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Radical surgery for the solitary bony metastasis from renal-cell carcinoma

K. G. Baloch, FRCS, Specialist Orthopaedic Registrar; R. J. Grimer, FRCS, Consultant Orthopaedic Surgeon; S. R. Carter, FRCS, Consultant Orthopaedic Surgeon; and R. M. Tillman, FRCS, Consultant Orthopaedic Surgeon

The Royal Orthopaedic Hospital Oncology Service, Bristol Road South, Northfield, Birmingham B31 2AP, UK.

Correspondence should be sent to Mr R. J. Grimer.

We carried out excision of a solitary bony metastasis from renal-cell carcinoma in 25 patients in the hope that this would produce a prolonged disease-free interval. Two patients had excisions only, five had amputations and 18 had excision and endoprosthetic replacement. The one-, three- and five-year cumulative survival rates were 88%, 54% and 13%, respectively.

There were three complications. One patient developed a local recurrence and three had problems related to the endoprosthesis.

We recommend radical excision of a solitary bony metastasis from renal-cell carcinoma to achieve local control of the tumour for the remainder of the patient’s life.




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[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General