The role of pathology in immunotherapy and targeted therapy for renal cell carcinoma

Pathology remains essential for accurate histologic classification, grading, and assessment of adverse features such as sarcomatoid changes and necrosis. Molecular profiling is increasingly helpful in non-clear cell RCC, guiding targeted therapies in subtypes such as MET-driven papillary RCC. Emerging tools (liquid biopsy, spatial transcriptomics, and AI-assisted pathology) offer minimally invasive monitoring, refined immune profiling, and multiparametric biomarker integration to advance precision oncology in RCC.

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Publication Details

Journal
Current Opinion in Urology
Published
2025-11-19
DOI
https://doi.org/10.1097/mou.0000000000001357
Primary Topic
Renal cell carcinoma treatment
Type
article
Field-Weighted Citation Impact
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article

The role of pathology in immunotherapy and targeted therapy for renal cell carcinoma

Giuseppe Nicolò Fanelli, Giandomenico Roviello, Gabriella Nesi
Current Opinion in Urology
Renal cell carcinoma treatment
article

The role of pathology in immunotherapy and targeted therapy for renal cell carcinoma

Giuseppe Nicolò Fanelli, Giandomenico Roviello, Gabriella Nesi
article en

Abstract

Pathology remains essential for accurate histologic classification, grading, and assessment of adverse features such as sarcomatoid changes and necrosis. Molecular profiling is increasingly helpful in non-clear cell RCC, guiding targeted therapies in subtypes such as MET-driven papillary RCC. Emerging tools (liquid biopsy, spatial transcriptomics, and AI-assisted pathology) offer minimally invasive monitoring, refined immune profiling, and multiparametric biomarker integration to advance precision oncology in RCC.

Current Opinion in UrologyVol. 36(2)
University of Pisa (IT), Cornell University (US), Translational Research in Oncology (FR), Azienda Ospedaliera Universitaria Pisana (IT), Weill Cornell Medicine (US), University of Florence (IT)
Openalex Percentile: Top 44%
Renal cell carcinoma treatment
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