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微创泌尿外科杂志  2014, Vol. 3 Issue (3): 190-192    
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肾细胞癌的新辅助治疗
麦海星1,2,金一鹏2,陈立军2,张旭1
1中国人民解放军总医院 军医进修学院泌尿外科 100853 北京
2中国人民解放军307医院泌尿外科
Neoadjuvant therapy of renal cell carcinoma
Mai Haixing1,2,Jin Yipeng2,Chen Lijun2,Zhang Xu1
1Department of Urology, Chinese PLA General Hospital/PLA Military Postgraduate Medical School,Beijing 100853,China;
2Department of Urology,307 Hospital of PLA
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摘要 现有的各种全身治疗方式不能治愈转移性肾癌。外科手术是治愈肾癌的唯一手段。减瘤性肾切除术在转移性肾癌治疗中仍然扮演着重要角色,靶向治疗药物的出现为肾癌治疗方式提供了新的选择。目前关于手术前新辅助应用靶向治疗的问题主要包括治疗适应症,用药安全性,治疗效果的预期,最佳治疗持续时间三方面。该综述主要讨论以下两个问题:①晚期肾癌患者术前应用靶向药物进行新辅助治疗是否有合理的理论依据?什么类型的临床数据(病例报告,Ⅱ/Ⅲ期临床试验)支持上述指征?②应用新辅助治疗的指征及治疗安全性如何评价?
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麦海星
金一鹏
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张旭
关键词 肾细胞癌靶向治疗新辅助治疗    
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?
Key wordsrenal cell cancer    targeted therapy    neoadjuvant therapy
收稿日期: 2014-03-27     
ZTFLH:  R737.11  
通讯作者: 张旭,xzhang@foxmail.com;陈立军,chenlj823@163.com   
引用本文:   
麦海星,金一鹏,陈立军,张旭. 肾细胞癌的新辅助治疗[J]. 微创泌尿外科杂志, 2014, 3(3): 190-192.
Mai Haixing,Jin Yipeng,Chen Lijun,Zhang Xu. Neoadjuvant therapy of renal cell carcinoma. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2014, 3(3): 190-192.
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