An increase in splenic volume after first-line immunotherapy is associated with worse PFS in patients with metastatic renal cell carcinoma

In patients with mRCC, a splenic volume increase ≥ 10% at a median of 2.8 months following ICI initiation is independently associated with worse survival compared to an < 10% increase. Monitoring splenic volume changes may serve as a cost-effective radiographic prognostic marker to guide treatment sequencing.

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Publication Details

Journal
The Oncologist
Published
2026-01-03
DOI
https://doi.org/10.1093/oncolo/oyaf397
Primary Topic
Renal cell carcinoma treatment
Type
article
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article

An increase in splenic volume after first-line immunotherapy is associated with worse PFS in patients with metastatic renal cell carcinoma

S. Patel, Viraj A. Master, Shreyas Joshi, Taylor Goodstein et al.
The Oncologist
Renal cell carcinoma treatment
article

An increase in splenic volume after first-line immunotherapy is associated with worse PFS in patients with metastatic renal cell carcinoma

S. Patel, Viraj A. Master, Shreyas Joshi, Taylor Goodstein, S. Nawaz Ahmed, Bradley Curtis Carthon, Ö. K. Küçük, Dattatraya Patil, Haydn Kissick, Vivek Narayan, Bassel Nazha, Jordan Ciuro, Gregory Palmateer, M N Bilen, Jacqueline T Brown, Ahmet Yildirim, Kenneth Ogan
article en

Abstract

In patients with mRCC, a splenic volume increase ≥ 10% at a median of 2.8 months following ICI initiation is independently associated with worse survival compared to an < 10% increase. Monitoring splenic volume changes may serve as a cost-effective radiographic prognostic marker to guide treatment sequencing.

The OncologistVol. 31(2)
Emory University (US), Piedmont Cancer Institute (US)
Good health and well-being
Openalex Percentile: Top 95%
Renal cell carcinoma treatment
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