Long-term management of patients with metastatic renal cell carcinoma on targeted agents

Eric Jonasch, Lance C. Pagliaro, Nizar M. Tannir

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

Therapy for patients with metastatic renal cell carcinoma is becoming increasingly effective. Sustained partial remissions, occasional complete responses and manageable quality of life are seen in a subset of individuals. As we face the prospect of generating an increasingly large number of patients requiring long-term management, the choice and timing of systemic therapy and surgical interventions is becoming increasingly important. In this article, we review the timing and type of cytoreductive nephrectomy, what to do for patients with oligometastatic disease and how to deal with complete responders. In addition, we summarize the major side effects experienced with the commonly used molecularly targeted agents, and provide guidance on how to maximize benefit from these agents while maintaining an acceptable quality of life for patients. As treatment efficacy improves, the optimal integration of systemic therapy, surgery and toxicity management will become a critical aspect of our care for patients with metastatic renal cell carcinoma.

Original languageEnglish (US)
Pages (from-to)1883-1889
Number of pages7
JournalExpert review of anticancer therapy
Volume10
Issue number12
DOIs
StatePublished - Dec 2010

Keywords

  • cancer survivorship
  • renal cell carcinoma
  • targeted therapy
  • therapy complications

ASJC Scopus subject areas

  • Oncology
  • Pharmacology (medical)

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