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Metastasiertes Nierenzellkarzinom unter Bevacizumab als Erstlinientherapie

Progressionsfreies Überleben seit 3 Jahren

Bevacizumab as first-line therapy in metastatic renal cell carcinoma

Progression-free survival for 3 years

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Zusammenfassung

Wir berichten über den Fall einer 72-jährigen Patientin, die im Jahr 2006 aufgrund eines Nierenzellkarzinoms (NZK) einer Tumornephrektomie (klarzelliges NZK Grad II nach Fuhrmann, Stadium pT3a,R0) unterzogen wurde. Im Laufe der Jahre wurden mehrere chirurgische und radiologische Interventionen aufgrund von verschiedenen metastatischen Läsionen durchgeführt. Dieser Fallbericht beschreibt ein progressionsfreies Überleben unter Bevacizumab in der Erstlinien Therapie seit 3 Jahren. Mit Ausnahme der Hypertonie leidet die Patientin bisher an keinen weiteren Nebenwirkungen der Bevacizumab-Therapie.

Abstract

We report the case of a 72-year-old woman who was diagnosed in 2006 with renal cell cancer (RCC) and had undergone consecutive tumor nephrectomy (clear-cell RCC, Fuhrmann grade II, stage pT3a, R0). Over the years, the patient underwent several surgical and radiological interventions due to various metastatic lesions. This case report describes the 3-year progression-free survival in a patient who underwent first-line therapy with the monoclonal antibody bevacizumab. Except for hypertension, the patient does not suffer currently from any other side effects of bevacizumab therapy.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. R. Pichler, W. Horninger, F. Aigner und I. Heidegger geben an, dass kein Interessenkonflikt besteht. Alle im vorliegenden Manuskript beschriebenen Untersuchungen am Menschen wurden mit Zustimmung der zuständigen Ethik-Kommission, im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt. Von allen beteiligten Patienten liegt eine Einverständniserklärung vor.

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Correspondence to R. Pichler FEBU.

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Pichler, R., Horninger, W., Aigner, F. et al. Metastasiertes Nierenzellkarzinom unter Bevacizumab als Erstlinientherapie. Urologe 55, 381–385 (2016). https://doi.org/10.1007/s00120-015-3976-z

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