Function-preserving high-dose adaptive radiotherapy for renal pelvic cancer in a solitary functioning kidney with severe dysfunction: A case report
| Autor: | Yukihiro Hama, Etsuko Tate |
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| Jazyk: | English<br />Ukrainian |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Український Журнал Нефрології та Діалізу, Iss 2(82) (2024) |
| Druh dokumentu: | article |
| ISSN: | 2304-0238 2616-7352 |
| DOI: | 10.31450/ukrjnd.2(82).2024.03 |
| Popis: | It is challenging to treat renal pelvic cancer in a monofunctioning kidney and severe renal dysfunction while preserving renal function. A 78-year-old man with renal pelvic cancer and G4 chronic kidney disease was treated with high-dose adaptive radiotherapy using helical tomotherapy with a total dose of 74 Gy in 37 fractions. His serum creatinine level before radiotherapy was 2.15 mg/dl, which temporarily increased to 5.00 mg/dl at 9 months after radiotherapy, but gradually decreased to 2.05 mg/dl 2 years later with medical treatment. Follow-up MRI showed complete tumor regression 5.5 years after radiotherapy, and dialysis was avoided. High-dose adaptive radiotherapy may be a viable option for a monofunctioning kidney and severe renal dysfunction complicated by renal pelvic cancer. |
| Databáze: | Directory of Open Access Journals |
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