Cytoreductive nephrectomy: past, present and future

Myria Galazi, Alejo Rodriguez-Vida, Eleni Josephides, Noan-Minh Chau, Simon Chowdhury*

*Corresponding author for this work

    Research output: Contribution to journalLiterature reviewpeer-review

    3 Citations (Scopus)

    Abstract

    Cytoreductive nephrectomy (CN) is an integral part of the treatment of patients with metastatic renal cell carcinoma. Improved survival has been shown with CN and IFN-alpha. The introduction of targeted therapy for metastatic renal cell carcinoma has raised important questions regarding the role of CN. The majority of patients who were enrolled in the Phase III studies of targeted therapies had undergone prior nephrectomy. Thus, the benefit of these agents has largely been demonstrated in a nephrectomized population. CARMENA and SURTIME, important Phase III studies examining the role and timing of CN, are ongoing. Until new evidence is available, CN is a reasonable approach in selected patients with a resectable primary tumor and good performance status.

    Original languageEnglish
    Pages (from-to)271-277
    Number of pages7
    JournalEXPERT REVIEW OF ANTICANCER THERAPY
    Volume14
    Issue number3
    DOIs
    Publication statusPublished - Mar 2014

    Keywords

    • cytoreductive nephrectomy
    • targeted therapy
    • CARMENA
    • SURTIME
    • tyrosine kinase inhibitor
    • RENAL-CELL CARCINOMA
    • BLIND PHASE-III
    • INTERFERON-ALPHA
    • PROGNOSTIC-FACTORS
    • RANDOMIZED-TRIAL
    • SURVIVAL
    • CANCER
    • SUNITINIB
    • SORAFENIB
    • THERAPY

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