Is post-operative radiation for renal cell carcinoma justified?

Ibrahim Aref, R. Gregory Bociek, Douglas Salhani

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Purpose: To identify the pattern of failure in patients with resected renal cell carcinoma (RCC). Materials and methods: The records of 116 patients with unilateral, non-hematogenous metastatic RCC who were treated with definitive surgery and referred to the Ottawa Regional Cancer Centre between 1977 and 1988 were reviewed. Distribution by stage included T1 (3 patients), T2 (42 patients) and T3 (71 patients). The median follow-up was 44 months, with a range of 4-267 months. Results: Local regional failure (LRF) developed in 8 patients. Nine patients developed local or regional recurrence, plus distant failure. Fifty-eight patients had distant metastases (DM) only. The 7-year actuarial rate for LRF and DM were 12%, and 67%, respectively. The overall 7-year actuarial survival rate was 35%, and cause- specific survival was 42%. Conclusions: LRF alone is rare following nephrectomy. DM is the main pattern of failure. This data does not support the role of adjuvant radiation therapy in this disease.

Original languageEnglish (US)
Pages (from-to)155-157
Number of pages3
JournalRadiotherapy and Oncology
Volume43
Issue number2
DOIs
StatePublished - May 1 1997

Fingerprint

Renal Cell Carcinoma
Radiation
Neoplasm Metastasis
Nephrectomy
Radiotherapy
Survival Rate
Recurrence
Survival
Neoplasms

Keywords

  • Distant failure
  • Local recurrence
  • Renal cell carcinoma

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Radiology Nuclear Medicine and imaging

Cite this

Is post-operative radiation for renal cell carcinoma justified? / Aref, Ibrahim; Bociek, R. Gregory; Salhani, Douglas.

In: Radiotherapy and Oncology, Vol. 43, No. 2, 01.05.1997, p. 155-157.

Research output: Contribution to journalArticle

Aref, Ibrahim ; Bociek, R. Gregory ; Salhani, Douglas. / Is post-operative radiation for renal cell carcinoma justified?. In: Radiotherapy and Oncology. 1997 ; Vol. 43, No. 2. pp. 155-157.
@article{d1a53902b6374d5cb5e6198ca24628c0,
title = "Is post-operative radiation for renal cell carcinoma justified?",
abstract = "Purpose: To identify the pattern of failure in patients with resected renal cell carcinoma (RCC). Materials and methods: The records of 116 patients with unilateral, non-hematogenous metastatic RCC who were treated with definitive surgery and referred to the Ottawa Regional Cancer Centre between 1977 and 1988 were reviewed. Distribution by stage included T1 (3 patients), T2 (42 patients) and T3 (71 patients). The median follow-up was 44 months, with a range of 4-267 months. Results: Local regional failure (LRF) developed in 8 patients. Nine patients developed local or regional recurrence, plus distant failure. Fifty-eight patients had distant metastases (DM) only. The 7-year actuarial rate for LRF and DM were 12{\%}, and 67{\%}, respectively. The overall 7-year actuarial survival rate was 35{\%}, and cause- specific survival was 42{\%}. Conclusions: LRF alone is rare following nephrectomy. DM is the main pattern of failure. This data does not support the role of adjuvant radiation therapy in this disease.",
keywords = "Distant failure, Local recurrence, Renal cell carcinoma",
author = "Ibrahim Aref and Bociek, {R. Gregory} and Douglas Salhani",
year = "1997",
month = "5",
day = "1",
doi = "10.1016/S0167-8140(97)01949-X",
language = "English (US)",
volume = "43",
pages = "155--157",
journal = "Radiotherapy and Oncology",
issn = "0167-8140",
publisher = "Elsevier Ireland Ltd",
number = "2",

}

TY - JOUR

T1 - Is post-operative radiation for renal cell carcinoma justified?

AU - Aref, Ibrahim

AU - Bociek, R. Gregory

AU - Salhani, Douglas

PY - 1997/5/1

Y1 - 1997/5/1

N2 - Purpose: To identify the pattern of failure in patients with resected renal cell carcinoma (RCC). Materials and methods: The records of 116 patients with unilateral, non-hematogenous metastatic RCC who were treated with definitive surgery and referred to the Ottawa Regional Cancer Centre between 1977 and 1988 were reviewed. Distribution by stage included T1 (3 patients), T2 (42 patients) and T3 (71 patients). The median follow-up was 44 months, with a range of 4-267 months. Results: Local regional failure (LRF) developed in 8 patients. Nine patients developed local or regional recurrence, plus distant failure. Fifty-eight patients had distant metastases (DM) only. The 7-year actuarial rate for LRF and DM were 12%, and 67%, respectively. The overall 7-year actuarial survival rate was 35%, and cause- specific survival was 42%. Conclusions: LRF alone is rare following nephrectomy. DM is the main pattern of failure. This data does not support the role of adjuvant radiation therapy in this disease.

AB - Purpose: To identify the pattern of failure in patients with resected renal cell carcinoma (RCC). Materials and methods: The records of 116 patients with unilateral, non-hematogenous metastatic RCC who were treated with definitive surgery and referred to the Ottawa Regional Cancer Centre between 1977 and 1988 were reviewed. Distribution by stage included T1 (3 patients), T2 (42 patients) and T3 (71 patients). The median follow-up was 44 months, with a range of 4-267 months. Results: Local regional failure (LRF) developed in 8 patients. Nine patients developed local or regional recurrence, plus distant failure. Fifty-eight patients had distant metastases (DM) only. The 7-year actuarial rate for LRF and DM were 12%, and 67%, respectively. The overall 7-year actuarial survival rate was 35%, and cause- specific survival was 42%. Conclusions: LRF alone is rare following nephrectomy. DM is the main pattern of failure. This data does not support the role of adjuvant radiation therapy in this disease.

KW - Distant failure

KW - Local recurrence

KW - Renal cell carcinoma

UR - http://www.scopus.com/inward/record.url?scp=0030984964&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030984964&partnerID=8YFLogxK

U2 - 10.1016/S0167-8140(97)01949-X

DO - 10.1016/S0167-8140(97)01949-X

M3 - Article

C2 - 9192960

AN - SCOPUS:0030984964

VL - 43

SP - 155

EP - 157

JO - Radiotherapy and Oncology

JF - Radiotherapy and Oncology

SN - 0167-8140

IS - 2

ER -