Bone Metastases from Renal Cell Carcinoma: A Case
Report and Literature Review
Volume 5 - Issue 1
Mouadh Nefiss1, Hichem Abid1, Anis Bousrih1, Rached Bayar2, Ramzi Bouzidi1* and Anis Teborbi1
- 1Department of Orthopaedic Surgery Mongi Slim University Hospital, La Marsa, Tunis El Manar University, Tunisia
- 2Department of General Surgery Mongi Slim University Hospital, La Marsa, Tunis El Manar University, Tunisia
Received:February 05, 2021; Published:February 19, 2021
Corresponding author:Ramzi Bouzidi, Orthopedic Surgery Department, Mongi Slim Hospital Sidi Daoued, Tunisia
DOI: 10.32474/OSMOAJ.2021.05.000203
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Abstract
Management of bone metastases from renal cell carcinoma (RCC) has significantly changed after the era of targeted therapy
that improved the overall survival (OS).This has sucked the different interveners in their management to push the surgical
indications in order to improve outcome and quality of life for these patients. In case of a solitary metastasis or a limited number of
respectable metastases wide resections have to be considered according to patient profile, comorbidities, localization, heaviness of
the surgery and to benefit –risk balance. However such surgeries are highly demanding procedures that must be carefully planned
and discussed in multidisciplinary team and with patient. Thus, surgical decision-making for a second metastasis and according to
what criteria remains a subject of controversy. We report a case of an aggressive metastatic RCC with good functional and oncologic
outcomes 3 years after surgery coupled with anti-angiogenic treatment. A review of the literature concerning recent attitudes in the
management of bony metastatic renal carcinoma was carried out.
Keywords: Renal Cell Carcinoma; Bone Metastases; Surgery; Targeted Therapy
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