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47

NCCN Guidelines for Patients

®

:

Kidney Cancer, Version 1.2017

If there are no signs of cancer at baseline, the next

follow-up tests may be done less often. After a

radical nephrectomy, you may have tests once a year

for 3 years. How often and how long follow-up tests

are needed is based on the risk of recurrence.

Larger tumors have a slightly higher risk of

recurrence than smaller tumors. Thus, more

frequent follow-up may be needed. After a radical

nephrectomy, your doctor will decide how often

follow-up testing is needed.

5

Treatment guide

Stage I kidney cancer

Guide 5. Follow-up testing after treatment

Follow-up tests

Schedule

Medical history and physical exam

• Every 6 months for 2 years, then once a year for up to

5 years after diagnosis or nephrectomy

Blood chemistry panel and other blood tests

• Every 6 months for 2 years, then once a year for up to

5 years after diagnosis or nephrectomy

Imaging tests of the abdomen

After partial or radical nephrectomy

• Baseline CT, MRI, or ultrasound within 3 to 12 months

after surgery

• If no signs of cancer at baseline:

◦◦ After partial nephrectomy, possible testing once a

year for 3 years based on the risk of recurrence

◦◦ After radical nephrectomy, possible testing beyond 12

months as doctor sees fit

After thermal ablation

• CT or MRI at 3 to 6 months after ablation, then CT,

MRI, or ultrasound at least once a year for 5 years

Imaging tests of the chest

After partial or radical nephrectomy

• X-ray or CT once a year for 3 years, then as needed

After thermal ablation

• X-ray or CT once a year for 5 years

Repeat biopsy

After thermal ablation

• As needed based on results of imaging tests

CT or MRI of the pelvis

• As needed

CT or MRI of the head or MRI of the spine

• As needed

Bone scan

• As needed