[Metastatic renal cell carcinoma: primary and follow-up treatment]

T Steiner1, G H Mickisch

  • 1Klinik für Urologie, Helios Klinikum Erfurt GmbH, Nordhäuser Straße 74, 99089, Erfurt, Deutschland, thomas.steiner@helios-kliniken.de.

Der Urologe. Ausg. A
|October 31, 2013
PubMed

Insights

Targeted therapy, including tyrosine kinase inhibitors, offers improved survival for metastatic renal cell carcinoma patients. Current guidelines recommend tyrosine kinase inhibitors as first-line treatment, with ongoing research into new approaches.

Area of Science:

  • Oncology
  • Medical treatment

Background:

  • Systemic treatment for metastatic renal cell carcinoma (mRCC) has significantly evolved.
  • Targeted therapies offer improved survival and quality of life for patients with incurable mRCC.

Purpose of the Study:

  • To review recent advancements in systemic treatment for mRCC.
  • To discuss the role of targeted therapies and current treatment guidelines.

Main Methods:

  • Review of prospective clinical trials evaluating tyrosine kinase inhibitors (TKIs) and mTOR inhibitors.
  • Analysis of current medical guidelines for advanced renal cell carcinoma management.

Main Results:

  • Targeted therapies, including TKIs and mTOR inhibitors, have demonstrated efficacy in mRCC.
  • Current guidelines recommend TKIs as first-line treatment for advanced renal cell carcinoma.
  • The optimal sequence of therapies remains under investigation.

Conclusions:

  • Targeted therapy has transformed mRCC treatment, offering prolonged survival.
  • First-line TKI treatment is supported by recent data.
  • New therapeutic strategies are under active clinical investigation.