Recent Overview of Kidney Cancer Diagnostics and Treatment
Authors:
J. Marenčák 1; M. Ondrušová 1,2; D. Ondruš 3
Authors‘ workplace:
Vysoká škola zdravotníctva a sociálnej práce sv. Alžbety, Bratislava
1; Pharm-In, spol. s. r. o., Bratislava
2; I. onkologická klinika LF UK a Onkologického ústavu sv. Alžbety, Bratislava
3
Published in:
Klin Onkol 2017; 30(3): 175-181
Category:
Review
doi:
https://doi.org/10.14735/amko2017175
Overview
The incidence of kidney cancer has increased in the majority of countries worldwide, and this disease has relatively high lethality. For many years, the Slovak Republic has been among the countries with the highest kidney cancer incidence, in particular in 2012 (according to global estimated values) in both genders, although mainly in females. In the last few years, the Czech Republic has had the highest incidence of kidney cancer worldwide. The use of imaging techniques such as ultrasound and computerized tomography has increased the detection of asymptomatic renal cell cancer. Etiological factors include lifestyle factors such as smoking, obesity, and hypertension. Nephrectomy and partial nephrectomy are the standard treatments. Locally confined tumors in stage T1 should be treated with kidney-preserving surgery. Minimally invasive surgery is often possible as long as the surgeon has the requisite experience. For patients with metastases, overall and progression-free survival can be prolonged by pharmacotherapy with VEGF and mTOR inhibitors. The resection or irradiation of metastases can be a useful palliative treatment for patients with brain or osseal metastases that are painful or increase the risk of fracture. Minimally invasive surgery and new systemic drugs have expanded the therapeutic options for patients with renal cell carcinoma. The search for new predictive and prognostic markers is now in progress.
Key words:
kidney cancer – epidemiology – risk factors – pathology – diagnosis – therapy
The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.
The Editorial Board declares that the manuscript met the ICMJE recommendation for biomedical papers.
Submitted:
2. 12. 2016
Accepted:
3. 1. 2017
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Paediatric clinical oncology Surgery Clinical oncologyArticle was published in
Clinical Oncology
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