Research progress on advanced renal cell carcinoma

J Int Med Res. 2020 Jun;48(6):300060520924265. doi: 10.1177/0300060520924265.

Abstract

Renal cell carcinoma (RCC) is a malignant tumor and the third most common urinary disease. It was estimated that RCC affected over 350,000 individuals in 2013, and there are nearly 140,000 deaths annually due to this disease. The initial masses in RCC patients are mostly confined to a single organ. However, due to the metastatic spread of cancer cells through the circulatory system, more than 30% of RCC patients relapse after surgery. The appearance of distant metastases often means that patients enter the advanced stage of cancer with low quality of life and a short expected survival time. This review aims to describe the extant research on advanced RCC, including its pathophysiology, heterogeneity, diagnosis, treatment, and prospects. We try to highlight the most suitable means of treating advanced RCC patients, focusing on comprehensive personalized treatments.

Keywords: Renal cell carcinoma; diagnosis; heterogeneity; metastatic; pathophysiology; treatment.

Publication types

  • Review

MeSH terms

  • Ablation Techniques
  • Antineoplastic Agents, Immunological / pharmacology
  • Antineoplastic Agents, Immunological / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biomarkers, Tumor / genetics
  • Carcinoma, Renal Cell / diagnosis
  • Carcinoma, Renal Cell / epidemiology
  • Carcinoma, Renal Cell / etiology
  • Carcinoma, Renal Cell / therapy*
  • Chemotherapy, Adjuvant / methods
  • DNA Repair
  • Drug Resistance, Neoplasm / genetics
  • Genetic Heterogeneity
  • Global Burden of Disease
  • Humans
  • Kidney / pathology
  • Kidney / surgery
  • Kidney Neoplasms / diagnosis
  • Kidney Neoplasms / epidemiology
  • Kidney Neoplasms / etiology
  • Kidney Neoplasms / therapy*
  • Medical Oncology / methods*
  • Medical Oncology / trends
  • Nephrectomy
  • Nephrology / methods*
  • Nephrology / trends
  • Precision Medicine / methods*
  • Progression-Free Survival
  • Quality of Life
  • Tumor Microenvironment / genetics

Substances

  • Antineoplastic Agents, Immunological
  • Biomarkers, Tumor