Would you offer RT to a large infiltrative renal metastasis in a patient with minimal other systemic disease?
What factors would you consider? What if this meant treatment of the full kidney? If treatment is recommended, would you utilize an SBRT approach?
Answer from: Radiation Oncologist at Academic Institution
With modern treatment delivery techniques, there really are no longer any regions in the body in which a potentially therapeutic dose of radiation cannot be delivered, and durable local control can be achieved in locations where this was not possible in the past. Nevertheless, as the question implie...
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Answer from: Radiation Oncologist at Academic Institution
If patient is oligometastatic, I think renal SABR is a reasonable option, and there does not appear to be a location restriction (i.e. central close to hilum vs. more peripheral) based on the experience of the IROCK individual patient meta-analysis of >200 patients. Siva S, Cancer. 2018 Mar 1;124...