Renal cell carcinoma in the era of precision medicine: From molecular pathology to tissue-based biomarkers Journal Article


Authors: Signoretti, S.; Flaifel, A.; Chen, Y. B.; Reuter, V. E.
Article Title: Renal cell carcinoma in the era of precision medicine: From molecular pathology to tissue-based biomarkers
Abstract: Renal cell carcinoma (RCC) is not a single entity but includes various tumor subtypes that have been identified on the basis of either characteristic pathologic features or distinctive molecular changes. Clear cell RCC is the most common type of RCC and is characterized by dysregulation of the von Hippel Lindau/hypoxia-inducible factor pathway. Non–clear cell RCC represents a more heterogeneous group of tumors with diverse histopathologic and molecular features. In the past two decades, the improved understanding of the molecular landscape of RCC has led to the development of more effective therapies for metastatic RCC, which include both targeted agents and immune checkpoint inhibitors. Because only subsets of patients with metastatic RCC respond to a given treatment, predictive biomarkers are needed to guide treatment selection and sequence. In this review, we describe the key histologic features and molecular alterations of RCC subtypes and discuss emerging tissue-based biomarkers of response to currently available therapies for metastatic disease. © 2018 by American Society of Clinical Oncology
Journal Title: Journal of Clinical Oncology
Volume: 36
Issue: 36
ISSN: 0732-183X
Publisher: American Society of Clinical Oncology  
Date Published: 2018-12-20
Start Page: 3553
End Page: 3559
Language: English
DOI: 10.1200/jco.2018.79.2259
PROVIDER: scopus
PMCID: PMC6299340
PUBMED: 30372384
DOI/URL:
Notes: J. Clin. Oncol. -- Cited By :2 -- Export Date: 2 January 2019 -- Review -- CODEN: JCOND -- Source: Scopus
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MSK Authors
  1. Yingbei Chen
    369 Chen
  2. Victor Reuter
    1199 Reuter