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Stage 5 Disease
•
Following chemotherapy and surgery for Stage
V disease, RT is usually given according to the
local extent of tumour on each side taking into
account renal tolerance
•
Consider impact of hypertrophy of remaining
renal tissue
•
Solitary remaining kidney tolerance ~ 12 Gy
•
Remaining renal tissue after partial
nephrectomy (+ contralateral nephrectomy)
tolerance ~ 10 Gy