatment paradigm for locally advanced and metastatic disease.肾细胞癌的新辅助(术前)治疗:局部晚期和转移性疾病的新治疗模式。
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Update on the medical treatment of metastatic renal cell carcinoma.转移性肾细胞癌的医学治疗进展
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Pazopanib for the treatment of metastatic renal cell carcinoma.帕唑帕尼治疗转移性肾细胞癌。
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Cytoreductive nephrectomy in metastatic renal cell carcinoma: the evolving role of surgery in the era of molecular targeted therapy.转移性肾细胞癌的减瘤性肾切除术:手术在分子靶向治疗时代不断演变的作用。
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Neoadjuvant and adjuvant treatment of renal cell carcinoma.肾细胞癌的新辅助和辅助治疗。
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[Renal cell carcinoma-response criteria of molecular targeted therapy and the timing of sequential drugs in patients with advanced renal cell carcinoma].[肾细胞癌——晚期肾细胞癌分子靶向治疗的反应标准及序贯用药时机]
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The role of cytoreductive nephrectomy in the era of molecular targeted therapy.减瘤性肾切除术在分子靶向治疗时代的作用。
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