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NCCN QUICK GUIDE

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Kidney Cancer, Version 1.2017

PAT-N-0983-0617

What are the primary treatment options for kidney cancer?

Stage I

Surgery to remove part of the

kidney is preferred

Surgery to remove the whole

kidney

Active surveillance

Thermal ablation

43

Stages II

and III

Surgery to remove the whole kidney

Surgery to remove part of the kidney, as needed

49

Stage IV

Surgery to remove the kidney

and metastases (cancer that

has spread far away), if the

primary tumor can be removed

and there is a small number of

metastases

Surgery to remove some of the cance

r

prior to treatment with drugs, if the

primary tumor can be removed and

there are many metastases

Treatment with drugs, if the primary

tumor can’t be removed by surgery

51

What are the treatment options for kidney cancer that can’t be

removed by surgery or that came back after surgery?

First-line treatment with

drugs

Clinical trial

Targeted therapy drug

Immunotherapy drug

Best supportive care along with any cancer treatment

52

What are the treatment options for kidney cancer that came back

after first-line treatment with drugs?

Options after first-line

treatment

Clinical trial

Targeted therapy drug

Immunotherapy drug

Best supportive care along with any cancer treatment

56

How do you decide between options?

Ask your doctors many questions. Also, you could get a second opinion, attend support groups,

and compare the benefits and risks of different options.

57

NCCN Guidelines

for Patients

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