Department of Urinary Surgery, Graduate School of Peking Union Medical College, Beijing Hospital, National Center of Gerontology, Beijing, China.
Department of Urinary Surgery, Xinle City Hospital, Shijiazhuang, Hebei Province, China.
J Int Med Res. 2020 Jun;48(6):300060520924265. doi: 10.1177/0300060520924265.
Renal cell carcinoma (RCC) is a malignant tumor and the third most common urinary disease. It was estimated that RCC affected over 350,000 individuals in 2013, and there are nearly 140,000 deaths annually due to this disease. The initial masses in RCC patients are mostly confined to a single organ. However, due to the metastatic spread of cancer cells through the circulatory system, more than 30% of RCC patients relapse after surgery. The appearance of distant metastases often means that patients enter the advanced stage of cancer with low quality of life and a short expected survival time. This review aims to describe the extant research on advanced RCC, including its pathophysiology, heterogeneity, diagnosis, treatment, and prospects. We try to highlight the most suitable means of treating advanced RCC patients, focusing on comprehensive personalized treatments.
肾细胞癌(RCC)是一种恶性肿瘤,是第三大常见的泌尿系统疾病。据估计,2013 年有超过 35 万名患者受到影响,每年有近 14 万人死于该病。RCC 患者的初始肿块大多局限于单个器官。然而,由于癌细胞通过循环系统转移,超过 30%的 RCC 患者在手术后复发。远处转移的出现通常意味着患者进入癌症晚期,生活质量低,预期生存时间短。本综述旨在描述晚期 RCC 的现有研究,包括其病理生理学、异质性、诊断、治疗和前景。我们试图强调治疗晚期 RCC 患者最合适的方法,重点是综合个性化治疗。