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In general, treatment options are based on the stage, or spread, of the kidney cancer. Each management option is briefly discussed here and the options are summarized in the table below. Your kidney cancer expert will review the options for you and help decide your best course of treatment. At Johns Hopkins our surgeons are experts on all approaches and will help tailor the treatment to the patient. One size does NOT fit all.
|Early-stage, clinically-localized renal masses||Locally advanced kidney cancers||Metastatic kidney cancer|
|Prognosis (Cure rate)||Excellent (85% or better)||Good (60% or better)||Fair (50% or less)|
|Treatment Options||Active Surveillance|
|Radical Nephrectomy||Radical Nephrectomy|
|Systemic Therapy Used||No||Rarely||Yes|
|Renal Mass Biopsy||Useful to determine benign from malignant masses||Little role||Useful to determine the type of kidney cancer prior to systemic therapy|
*Only when other options are not technically feasible.
I have really aggressive or advanced kidney cancer, what are my options?
This can get quite complicated and a multidisciplinary team who specialize in kidney cancer would be best to help with this. It is important that an urologist and medical oncologist collaborate in constructing an optimal plan for your care. Our medical oncologists are experts on the latest options. They provide cutting edge care in a compassionate manner. This multidisciplinary approach is most important for cancers with a high suspicion of spread! This is because today there are NUMEROUS options and combinations for patients with advanced kidney cancer including surgery, systemic therapy and clinical trials.