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Radiation Oncology • Genitourinary Cancers
Is SBRT an appropriate first line treatment for oligometastatic renal cell carcinoma?
For a recurrence after nephrectomy, the NCCN recommends surgery or, in inoperable patients, systemic therapy. There is no mention of SBRT in the guidelines.
Answer from: Radiation Oncologist at Academic Institution
A simple question...but no simple answers.Things are evolving in the oligometastatic space. Years ago it was recognized that oligometastic renal cell to bone could potentially be cured by surgical metastectomy. By extension, one would imagine that any sufficiently ablative therapy could have a si...
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Answer from: Radiation Oncologist at Academic Institution
When oligometastatic disease is a spinal metastasis it would be appropriate. True oligometastatic spine renal cell ca is exceptionally rare, and in the setting of solitary spine metatases where an en bloc resection is a very morbid surgery, our practice would be to offer 24Gyx1 rather than...