Center of Molecular and Cellular Oncology, Yale Cancer Center, Yale School of Medicine, 300 George Street, Suite 6400, New Haven, CT, USA; Department of Urology, Akita University, Graduate School of Medicine, Akita, Japan.
Center of Molecular and Cellular Oncology, Yale Cancer Center, Yale School of Medicine, 300 George Street, Suite 6400, New Haven, CT, USA.
Urol Clin North Am. 2023 May;50(2):335-349. doi: 10.1016/j.ucl.2023.01.012. Epub 2023 Feb 20.
The management of advanced renal cell carcinoma has advanced tremendously over the past decade, but most patients still do not receive durable clinical benefit from current therapies. Renal cellcarcinoma is an immunogenic tumor, historically with conventional cytokine therapies, such as interleukin-2 and interferon-α, and contemporarily with the introduction of immune checkpoint inhibitors. Now the central therapeutic strategy in renal cell carcinoma is combination therapies including immunecheckpoint inhibitors. In this Review, we look back on the historical changes in systemic therapy for advanced renal cell carcinoma, and focus on the latest developments and prospects in this field.
过去十年中,晚期肾细胞癌的治疗取得了巨大进展,但大多数患者仍无法从当前的治疗中获得持久的临床获益。肾细胞癌是一种免疫原性肿瘤,传统上采用细胞因子治疗,如白细胞介素-2 和干扰素-α,而现代则采用免疫检查点抑制剂。目前,肾细胞癌的主要治疗策略是包括免疫检查点抑制剂的联合治疗。在这篇综述中,我们回顾了晚期肾细胞癌系统治疗的历史变化,并重点关注了该领域的最新进展和前景。