Management of a New Isolated Metastasis during Sunitinib Treatment in Renal Cell Carcinoma Patients: A Lesson from Two Cases
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Shablak, Alaaeldin
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Christie NHS Fdn Trust, Dept Med Oncol, Manchester M20 4BX, Lancs, EnglandChristie NHS Fdn Trust, Dept Med Oncol, Manchester M20 4BX, Lancs, England
Shablak, Alaaeldin
[1
]
O'Dwyer, Jackie
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Christie NHS Fdn Trust, Dept Med Oncol, Manchester M20 4BX, Lancs, EnglandChristie NHS Fdn Trust, Dept Med Oncol, Manchester M20 4BX, Lancs, England
O'Dwyer, Jackie
[1
]
Hawkins, Robert
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Christie NHS Fdn Trust, Dept Med Oncol, Manchester M20 4BX, Lancs, EnglandChristie NHS Fdn Trust, Dept Med Oncol, Manchester M20 4BX, Lancs, England
Hawkins, Robert
[1
]
Board, Ruth
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Christie NHS Fdn Trust, Dept Med Oncol, Manchester M20 4BX, Lancs, EnglandChristie NHS Fdn Trust, Dept Med Oncol, Manchester M20 4BX, Lancs, England
Board, Ruth
[1
]
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[1] Christie NHS Fdn Trust, Dept Med Oncol, Manchester M20 4BX, Lancs, England
Metastatic renal cell carcinoma (mRCC) is a difficult to treat malignancy and currently Sunitinib is a standard of care first-line therapy. A new metastasis during the treatment is considered a sign of drug failure and alternative therapeutic methods should be tried. Here, we report 2 cases of newly diagnosed isolated metastasis during Sunitinib treatment of mRCC patients. Our management plan included local palliative therapy to the lesion followed by recommencing of Sunitinib. This resulted in a good symptomatic relief locally as well as good overall control of the disease. Copyright (c) 2010 S. Karger AG, Basel