Evidence map›Paper›PMID 41545991›Full record

ArticleBMC cancer2026

Response assessment of patients with locally advanced renal cell carcinoma receiving prior systemic therapy.

Konstantin E Seifert, Hendrik Dinkel, Linda Huberth, Dorothee Tiedje, Jan Gröticke, Laura-Maria Krabbe, Frederike Tepel, Kambiz Rahbar, Christof Bernemann, Andres J Schrader and 4 more

Abstract read
In one paragraph

Article in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Konstantin E SeifertDepartment of Urology, University hospital Münster, Münster, Germany. Konstantin.Seifert@ukmuenster.de.ORCID http://orcid.org/0000-0002-9109-9004
Hendrik DinkelDepartment of Urology, University hospital Münster, Münster, Germany.
Linda HuberthDepartment of Urology, University hospital Münster, Münster, Germany.
Dorothee TiedjeDepartment of Urology, University hospital Münster, Münster, Germany.
Jan GrötickeDepartment of Urology, University hospital Münster, Münster, Germany.
Laura-Maria KrabbeDepartment of Urology, Vivantes Network for Health, Berlin, Germany.
Frederike TepelDepartment of Urology, University hospital Münster, Münster, Germany.
Kambiz RahbarDepartment of Nuclear Medicine, University hospital Münster, Münster, Germany.
Christof BernemannDepartment of Urology, University hospital Münster, Münster, Germany.
Andres J SchraderDepartment of Urology, University hospital Münster, Münster, Germany.
Martin BögemannDepartment of Urology, University hospital Münster, Münster, Germany.
Martin JanssenDepartment of Urology, University hospital Münster, Münster, Germany.
Katrin Schlack *Department of Urology, University hospital Münster, Münster, Germany.
Barbara Heitplatz *Gerhard-Domagk-Institute of Pathology, University hospital Münster, Münster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocally advanced renal cell carcinoma (RCC) without distant metastases remains challenging to treat surgically, especially when venous tumor thrombus is present. Neoadjuvant checkpoint inhibitor (CPI) and tyrosine kinase inhibitor (TKI) therapy may downstage tumors and improve resectability, but evidence is limited. This study evaluated radiographic and pathological responses, surgical feasibility, and safety following preoperative systemic therapy.

methodsThis single-center retrospective analysis of 17 patients with non-metastatic RCC who received ≥ 1 month of CPI, TKI, or CPI + TKI before nephrectomy. Tumor stage, radiographic tumor/thrombus reduction, pathological viable tumor percentage, surgical outcomes, complications by Clavien-Dindo, and disease-free survival (DFS) were collected.

resultsMedian pretreatment tumor diameter was 9.1 cm; 71% had venous tumor thrombus. Most patients (88%) received CPI + TKI. Median treatment duration was 7 months. Median radiographic tumor reduction was 27.1%; 50% of thrombus-bearing patients showed Mayo level reduction. Median viable tumor content was 30%; 17.6% achieved ypT0. T-stage downstaging occurred in 53%. Surgery was feasible in all cases; 17.6% experienced Clavien-Dindo grade ≥ III complications, mostly with thrombus resections. Median DFS was 28 months. No correlation between radiographic and pathological response was observed. Limitations include retrospective single-center design, small sample size, and limited follow-up/events, restricting generalizability and survival analyses.

conclusionPreoperative CPI + TKI therapy in selected non-metastatic RCC patients is associated with measurable tumor and thrombus regression without compromising surgical safety. These findings support further prospective trials to clarify long-term oncologic benefit and identify predictors of response to integrate neoadjuvant therapy into multidisciplinary RCC care.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsProtein Kinase InhibitorsAdultAgedDisease-Free SurvivalFemaleHumansMaleMiddle AgedNeoadjuvant TherapyNeoplasm StagingNephrectomyRetrospective StudiesTreatment OutcomeProtein Kinase InhibitorsImmunotherapyNephrectomyRenal cell carcinomaResponse assessmentTumor thrombus

Identifiers

PMID41545991
PMCPMC12837056

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.