When (if ever) would you offer radiotherapy for renal cell carcinoma following nephrectomy?

Topics: Radiation Oncology • Genitourinary Cancers

Is microscopically positive renal vein margin an indication?

Answer from: Medical Oncologist at Academic Institution

There is no indication for any type of radiation after nephrectomy in resected RCC. Often a 'positive' renal vein margin is not a true positive, but rather an artifact of having a renal vein thrombus and this should be discuss with the Urologist and Pathologist and clarified in the report. Having sa...

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Radiation Oncologist at US Oncology
@Brian I. Rini, What about invasion through Gerota...

Answer from: Medical Oncologist at Academic Institution

I'm not aware of any data in RCC that adjuvant XRT is useful.

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