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If the patient has had prior partial nephrectomy for RCC, would you consider SBRT for a contralateral RCC?
Assume the patient is not a candidate for surgery. What dose would you use? Would you recommend a lower dose to not damage the patient's kidney function? Does this change if this was in a central location?
Answer from: Radiation Oncologist at Academic Institution
It boils down to the estimated eGFR after SBRT/SABR. Urologists use 15 mL/min as the cut-off. Workup should include a comprehensive metabolic panel and NM renal scan to determine differential renal function. It helps to use a motion dampening technique like abdominal compression or gating to decreas...
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