Collecting ducts carcinoma: An orphan disease. Literature overview and future perspectives

Filippo Pagani1, Maurizio Colecchia2, Pierangela Sepe1

  • 1Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Cancer Treatment Reviews
|September 7, 2019
PubMed

Insights

Collecting duct carcinoma (CDC) is a rare, aggressive kidney cancer. Current platinum and gemcitabine chemotherapy offers limited survival benefits, necessitating research into novel treatments.

Area of Science:

  • Oncology
  • Urology
  • Genitourinary Pathology

Background:

  • Collecting duct carcinoma (CDC) is a rare and aggressive subtype of renal cell carcinoma.
  • It represents approximately 1% of all kidney tumors.
  • Patients often present with advanced disease and metastasis, leading to poor clinical conditions.

Observation:

  • Limited data from prospective trials exist due to the rarity of CDC.
  • The median overall survival for metastatic CDC is approximately 11 months.
  • Current standard treatment, platinum and gemcitabine chemotherapy, yields unsatisfactory survival outcomes.

Findings:

  • The review synthesizes current literature on managing this rare cancer.
  • It highlights the urgent need for improved therapeutic strategies.
  • Growing interest in understanding CDC biology may reveal new treatment targets.

Implications:

  • There is a critical need for novel, biologically-driven treatment approaches for collecting duct carcinoma.
  • Further research into the underlying biology of CDC is essential for developing more effective therapies.
  • Improved management strategies are required to enhance survival outcomes for patients with this aggressive malignancy.

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