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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">tumors</journal-id><journal-title-group><journal-title xml:lang="ru">Malignant tumours</journal-title><trans-title-group xml:lang="en"><trans-title>Malignant tumours</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2224-5057</issn><issn pub-type="epub">2587-6813</issn><publisher><publisher-name>Rosoncoweb</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18027/2224-5057-2018-8-4-26-29</article-id><article-id custom-type="elpub" pub-id-type="custom">tumors-588</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Взгляд онкоуролога на результаты исследования CARMENA</article-title><trans-title-group xml:lang="en"><trans-title>Oncourologist’s opinion on the results of the CARMENA study</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волкова</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Volkova</surname><given-names>M. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д. м. н., в. н. с. урологического отделения</p></bio><bio xml:lang="en"><p>MD, PhD Med, Leading Researcher, Urological Department</p></bio><email xlink:type="simple">mivolkova@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Blokhin Russian Cancer Research Center, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>22</day><month>01</month><year>2019</year></pub-date><volume>8</volume><issue>4</issue><fpage>26</fpage><lpage>29</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Волкова М.И., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Волкова М.И.</copyright-holder><copyright-holder xml:lang="en">Volkova M.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.malignanttumors.org/jour/article/view/588">https://www.malignanttumors.org/jour/article/view/588</self-uri><abstract><p>Недавно опубликованные результаты исследования CARMENA ставят под сомнение целесобразность выполнения циторедуктивной нефрэктомии больным диссеминированным раком почки, являющимся кандидатами для таргетной антиангиогенной терапии. Статья посвящена критическому анализу протокола CARMENA и сопоставлению полученных результатов с ранее опубликованными данными. На основании имеющихся сведений сделан вывод о сохранении необходимости выполнения циторедуктивных операций тщательно отобранным больным.</p></abstract><trans-abstract xml:lang="en"><p>Recently published results of CARMENA study seem to eliminate cytoreductive nephrectomy from current recommendations on the treatment of metastatic renal cell carcinoma patients who are candidates for targeted antiangiogenic therapy. The article is devoted to the critical analysis of the CARMENA trial and review of previously published data. Taking into account available data cytoreductive nephrectomy should be still performed in carefully selected patients.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>диссеминированный почечно-клеточный рак</kwd><kwd>циторедуктивная нефрэктомия</kwd><kwd>исследование CARMENA</kwd></kwd-group><kwd-group xml:lang="en"><kwd>metastatic renal cell carcinoma</kwd><kwd>cytoreductive nephrectomy</kwd><kwd>CARMENA study</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Flanigan R.C., Salmon S.E., Blumenstein B.A. et al. Nephrectomy followed by interferon alfa-2b compared with interferon alfa-2b alone for metastatic renal-cell cancer. N. Engl. J. Med. 2001. Vol. 345. P. 1655–1659.</mixed-citation><mixed-citation xml:lang="en">Flanigan R.C., Salmon S.E., Blumenstein B.A. et al. Nephrectomy followed by interferon alfa-2b compared with interferon alfa-2b alone for metastatic renal-cell cancer. N. Engl. J. Med. 2001. Vol. 345. P. 1655–1659.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Mickisch G.H., Garin A., van Poppel H., de Prijck L., Sylvester R. European Organisation for Research and Treatment of Cancer (EORTC) Genitourinary Group Radical nephrectomy plus interferon-alfa-based immunotherapy compared with interferon alfa alone in metastatic renal-cell carcinoma: a randomised trial. Lancet. 2001. Vol. 358. P. 966–970.</mixed-citation><mixed-citation xml:lang="en">Mickisch G.H., Garin A., van Poppel H., de Prijck L., Sylvester R. European Organisation for Research and Treatment of Cancer (EORTC) Genitourinary Group Radical nephrectomy plus interferon-alfa-based immunotherapy compared with interferon alfa alone in metastatic renal-cell carcinoma: a randomised trial. Lancet. 2001. Vol. 358. P. 966–970.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Hanna N., Sun M., Meyer C.P. et al. Survival Analyses of Patients With Metastatic Renal Cancer Treated With Targeted Therapy With or Without Cytoreductive Nephrectomy: A National Cancer Data Base Study. J. Clin. Oncol. 2016. Vol. 34(27). P. 3267–75.