Nierenzellkarzinom
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Die Behandlung des Nierenzellkarzinoms ist in den letzten Jahren deutlich facettenreicher geworden. Neben der radikalen Nephrektomie stellen organerhaltende und laparoskopische Operationen Standardverfahren dar. In der Systemtherapie stehen seit 2006 neben der Immuntherapie zwei potente Breitspektrum-Kinase-Inhibitoren („multi-target tyrosine kinase inhibitors“, MTKI) zur Verfügung. Weitere molekulare Substanzen drängen in die Klinik. In fortgeschrittenen Stadien profitieren Patienten darüber hinaus von lokaltherapeutischen und palliativ-chirurgischen Maßnahmen. Der Stellenwert einzelner Modalitäten untereinander als auch deren Kombination in multimodalen Therapieansätzen bleibt noch zu klären. Unter Beachtung der gegenwärtigen Datenlage geben wir im Folgenden einen Überblick über die therapeutischen Möglichkeiten.
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