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Updated: Dec 27, 2025

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Management of Patients With Metastatic Renal Cell Cancer and Bone Metastases
Carsten Nieder1,2, Astrid Dalhaug3,2, Adam R Pawinski3
1Department of Oncology and Palliative Medicine, Nordland Hospital, Bodø, Norway carsten.nieder@nlsh.no.
Background/Aim:
Previous research has suggested that patients with metastatic renal cell cancer (mRCC) and bone metastases have a poorer prognosis compared to their counterparts with no skeletal involvement. Therefore, we analyzed the management and outcomes of such patients in our center.
Patients And Methods:
We performed a retrospective study of 35 consecutive patients who received systemic treatment, largely targeted therapy, for mRCC with bone metastases.
Results:
The median overall survival was 25 months from the time of diagnosis of mRCC. The 5-year survival rate was 16%. Survival from diagnosis of mRCC was significantly worse in patients with bone metastases present at the start of first-line systemic therapy (median 13 months) compared to delayed metastases diagnosed later during the course of disease (46 months, p=0.01). Few patients (29%) were able to receive more than two lines of systemic therapy. Bone-only metastases were uncommon (11%).
Conclusion:
Most patients with mRCC and bone metastases have limited overall survival.
Insights
Patients with metastatic renal cell cancer (mRCC) and bone metastases face a poor prognosis. Survival is significantly worse if bone metastases are present at initial treatment.
Area of Science:
- Oncology
- Medical Research
Background:
- Metastatic renal cell cancer (mRCC) with bone metastases is associated with poorer patient prognosis.
- Skeletal involvement impacts survival outcomes in mRCC patients.
Purpose of the Study:
- To analyze the management and outcomes of mRCC patients with bone metastases.
- To evaluate the prognostic significance of bone metastasis timing in mRCC.
Main Methods:
- Retrospective study of 35 consecutive mRCC patients with bone metastases.
- Systemic treatment, primarily targeted therapy, was analyzed.
Main Results:
- Median overall survival was 25 months from mRCC diagnosis; 5-year survival was 16%.
- Patients with bone metastases at first-line therapy start had significantly worse survival (13 months) vs. delayed metastases (46 months).
- Few patients (29%) received >2 lines of therapy; bone-only metastases were uncommon (11%).
Conclusions:
- Most mRCC patients with bone metastases have limited overall survival.
- Early bone metastasis presentation negatively impacts survival in mRCC.
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