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Updated: Jun 23, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Is there an emerging role for neoadjuvant targeted therapy in renal cell carcinoma?
1Department of Urology, Rostock University, Rostock, Germany.
Abstract:
The recent developments in the medical treatment of metastatic renal cell carcinoma have raised the question of the neoadjuvant use of targeted therapies in locally advanced renal tumours. Evidence at the level of case reports suggests that down-sizing of large renal carcinomas is feasible and small surgical series have so far shown that later surgical tumour removal is not impaired by neoadjuvant treatment. It is at present, however, far too early to fully assess whether such neoadjuvant treatment has an impact on patient survival or quality of life.
Insights
Neoadjuvant targeted therapies may shrink locally advanced kidney tumors, facilitating surgery. However, their impact on patient survival and quality of life remains unproven.
Area of Science:
- Oncology
- Nephrology
- Surgical Oncology
Background:
- Metastatic renal cell carcinoma treatments are evolving.
- Locally advanced renal tumors present surgical challenges.
- Neoadjuvant therapies are being explored for down-sizing tumors.
Purpose of the Study:
- To investigate the feasibility and impact of neoadjuvant targeted therapies for locally advanced renal tumors.
- To assess the effect of neoadjuvant treatment on subsequent surgical tumor removal.
- To evaluate the potential benefits of neoadjuvant therapy on patient survival and quality of life.
Main Methods:
- Review of case reports on neoadjuvant therapy for renal cell carcinoma.
- Analysis of small surgical series examining tumor removal post-neoadjuvant treatment.
Main Results:
- Case reports suggest down-sizing of large renal carcinomas is feasible with neoadjuvant therapy.
- Small surgical series indicate that neoadjuvant treatment does not impair subsequent tumor removal.
- Current evidence is insufficient to determine the impact on survival or quality of life.
Conclusions:
- Neoadjuvant targeted therapies show promise for down-sizing locally advanced renal tumors.
- Surgical removal of renal tumors appears feasible after neoadjuvant treatment.
- Further research is required to establish the long-term benefits of neoadjuvant therapy in renal cell carcinoma.
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