Cytoreductive Nephrectomy
Fig. 10.1 Combined analysis of overall survival in the EORTC 30947 and SWOG 8949 trials. Median overall survival is 7.8 months in the observation group (O=interferon monotherapy) versus 13.6 months…
Surgical Approaches to Early-Stage Renal Cell Carcinoma
Fig. 9.1 Risk assessment algorithm for a patient with newly diagnosed localized renal cell carcinoma. Assessing risk occurs throughout the continuum of patient care. Risk assessment during initial evaluation requires…
Cytokines in the Management of Advanced Renal Cell Cancer
Interferons (INF): interferon-α, interferon-β, interferon-γ Interleukins (IL): interleukin-2, interleukin-12, interleukin-21 Cytokine combination strategies Cytokine combinations Cytokines + cellular therapies (e.g., IL-2 and tumor-infiltrating lymphocytes) Cytokines and chemotherapy or biologics (e.g.,…
Metastasectomy
General The lungs The bone The brain Solitary or oligometastatic lesions Metachronous metastasis and long disease-free interval of >2 years Complete resection Single organ site Good performance status (Karnofsky, ECOG,…
Molecular Biology of Kidney Cancer
Fig. 3.1 Control of HIF activity. Steady-state levels of HIFα are controlled by its rate of synthesis and degradation. The former is regulated by the TORC1 complex, which contains the…
Presurgical Therapy in Renal Cell Carcinoma
Group N Study type Treatment Primary tumor Disease state MD Anderson Cancer Center [9] 50 Prospective Bevacizumab+/– erlotinib Resectable Metastatic with primary in place: 50 University of North Carolina [6]…
Combinatorial and Sequential Targeted Therapy in Metastatic Renal Cell Carcinoma
Combinations Author, pub date # of patients Outcomes Combinations of targeted agents Bevacizumab and everolimus Hainesworth, 2010 [6] 80 Median PFS 9.1 months in untreated patients, 7.1 months patients previously…
Angiogenesis Inhibitor Therapy in Renal Cell Cancer
Fig. 17.1 RCC biology which leads to VEGF upregulation. Therapeutics are listed in the red boxes that target major elements of this pathway 17.3 Inhibition of VEGF in Renal Carcinoma…
Adjuvant Systemic Therapy for Renal Cell Carcinoma
T-stage N M Year T1 T2 T3 T4 1987 [8] ≤2.5 cm >2.5 cm T3a: perinephric or adrenal extension T3b: renal vein involvement T3c: vena cava below diaphragm Beyond…
The Role of Radiation Therapy in Renal Cell Carcinoma
Author, year Treatment Number of patients 5-year survival Significant difference Van der Werf-Messing et al. 1981 [12] RT + N 89 50 % No N 85 Juusela et al. 1977…
