Now, lets come to the treatment of non-metastatic kidney cancer.
It is called as T1 when the tumor is 7 cm or less in greatest dimension and is limited to the kidney.
Surgical resection of the tumor in the form of partial or radical nephrectomy is the mainstay of treatment for T1 disease.
It is called as T2 when the tumor is more than 7 cm in greatest dimension and is limited to the kidney.
T3 includes cases in which the tumor extends into the renal vein or its segmental branches, or into the renal sinus fat.
It also includes cases in which the tumor extends into the perirenal fat but not beyond gerota’s fascia, as you can see in this figure.
Extension of the tumor into inferior vena cava is also T3. And when the tumor extends beyond the Gerota’s fascia, it is called as T4. Infiltration of the ipsilateral adrenal gland is also T4.
Involvement of regional lymph nodes of the kidney as you can see in this figure is called as N1.
Surgical resection of the tumor in the form of radical nephrectomy is the mainstay of treatment for T2, T3, T4 or node-positive disease.
The decision to do surgery and the type of surgery is taken by oncologist after assessing the exact content of the tumor along with the performance status and the comorbidities of the patient.
Join our community of fighters and survivors, motivate and uplift each other to fight cancer together.