Renal cell carcinomas (RCCs), originate within the renal cortex, constitute 80 to 85 percent of primary renal neoplasms. Nephroblastoma (Wilms' tumor) is common in children (5 to 6 percent of primary renal tumors). This article describes the treatment modalities for renal cell carcinoma. Surgery is curative in the majority of patients with RCC who do not have metastases.
Surgery is, therefore, the preferred treatment for patients with stages I, II, and III disease. Surgery may be carried out through a conventional approach or by a minimally invasive approach such as laparoscopy. Multiple primary RCCs Bilateral RCCs are more common among patients with inherited conditions and occasionally are seen in those with sporadic tumors. Active surveillance Elderly patients and those with significant comorbidity may not be candidates for surgical resection Adjuvant therapy There is no…
