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The surgical treatment of a patient with localized renal cancer and chronic renal failure following a course of stereotactic radiotherapy

https://doi.org/10.21886/2308-6424-2024-12-5-82-87

Abstract

The basic treatment approach for clinically localized and locally advanced renal cell cancer (RCC) is surgery. Kidney resection is the preferred organ-preserving approach to surgical treatment. For high-risk patients with operative treatment or with somatic contraindications to surgery, an alternative treatment option like stereotactic radiotherapy may be considered. The article presents a clinical case of a 63-year-old patient with the diagnosis: Left kidney cancer T1aN0M0, stage I. C3a CKD. In April 2021, a course of stereotactic radiotherapy was performed on the kidney tumor up to SOD 45 Gy. In June 2022, left kidney resection was performed for PCC progression. Recurrence-free and cancerspecific survival rate was 20 months.

About the Authors

G. V. Gilivanova
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
Russian Federation

Galina V. Gilivanova

Chelyabinsk



E. A. Kipriyanov
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine ; South Ural State Medical University
Russian Federation

Evgeny A. Kipriyanov — Cand.Sc.(Med) 

Chelyabinsk



P. A. Karnaukh
South Ural State Medical University
Russian Federation

Peter A. Karnaukh — Dr.Sc.(Med)

Chelyabinsk



K. Y. Ivakhno
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
Russian Federation

Konstantin Y. Ivakhno — Cand.Sc.(Med)

Chelyabinsk



A. A. Peretrukhin
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
Russian Federation

Andrey A. Peretrukhin

Chelyabinsk



M. A. Zolotykh
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
Russian Federation

Maxim A. Zolotykh — Cand.Sc.(Med)

Chelyabinsk



M. T. Beydzhanov
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
Russian Federation

Marif T. Beydzhanov

Chelyabinsk



D. M. Rostovtsev
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine ; South Ural State Medical University
Russian Federation

Dmitry M. Rostovtsev — Dr.Sc.(Med)

Chelyabinsk



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Review

For citations:


Gilivanova G.V., Kipriyanov E.A., Karnaukh P.A., Ivakhno K.Y., Peretrukhin A.A., Zolotykh M.A., Beydzhanov M.T., Rostovtsev D.M. The surgical treatment of a patient with localized renal cancer and chronic renal failure following a course of stereotactic radiotherapy. Urology Herald. 2025;13(1):82-87. (In Russ.) https://doi.org/10.21886/2308-6424-2024-12-5-82-87

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ISSN 2308-6424 (Online)