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  • Home
  • Daily Tasks
    • Dictations >
      • Circumcision
      • Cystoscopy >
        • Cysto-OR
        • Cysto, +/- RPG +/- stent >
          • Cysto w/ b/l RPG
          • Cysto, L RPG
          • Cysto, R RPG
          • Cysto, L stent w/o RPG
          • Cysto, L RPG, L Stent
          • Cysto, R Stent w/o RPG
          • Cysto, R RPG, R Stent
        • Cysto, bladder biopsy
        • Cysto and TRUS Prostate Biopsy (OR)
        • Cysto Botox (F)
        • Individual parts of cystos
      • Prostate Biopsy >
        • Cysto and TRUS Prostate Biopsy (OR)
        • TRUS Prostate Biopsy (OR)
        • TRUS Prostate Biopsy (office)
        • MRI Fusion TRUS Prostate Biopsy
      • Robot Left Radical Nephrectomy
      • Robot Right Radical Nephrectomy
      • Robot Radical Prostatectomy w/ PLND
      • TURBT (M)
      • Ureteroscopy >
        • L U-scope (flex), RPG, (F)
        • R U-scope (flex), RPG, (M)
        • L U-scope,semirigid laser, flex, RPG, stent removal, (F)
      • ESWL >
        • Left Proximal ESWL
        • Left Renal ESWL
        • Right Proximal ESWL
        • Right Renal ESWL
      • TURP
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      • PDE5i
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Renal Cell Carcinoma

​5 year cancer specific survival for patients with stage I disease that is resected is greater than 90% .(1,2)  After a radical nephrectomy, up to 5% have local (3,6,7,8) and 15% have distant metastatic recurrence at a median of 9 years. (3) In lymph node positive disease recurrence rates can be as high as 80%. (4) See SURGERY for more detailed and extensive local recurrence statistics.  

Stage is the most important prognostic factor. 5 year cancer specific survival rates are:(5)
  • Stage I: 91-100%
  • Stage II: 74-96%
  • Stage III: 59-70%
  • Stage IV: 16-32%
Grade, performance status and other factors affect prognosis. 
Picture
Aboutcancer.org
Picture
(1) >26k patients SEER data
  1. Hollingsworth, John M., et al. "Five‐year survival after surgical treatment for kidney cancer." Cancer 109.9 (2007): 1763-1768.
  2. Tsui, Ke-Hung, et al. "Prognostic indicators for renal cell carcinoma: a multivariate analysis of 643 patients using the revised 1997 TNM staging criteria." The Journal of urology163.4 (2000): 1090-1095.
  3. Kim, Simon P., et al. "Outcomes and clinicopathologic variables associated with late recurrence after nephrectomy for localized renal cell carcinoma." Urology 78.5 (2011): 1101-1106.
  4. Babaian, Kara N., et al. "Preoperative predictors of pathological lymph node metastasis in patients with renal cell carcinoma undergoing retroperitoneal lymph node dissection." The Journal of urology 193.4 (2015): 1101-1107.
  5. Pantuck, Allan J., Amnon Zisman, and Arie S. Belldegrun. "The changing natural history of renal cell carcinoma." The Journal of urology 166.5 (2001): 1611-1623.​​
  6. Itano, Nancy B., et al. "Outcome of isolated renal cell carcinoma fossa recurrence after nephrectomy." The Journal of urology164.2 (2000): 322-325.
  7. Thomas, Arun Z., et al. "Surgical management of local retroperitoneal recurrence of renal cell carcinoma after radical nephrectomy." The Journal of urology 194.2 (2015): 316-322.
  8. Margulis, Vitaly, et al. "Predictors of oncological outcome after resection of locally recurrent renal cell carcinoma." The Journal of urology 181.5 (2009): 2044-2051.
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  • Home
  • Daily Tasks
    • Dictations >
      • Circumcision
      • Cystoscopy >
        • Cysto-OR
        • Cysto, +/- RPG +/- stent >
          • Cysto w/ b/l RPG
          • Cysto, L RPG
          • Cysto, R RPG
          • Cysto, L stent w/o RPG
          • Cysto, L RPG, L Stent
          • Cysto, R Stent w/o RPG
          • Cysto, R RPG, R Stent
        • Cysto, bladder biopsy
        • Cysto and TRUS Prostate Biopsy (OR)
        • Cysto Botox (F)
        • Individual parts of cystos
      • Prostate Biopsy >
        • Cysto and TRUS Prostate Biopsy (OR)
        • TRUS Prostate Biopsy (OR)
        • TRUS Prostate Biopsy (office)
        • MRI Fusion TRUS Prostate Biopsy
      • Robot Left Radical Nephrectomy
      • Robot Right Radical Nephrectomy
      • Robot Radical Prostatectomy w/ PLND
      • TURBT (M)
      • Ureteroscopy >
        • L U-scope (flex), RPG, (F)
        • R U-scope (flex), RPG, (M)
        • L U-scope,semirigid laser, flex, RPG, stent removal, (F)
      • ESWL >
        • Left Proximal ESWL
        • Left Renal ESWL
        • Right Proximal ESWL
        • Right Renal ESWL
      • TURP
      • Vasectomy
    • Plans >
      • Erectile Dysfunction
      • NMIBC
      • Peyronie's Disease
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    • Medications >
      • Antibiotics >
        • Bactrim
        • Cephalosporins >
          • Keflex
        • Ciprofloxacin
        • Macrobid
        • Gentamicin
      • Medications and Dialysis
      • Anticoagulation and Antiplatelets
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      • PDE5i
      • Prostate Cancer Drugs >
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        • Androgen Receptor Blockers
        • Pembrolizumab
      • Anticholinergics & β-3 Agonists
      • Estrace
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      • Tobacco Cessation
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      • Neurogenic Bladder/Spinal Cord Injury
      • CKD/ESRD
      • Erectile Dysfunction >
        • IPP
      • Female Urology
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      • Imaging
      • Nocturia
      • Overactive Bladder
      • Trauma
      • Urine Retention
    • Urologic Malignancy >
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        • Choosing Therapy
        • Imaging
        • Genomic Testing
        • Locally Advanced and BCR
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        • Trimodal Therapy
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        • Studies
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      • UTI
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    • Pediatric Urology >
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      • Studies
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      • Fistula
      • Other studies/notes
  • Procedures
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    • Incisions
    • Endoscopic >
      • Cystoscopy
      • Ureteroscopy
      • Ureteral Stenting
    • Female Surgery >
      • Interstim & PTNS
      • Midurethral Sling
      • Sacrocolpopexy
    • Nephrectomy
    • PCNL
    • Prostate Biopsy
    • Radical Prostatectomy
    • Suprapubic Tube (SPT)
    • Urethral Catheters
    • Urodynamics
    • Varicocelectomy
  • Videos
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    • Top 1000 Urology Journal Articles
    • Top Urology Journal Articles by Decade
    • Landmark Authors
    • Bladder Cancer Journal Club >
      • Landmark Papers
    • Reconstructive Journal Club >
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    • Upper Tract Urothelial Carcinoma