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49

NCCN Guidelines for Patients

®

:

Kidney Cancer, Version 1.2017

Stages II and III kidney cancer

Guide 6

shows the primary treatment and follow-up

tests that are recommended for patients with stage II

or stage III kidney cancer. Stage II kidney cancer is

when the tumor is larger than 7 cm but is still only in

the kidney. Stage III kidney cancer is when the tumor

has grown into fatty tissue in or around the kidney,

nearby veins, and/or nearby lymph nodes.

Primary treatment

Primary treatment is the main treatment used to

rid the body of cancer. A radical nephrectomy or

partial nephrectomy is recommended as primary

treatment for stage II and III kidney cancers. A radical

nephrectomy is surgery that removes the whole

kidney with the tumor. The attached adrenal gland,

nearby lymph nodes, and other tissues may also be

removed. A partial nephrectomy is surgery that only

removes the part of the kidney with the tumor.

5

Treatment guide

Stages II and III kidney cancer

Guide 6. Primary treatment and follow-up tests

Primary treatment options

Follow-up testing schedule

Radical nephrectomy

or

Partial nephrectomy as needed

• Medical history and physical exam

◦◦ Every 3 to 6 months for 3 years, then once a year for up to 5

years after nephrectomy, then as needed

• Blood chemistry panel and other blood tests

◦◦ Every 6 months for 2 years, then once a year for up to 5 years

after nephrectomy, then as needed

• Imaging tests of the abdomen

◦◦ Baseline CT or MRI within 3 to 6 months after nephrectomy,

then CT, MRI, or ultrasound every 3 to 6 months for at least 3

years, then once a year for up to 5 years

◦◦ Imaging tests beyond 5 years as needed

◦◦ Site-specific imaging tests as needed to check out symptoms

• Imaging tests of the chest

◦◦ Baseline CT within 3 to 6 months after nephrectomy, then CT or

x-ray every 3 to 6 months for at least 3 years, then once a year

for up to 5 years

◦◦ Imaging tests beyond 5 years as needed

• 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