What is your approach to SBRT to an entire kidney infiltrated with RCC?

I have treated a patient in this situation recently, and we did end up treating the entire kidney. One concern brought up in our peer review was possible malignant hypertension from fibrosing of the whole kidney. Prior to treatment, we did get a differential renal flow scan just to ensure the treate...

That's an interesting question.

You figure if they were a surgical candidate, the entire kidney would be removed. So, in this case, since they can't do that, SBRT to the whole kidney would treat the cancer and leave them with one kidney (similar to surgery). I know that the fractionation varies with...