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How would you treat oligometastatic kidney cancer in a young, fit patient with recurrence <6 months after nephrectomy?

Is the short time to recurrence a reason to not consider definitive management with surgery/radiation? Should systemic therapy be added if pursuing definitive management?
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How would you treat oligometastatic kidney cancer in a fit patient with recurrence <6 months after nephrectomy?

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1 Answer
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Medical Oncology · Vanderbilt-Ingram Cancer Center
Answered on

This is a good question. Short time to recurrence of mets would generally indicate more aggressive biology i.e., the mets aren't really oligo and other mets are lurking. Having said that, careful review of prior scans may reveal that the metastatic sites were present prior to being fully recognized ...

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