Localised kidney cancer has many treatment options available and each method needs to be explained to the patient to reach an informed decision

Localised kidney cancer has many treatment options available and each method needs to be explained to the patient to reach an informed decision

The treatment of localized kidney cancer has many options that need to be fully explained to the patient in order that they can make an informed decision. Different treatments are suited to certain patients and not others depending upon tumor size, stage and location. The options include:

  1. Active surveillance means following the tumor with serial CT scan for small (<4cm) tumors
  2. Partial nephrectomy is the gold standard for T1-2 tumors and now more often are being performed robotically
  3. Radical nephrectomy is the gold standard for larger or central tumors and should be done via a minimally invasive approach either robotically or laparoscopically to allow for early recovery and quick discharge from hospital
  4. Open radical nephrectomy is the choice for locally advanced large tumors (T3a, perirenal invasion or T3b-c, renal vein or vena cava extension or T4, invades surrounding structures) in order to achieve complete disease clearance
  5. Radiofrequency ablation should be reserved for patients unfit to undergo surgery with suitable tumors including

Start typing and press Enter to search