Surgical Management of Metastatic Renal Cell Carcinoma
Book chapter > Chapter Vocational Book · 2019
Authors: Mustafa Serdar KALEMCİ, Adnan ŞİMŞİR
Renal Cell Carcinomas, Chapter Vocational Book, Türkiye Klinikleri Yayınevi, Nationally Recognized, National, 2019, pp 61-65, Turkey, Ankara
Summary
<p>Metastatic Renal Cell Carcinoma is a malignant disease without curative treatment. Radiotherapy, hormonal therapy and chemotherapy treatments are not effective in these patients. In the last decade, there has been a rapid increase in the number and types of systemic therapies used in the treatment of renal cell carcinoma. In spite of favorable improvements, surgical treatment option is still effective in some selected patient groups with metastatic renal cell carcinoma. A multimodal approach consisting of cytoreductive nephrectomy, systemic therapy and metastasectomy have been shown to be useful in prolonging the survival and improving the quality of life in a select group of patients. Cytoreductive partial nephrectomy should be considered especially in patients with solitary kidney and chronic renal failure. It is known that survival and quality of life increase in patients undergoing complete metastasectomy. This review discusses current literature regarding the surgical management of patients with metastatic renal cell carcinoma.<br></p>