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Active surveillance is another option for some people with small kidney tumors.With active surveillance, the tumor is watched closely (with CTs or ultrasounds) and only treated if it grows.This section sums up the options usually considered for each stage of kidney cancer.Stage I and II cancers are still contained within the kidney.A special form of radiation therapy called can be very effective in treating single brain metastases. Surgery or radiation therapy can also be used to help reduce pain or other symptoms of metastases in some other places, such as the bones. In: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. This would likely be followed by systemic therapy, which might consist of one of the targeted therapies or immunotherapy (interleukin-2). It’s not clear if any one of the targeted therapies or any particular sequence is better than another, although temsirolimus appears to be most helpful for people with kidney cancers that have a poorer prognosis (outlook). For cancers that can’t be removed surgically (because of the extent of the tumor or the person’s health), first-line treatment is likely to be one of the targeted therapies or cytokine therapy. Definitive surgical management of renal cell carcinoma.

If the cancer has grown into nearby veins (as with some stage III cancers), your surgeon may need to cut open these veins to remove all of the cancer.

Stage IV kidney cancer means the cancer has grown outside of the kidney or has spread to other parts of the body such as distant lymph nodes or other organs.

Treatment of stage IV kidney cancer depends on how extensive the cancer is and on the person’s general health.

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