</mixed-citation><mixed-citation xml:lang="en">Hanna N., Sun M., Meyer C.P. et al. Survival Analyses of Patients With Metastatic Renal Cancer Treated With Targeted Therapy With or Without Cytoreductive Nephrectomy: A National Cancer Data Base Study. J. Clin. Oncol. 2016. Vol. 34(27). P. 3267–75.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Heng D.Y., Wells J.C., Rini B. et al. Cytoreductive nephrectomy in patients with synchronous metastases from renal cell carcinoma: results from the International Metastatic Renal Cell Carcinoma Database Consortium. Eur. Urol. 2014. Vol. 66(4). P. 704–710.</mixed-citation><mixed-citation xml:lang="en">Heng D.Y., Wells J.C., Rini B. et al. Cytoreductive nephrectomy in patients with synchronous metastases from renal cell carcinoma: results from the International Metastatic Renal Cell Carcinoma Database Consortium. Eur. Urol. 2014. Vol. 66(4). P. 704–710.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Mejean A., Ravaud A., Thezenas S. et al. Sunitinib Alone or after Nephrectomy in Metastatic Renal-Cell Carcinoma. N. Engl. J. Med. 2018. Vol. 379. P. 417–427.</mixed-citation><mixed-citation xml:lang="en">Mejean A., Ravaud A., Thezenas S. et al. Sunitinib Alone or after Nephrectomy in Metastatic Renal-Cell Carcinoma. N. Engl. J. Med. 2018. Vol. 379. P. 417–427.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Motzer R.J., Mazumdar M., Bacik J., Berg W., Amsterdam A., Ferrara J. Survival and prognostic stratification of 670 patients with advanced renal cell carcinoma. J. Clin. Oncol. 1999. Vol. 17. P. 2530–40.</mixed-citation><mixed-citation xml:lang="en">Motzer R.J., Mazumdar M., Bacik J., Berg W., Amsterdam A., Ferrara J. Survival and prognostic stratification of 670 patients with advanced renal cell carcinoma. J. Clin. Oncol. 1999. Vol. 17. P. 2530–40.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Barbastefano J., Garcia J.A., Elson P. et al. Association of percentage of tumour burden removed with debulking nephrectomy and progression free survival in patients with metastatic renal cell carcinoma treated with vascular endothelial growth factor targeted therapy. BJU International. 2010. Vol. 106. Issue 9. P. 1266–1269.</mixed-citation><mixed-citation xml:lang="en">Barbastefano J., Garcia J.A., Elson P. et al. Association of percentage of tumour burden removed with debulking nephrectomy and progression free survival in patients with metastatic renal cell carcinoma treated with vascular endothelial growth factor targeted therapy. BJU International. 2010. Vol. 106. Issue 9. P. 1266–1269.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Motzer R.J., Tannir N.M., McDermott D.F. Nivolumab plus Ipilimumab versus Sunitinib in Advanced Renal-Cell Carcinoma. N. Engl. J. Med. 2018. Vol. 378(14). P. 1277–1290.</mixed-citation><mixed-citation xml:lang="en">Motzer R.J., Tannir N.M., McDermott D.F. Nivolumab plus Ipilimumab versus Sunitinib in Advanced Renal-Cell Carcinoma. N. Engl. J. Med. 2018. Vol. 378(14). P. 1277–1290.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Choueiri T.K., Halabi S., Sanford B.L. Cabozantinib Versus Sunitinib As Initial Targeted Therapy for Patients With Metastatic Renal Cell Carcinoma of Poor or Intermediate Risk: The Alliance A031203 CABOSUN Trial. J. Clin. Oncol. 2017. Vol. 35(6). P. 591–597.</mixed-citation><mixed-citation xml:lang="en">Choueiri T.K., Halabi S., Sanford B.L. Cabozantinib Versus Sunitinib As Initial Targeted Therapy for Patients With Metastatic Renal Cell Carcinoma of Poor or Intermediate Risk: The Alliance A031203 CABOSUN Trial. J. Clin. Oncol. 2017. Vol. 35(6). P. 591–597.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Manley B., Tennenbaum D.M., Vertosick E.A. et al. The Difficulty in Selecting Patients for Cytoreductive Nephrectomy: An Evaluation of Previously Described Predictive Models. J. Urol. Oncol. 2017. Vol. 35(1). P. 35.e1–35.e5.</mixed-citation><mixed-citation xml:lang="en">Manley B., Tennenbaum D.M., Vertosick E.A. et al. The Difficulty in Selecting Patients for Cytoreductive Nephrectomy: An Evaluation of Previously Described Predictive Models. J. Urol. Oncol. 2017. Vol. 35(1). P. 35.e1–35.e5.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Климов А.В., Волкова М.И., Широкорад В.И., Калинин С.А., Петерс М.В., Матвеев В.Б. Паллиативная нефрэктомия до таргетной терапии у больных диссеминированным раком почки // Онкоурология. 2015. Т. 11(3). С. 24–33.</mixed-citation><mixed-citation xml:lang="en">Klimov A.V., Volkova M.I., Shirokorad V.I., Kalinin S.A., Peters M.V., Matveev V.B. Palliativnaya nefrektomiya do targetnoi terapii u bol’nykh disseminirovannym rakom pochki (Palliative nephrectomy before targeted therapy in patients with disseminated kidney cancer). Onkourologiya. Vol. 11(3). P. 24–33 (In Russ.).</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
