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Successful treatment of brain metastases from renal cell cancer using radiotherapy in combination with sorafenib

Successful treatment of brain metastases from renal cell cancer using radiotherapy in combination... Sorafenib, an antiangiogenic drug, has been introduced for treatment of disseminated renal cell cancer (RCC), a tumor that is radioresistant. We report a case of 51-year-old patient with disseminated RCC who received 30 Gy per ten fractions of radiotherapy (RT) for a single brain metastasis. While the brain metastasis remained stable, the patient had to receive interferon-alpha and later sorafenib due to progression of his extra-cerebral metastases. During sorafenib therapy, complete remission of the cerebral lesion and excellent partial remission of the extra-cerebral metastases were observed. Meanwhile, the patient developed a second cerebral metastasis, which was irradiated only with 20 Gy per ten fractions during a short break in the sorafenib treatment. The follow-up computed tomographies revealed complete remission of the second metastasis and development of brain necrosis in a moderately irradiated area. The case of this patient being his own control demonstrates sorafenib-mediated potentiation of RT effects both in tumor and normal tissues. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Targeted Oncology Springer Journals

Successful treatment of brain metastases from renal cell cancer using radiotherapy in combination with sorafenib

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References (6)

Publisher
Springer Journals
Copyright
Copyright © 2008 by Springer-Verlag
Subject
Medicine & Public Health; Biomedicine general; Oncology
ISSN
1776-2596
eISSN
1776-260X
DOI
10.1007/s11523-008-0091-8
Publisher site
See Article on Publisher Site

Abstract

Sorafenib, an antiangiogenic drug, has been introduced for treatment of disseminated renal cell cancer (RCC), a tumor that is radioresistant. We report a case of 51-year-old patient with disseminated RCC who received 30 Gy per ten fractions of radiotherapy (RT) for a single brain metastasis. While the brain metastasis remained stable, the patient had to receive interferon-alpha and later sorafenib due to progression of his extra-cerebral metastases. During sorafenib therapy, complete remission of the cerebral lesion and excellent partial remission of the extra-cerebral metastases were observed. Meanwhile, the patient developed a second cerebral metastasis, which was irradiated only with 20 Gy per ten fractions during a short break in the sorafenib treatment. The follow-up computed tomographies revealed complete remission of the second metastasis and development of brain necrosis in a moderately irradiated area. The case of this patient being his own control demonstrates sorafenib-mediated potentiation of RT effects both in tumor and normal tissues.

Journal

Targeted OncologySpringer Journals

Published: Oct 8, 2008

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