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43

NCCN Guidelines for Patients

®

:

Kidney Cancer, Version 1.2017

5

Treatment guide

Stage I kidney cancer

Part 5 is a guide through the treatment

options for patients with kidney cancer.

It shows which tests and treatments are

recommended under which conditions.

This information is taken from the

treatment guidelines written by NCCN

experts for kidney cancer doctors.

This information is taken from the treatment

guidelines written by NCCN experts of kidney cancer.

These treatment guidelines list options for people

with kidney cancer in general. Thus, your doctors

may suggest other treatment for you based on your

health and personal needs. Discuss and decide on

your treatment plan with your doctor.

Stage I kidney cancer

Guide 3

shows the primary treatment options for

stage I kidney cancer—when the tumor is 7 cm or

smaller and cancer is only in the kidney. Primary

treatment is the main treatment used to rid the body

of cancer. Surgery is the most common primary

treatment for stage I kidney cancer. But, there is

more than one type of surgery. And, you may have a

few other options to choose from.

The tumor size is a key factor that affects your

primary treatment options. Stage I is divided into two

smaller groups, based on the size of the tumor. T1a

tumors are 4 cm or smaller. T1b tumors are more

than 4 cm but not larger than 7 cm.

Primary treatment

For stage I (T1a),

there are four primary treatment

options to choose from. The preferred option is a

partial nephrectomy. A partial nephrectomy is surgery

that only removes the part of the kidney with the

tumor. For very small tumors, all the cancer can often

be removed without taking out the whole kidney.

Guide 3. Primary treatment

Stage and tumor size

Primary treatment options

Stage I (T1a)

Tumor is 4 cm or smaller

ª

• Partial nephrectomy (preferred)

ª

• Radical nephrectomy

ª

ª

• Active surveillance

• Thermal ablation

Stage I (T1b)

Tumor is 4.1 cm to 7 cm

ª

• Partial nephrectomy

ª

• Radical nephrectomy