paediatrics Brussels 17

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