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Published in Renal Cell Carcinoma

Expert Opinion / Cases · June 17, 2015

Oligometastatic RCC With Favorable Risk Factors

Heather Greene MSN, FNP, AOCNP

 

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Heather Greene MSN, FNP, AOCNP

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  • Bradley Somer MD

    Bradley G. Somer MD

    Jun 18, 2015

    On the one hand, this patient is low risk by prognostic criteria with locally treated oligometastatic disease. On the other hand, bone disease seems to be biologically more aggressive.  In light of this, and the morbidities associated with skeletal metastases, I would consider starting treatment with a VEGF targeted therapy with sunitinib or pazopanib. Additionally, consideration of a bone resorptive agent to prevent skeletal related events should be given. 

  • Ricardo Bulnes

    Jun 20, 2015

    She need  treatment  with aTKI

  • Mayer Gorbaty

    Jun 20, 2015

    I agree with the bone directed therapy i.e. denosumab or zolendronic acid.  I would be hesitant about however the VEGF targeted therapy in this 79 year old.  Instead I may reimage him- bone and body- in 3-4 months.  If he still has only the one parietal bone lesion I would then irradiate it.  If he has blossomed with full blown widely progressive disease then I would start additional systemic therapy.

  • Nov 16, 2024

    Pending Moderator approval.
    Delete

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