Cytoreductive surgery prior to interleukin-2-based therapy in patients with metastatic renal cell carcinoma

McClellan M. Walther, Richard B. Alexander, Gary H. Weiss, David Venzon, Arlene Berman, Harvey I. Pass, W. Marston Linehan, Steven A. Rosenberg

Research output: Contribution to journalArticlepeer-review

Abstract

From May 1985 to December 1990, 93 patients with the clinical diagnosis of metastatic renal cell carcinoma and their primary tumor in place were evaluated for cytoreductive surgery as preparation for systemic therapy with regimens based on interleukin-2. These patients had typical sites of metastatic disease and manifestations of paraneoplastic syndromes. Patients underwent removal of the primary tumor, as well as debulking when this could be performed safely. Thirty-two percent of patients ( 30 93) had a second surgical resection in addition to their nephrectomy, frequently because of the large size of the primary tumor and its invasion of adjacent structures. Thirteen percent of patients ( 12 93) experienced postoperative complications. There were no perioperative mortalities. Forty percent of patients (37/93) who underwent nephrectomy could not be treated with immunotherapy, usually because of progression of disease. A preoperative ECOG status greater than or equal to 2 was the only significant risk factor associated with failure to undergo immunotherapy (P = 0.043). The response rate to immunotherapy in the 56 patients receiving interleukin-2 was 27 percent (4 CR, 11 PR).

Original languageEnglish (US)
Pages (from-to)250-257
Number of pages8
JournalUrology
Volume42
Issue number3
DOIs
StatePublished - Sep 1993

ASJC Scopus subject areas

  • Urology

Fingerprint Dive into the research topics of 'Cytoreductive surgery prior to interleukin-2-based therapy in patients with metastatic renal cell carcinoma'. Together they form a unique fingerprint.

Cite this