- Journal
- EUROPEAN UROLOGY SUPPLEMENTS
- Année
- 2008
- Volume
- 7
- Numéro
- 6
- Pages
- 494-507
- Mois
- APR
- DOI
- 10.1016/j.eursup.2008.01.001
Abstract
Objectives: This paper communicates the major new findings on renal cell carcinoma (RCC) that were presented at the 2007 annual meetings of the European Association of Urology (EAU), American Urological Association (AUA) and American Society of Clinical Oncology (ASCO) and discussed during a closed meeting in September 2007. Methods: The most relevant new findings were selected by urological experts in the field of RCC. Results: Although laparoscopic partial nephrectomy (LPN) is a promising technique, it may be associated with additional postoperative morbidity and prolonged warm ischemia time (WIT) compared with open PN. WIT is the strongest modifiable risk factor to avoid decreased renal function after PN. LPN is not recommended in patients with a unique/solitary kidney. However, PN should be preferred to radical nephrectomy whenever PN is technically feasible, because data suggest that overall survival is decreased in patients with small renal turnours who underwent a radical nephrectomy. Conclusions: Additional data have been accumulated regarding targeted therapies. The efficacy of sunitinib and sorafenib as first- and second-line therapy, respectively, has been confirmed. Prognostic factors have been identified for both therapies., Although, sorafenib was not superior to interferon-alpha as first-line treatment, dose escalation with sorafenib could be an interesting approach. Bevacizumab improves progression-free survival when combined with interferon-alpha as first-line therapy. New drugs as well as drug combinations are now being investigated. (C) 2008 European Association of Urology. Published by Elsevier B.V. All rights reserved.