Complete metastasectomy for renal cell carcinoma: Comparison of five solid organ sites Journal Article

Authors: Jakubowski, C. D.; Vertosick, E. A.; Untch, B. R.; Sjoberg, D.; Wei, E.; Palmer, F. L.; Patel, S. G.; Downey, R. J.; Strong, V. E.; Russo, P.
Article Title: Complete metastasectomy for renal cell carcinoma: Comparison of five solid organ sites
Abstract: Background and Objectives: Patients with metastatic RCC can undergo metastasectomy to improve survival time. Our goal was to provide and compare characteristics and oncological outcomes of RCC patients who underwent complete metastasectomy at a single organ site. Methods: A total of 138 RCC patients were identified as undergoing complete metastasectomy at a single organ site including adrenal, lung, liver, pancreas, or thyroid. Competing risk regression analysis was used to assess RFS and CSS adjusting for several covariates. Results: In this highly selected cohort, RFS and CSS was 27% and 84% at 5 years following metastasectomy, respectively. Univariate analysis revealed that removal of multiple tumors, younger age, and a shorter interval between nephrectomy and metastasis was associated with worse RFS. Larger tumors and sarcomatoid histology at nephrectomy was associated with worse CSS. We found no evidence that metastases at the time of RCC diagnosis influenced recurrence or survival. Tumor size, number of metastases resected, and time from nephrectomy to first recurrence was significantly different, but recurrence rates were not found to be significantly different, when compared across all organ sites. Conclusions: These findings inform clinical and surgical management of select RCC patients with isolated metastasis to one of several organ sites. J. Surg. Oncol. 2016;114:375–379. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.
Keywords: pancreas; liver; lung; thyroid; adrenal; metastasectomy for renal cell carcinoma
Journal Title: Journal of Surgical Oncology
Volume: 114
Issue: 3
ISSN: 0022-4790
Publisher: Wiley Blackwell  
Date Published: 2016-09-01
Start Page: 375
End Page: 379
Language: English
DOI: 10.1002/jso.24327
PUBMED: 27338155
PROVIDER: scopus
PMCID: PMC5104341
Notes: Article -- Export Date: 1 September 2016 -- Source: Scopus
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MSK Authors
  1. Paul Russo
    457 Russo
  2. Snehal G Patel
    290 Patel
  3. Daniel D. Sjoberg
    141 Sjoberg
  4. Vivian Strong
    148 Strong
  5. Robert J Downey
    203 Downey
  6. Brian Untch
    26 Untch
  7. Frank Palmer
    81 Palmer
  8. Elizabeth Yiying Wei
    3 Wei