Department of Oncology, Tom Baker Cancer Centre, University of Calgary, cc 110, 1331 - 29th Street Southwest, Calgary, Alberta T2N 4N2, Canada.
Department of Oncology, Tom Baker Cancer Centre, University of Calgary, cc 110, 1331 - 29th Street Southwest, Calgary, Alberta T2N 4N2, Canada.
Hematol Oncol Clin North Am. 2023 Oct;37(5):925-935. doi: 10.1016/j.hoc.2023.04.016. Epub 2023 Jun 1.
As many new systemic therapy options have recently emerged, the standard of care for patients with metastatic renal cell carcinoma (mRCC) is gradually changing. The increasing complexity of treatment options requires more personalized treatment strategies. This evolution in the systemic therapy landscape comes with a need for validated stratification models that facilitate decision making and patient counseling for clinicians through a risk-adapted approach. This article summarizes the available evidence on risk stratification and prognostic models for mRCC, including the International mRCC Database Consortium and Memorial Sloan Kettering Cancer Center models, as well as their association with clinical outcomes.
随着最近出现了许多新的系统治疗选择,转移性肾细胞癌(mRCC)患者的标准治疗方法正在逐渐改变。治疗选择的日益复杂化需要更具个性化的治疗策略。这种系统治疗领域的演变需要经过验证的分层模型,通过风险适应方法为临床医生提供决策支持和患者咨询。本文总结了 mRCC 风险分层和预后模型的现有证据,包括国际 mRCC 数据库联盟和 Memorial Sloan Kettering 癌症中心模型,以及它们与临床结果的关联。