Compérat Eva, Eymerit Caroline, Moroch Julien, Varinot Justin
Service d'Anatomie et Cytologie Pathologiques, Hôpital Tenon.
Aktuelle Urol. 2018 Apr;49(2):171-177. doi: 10.1055/a-0573-7895. Epub 2018 Mar 27.
In recent years, fundamental research has yielded new insights into tumour biology, and new treatments have been developed. This review highlights the role of the pathologist and how he can support clinicians to find the right treatment for each patient. We explain the problems of the molecular subgroups of bladder cancer, the role of neo-adjuvant chemotherapy in the context of these findings, and show the important role of checkpoint inhibitors. Furthermore we focus on kidney cancer, with the clear cell carcinoma as the most frequent tumour type. We briefly consider prostate cancer, which as a hormone-dependent tumour probably requires different therapies. We also try to show the feasibility and the limits of pathology with the emerging tumour markers.
近年来,基础研究对肿瘤生物学有了新的认识,并且开发了新的治疗方法。本综述强调了病理学家的作用以及他如何支持临床医生为每位患者找到合适的治疗方法。我们解释了膀胱癌分子亚组的问题、新辅助化疗在这些研究结果背景下的作用,并展示了检查点抑制剂的重要作用。此外,我们重点关注肾癌,其中透明细胞癌是最常见的肿瘤类型。我们简要考虑前列腺癌,它作为一种激素依赖性肿瘤可能需要不同的治疗方法。我们还试图通过新兴的肿瘤标志物展示病理学的可行性和局限性。