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Metastasis in renal cell carcinoma: Biology and implications for therapy |
Jun Gonga, Manuel Caitano Maiab, Nazli Dizmanc, Ameish Govindarajana, Sumanta K. Pala
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a Department of Medical Oncology & Experimental Therapeutics, City of Hope Comprehensive Cancer Center, Duarte, CA, USA; b Division of Medical Oncology, Instituto Hemomed de Oncologia e Hematologia. Av. Arnolfo de Azevedo, 121-Cerqueira César-CEP 01248-040, Sao Paulo, Brazil; c Department of Internal Medicine, Istanbul Medeniyet University Goztepe Research and Training Hospital, Istanbul, Turkey |
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Abstract Although multiple advances have been made in systemic therapy for renal cell carcinoma (RCC), metastatic RCC remains incurable. In the current review, we focus on the underlying biology of RCC and plausible mechanisms of metastasis. We further outline evolving strategies to combat metastasis through adjuvant therapy. Finally, we discuss clinical patterns of metastasis in RCC and how distinct systemic therapy approaches may be considered based on the anatomic location of metastasis.
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Received: 19 August 2016
Published: 02 November 2016
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