Department of Medical Oncology, IRCCS San Raffaele Hospital, Via Olgettina 60, 20132, Milan, Italy.
Department of Uro-Oncology, Tata Memorial Hospital, Mumbai, India.
Curr Oncol Rep. 2024 Sep;26(9):977-990. doi: 10.1007/s11912-024-01554-1. Epub 2024 Jun 7.
In contemporary urological practice, managing rare genitourinary (GU) malignancies presents significant challenges, necessitating a comprehensive understanding of their unique characteristics and tailored treatment approaches.
Rare GU malignancies, whether per se, variants of common histologies, or common tumors in uncommon locations, often lack widely available clinical guidelines. Consequently, treatment decisions are frequently based on empirical evidence, risking suboptimal outcomes. However, recent advances in molecular profiling, targeted therapies, and immunotherapy offer promising avenues for improving management strategies and patient outcomes. This review provides a comprehensive overview of some rare GU malignancies encountered in clinical practice, including their distinct pathological features, current management approaches, and ongoing research directions. Understanding the complexities of these rare tumors and implementing multidisciplinary treatment strategies are essential for optimizing patient care and improving survival outcomes.
在当代泌尿外科学领域,管理罕见的泌尿生殖系统(GU)恶性肿瘤带来了巨大的挑战,需要深入了解其独特的特征和针对性的治疗方法。
罕见的 GU 恶性肿瘤,无论是本身,还是常见组织学的变体,或是罕见部位的常见肿瘤,往往缺乏广泛可用的临床指南。因此,治疗决策通常基于经验证据,存在治疗效果不理想的风险。然而,近年来分子谱分析、靶向治疗和免疫治疗的进展为改善管理策略和患者预后提供了有前途的途径。本综述全面概述了临床实践中遇到的一些罕见 GU 恶性肿瘤,包括其独特的病理特征、当前的管理方法和正在进行的研究方向。了解这些罕见肿瘤的复杂性并实施多学科治疗策略对于优化患者护理和提高生存结果至关重要。