1Department of Urology, Chinese PLA General Hospital/PLA Military Postgraduate Medical School,Beijing 100853,China; 2Department of Urology,307 Hospital of PLA
Abstract:Metastatic renal cell carcinoma can't be cured by the existing various systemic treatment. Surgery is the only means to cure kidney cancer. Nephrectomy in still plays an important role in the treatment of metastatic kidney cancer, the emergence of targeted drugs provides a new choice for kidney cancer treatments. Current issue of preoperative neoadjuvant applications of targeted therapy includes treatment indications, drug safety and therapeutic effects of expectations, and the best treatment duration. This review focuses on the following two questions: ①The preoperation adminiatration of neoadjuvant targeted therapy for advanced kidney cancer patients have a reasonable theoretical basis? What type of clinical data (case report, Ⅱ/Ⅲ clinical trials) support this indications? ②What's the indications and the safety evaluation of new adjuvant target therapy?
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