2021
DOI: 10.3390/ijms22126237
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The Molecular Characteristics of Non-Clear Cell Renal Cell Carcinoma: What’s the Story Morning Glory?

Abstract: Non-clear cell renal cell carcinomas are a miscellaneous group of tumors that include different histological subtypes, each one characterized by peculiarity in terms of genetic alteration, clinical behavior, prognosis, and treatment response. Because of their low incidence and poor enrollment in clinical trials, alongside their heterogeneity, additional efforts are required to better unveil the pathogenetic mechanisms and, consequently, to improve the treatment algorithm. Nowadays, tyrosine kinase inhibitors, … Show more

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Cited by 20 publications
(7 citation statements)
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References 125 publications
(141 reference statements)
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“…RCC is the most common malignant tumor type of the urinary system. RCC may be classified by pathological subtype, among which clear cell renal cell carcinoma (ccRCC) is the most prevalent, accounting for 75–80% of RCC cases ( 22 ). Approximately 30% of patients with ccRCC develop metastatic RCC after curative nephrectomy ( 23 ) and are the high-risk population for RCC-associated death ( 24 ).…”
Section: Discussionmentioning
confidence: 99%
“…RCC is the most common malignant tumor type of the urinary system. RCC may be classified by pathological subtype, among which clear cell renal cell carcinoma (ccRCC) is the most prevalent, accounting for 75–80% of RCC cases ( 22 ). Approximately 30% of patients with ccRCC develop metastatic RCC after curative nephrectomy ( 23 ) and are the high-risk population for RCC-associated death ( 24 ).…”
Section: Discussionmentioning
confidence: 99%
“…There is an emerging role for multimodal treatment strategies in patients with locally advanced, nonmetastatic RCC, including those with IVC tumor thrombus extension. While targeted therapies have shown efficacy in ccRCC, clinical responses have notably remained low in patients with nccRCC [21] , [22] , [23] . With the advent of novel immune checkpoint inhibitors, we are witnessing unparalleled rates of complete pathologic response in the primary tumors of patients undergoing nephrectomy following receipt of systemic immunotherapy, ranging from 10% to 20% [24] , [25] , [26] .…”
Section: Discussionmentioning
confidence: 99%
“…The results showed promising clinical activity in the overall nonccRCC population: in particular, better overall response was detected in pRCC patients compared to chRCC, the third major RCC subtype. The clinical responses correlate with high PD-L1 expression [104,105 ▪ ]. According to these results, Pembrolizumab was introduced as a first-line treatment option for pRCC.…”
Section: Molecular Background Of Papillary Renal Cancer – Recent Deve...mentioning
confidence: 97%