[更新德国S3关于细胞癌的指南]
C Doehn1, L Bergmann2, J Decker3
1Urologikum Lübeck, Am Kaufhof 2, 23566, Lübeck, Deutschland. doehn@urologikum-luebeck.de.
Urologie (Heidelberg, Germany)
|April 11, 2024
概括
更新的S3指南提供了对细胞癌 (RCC) 诊断和治疗的全面概述. 关键的创新包括新的风险因素, pembrolizumab 辅助治疗的进步,以及扩大转移性RCC的全身治疗选择.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 基于证据的医学基于证据的医学.
背景情况:
- 细胞癌 (RCC) 是一种重要的泌尿瘤,每年在德国影响超过14000人,男性与女性的比例为2:1.
- 该S3指南旨在巩固所有相关医学学科对RCC的当前知识.
研究的目的:
- 介绍细胞癌患者的诊断,治疗和随访护理的最新进展和更新.
- 为临床医生提供有关德国S3指南2023年更新的关键创新信息.
主要方法:
- S3指南的制定涉及结构化,基于证据的文献搜索和由跨学科专家组建立共识.
- 之前的版本于2015年发布,在2017年,2020年和2021年进行了修订,最终达到全面的2023年更新.
主要成果:
- 三乙烯被确定为细胞癌发展的新型风险因素.
- 布罗利祖马布在RCC的辅助设置中证明了疾病特异性和整体生存率的改善.
- 介绍了新的全身疗法组合 (尼沃卢马布/卡博赞提尼布,伦瓦提尼布/佩姆布利祖马布) 和关于非清晰细胞和遗传性RCC的专门章节.
结论:
- 该S3指南提供了一个结构化,基于证据的框架,用于管理细胞癌.
- 2023年更新包括流行病学,辅助和全身疗法以及特定的RCC亚型的重大进展.
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