Kidney cancer is most often treated with surgery
You may receive more than one type of cancer treatment, depending on several factors, including the grade of the tumor, where it is located and whether it has spread to other parts of your body.
Before we set up a specific treatment plan for your kidney cancer, we will take the following into account:
- Your age, overall health and medical history
- The extent of the disease
- Your tolerance of specific medicines, procedures or therapies
- Expectations for the course of the disease
- Your opinion or preference
Your patient care team will sit with you and discuss the options available, so that you can be as informed as possible when making the decision.
- Removing the entire kidney: This is called a radical nephrectomy. Your surgeon removes the entire kidney along with the adrenal gland. Lymph nodes in the area may also be removed.
- Removing part of the kidney: This is called a partial nephrectomy. Your surgeon removes only the part of the kidney that contains the tumor. This is done either by a large incision or by laparoscopic surgery.
- Cryosurgery: The surgeon inserts a tool through a small incision or directly through the skin and the tool freezes and kills the kidney tumor.
- Laparoscopic surgery is a minimally invasive robotic-assisted surgery that involves using a robot inserted through a small incision to remove the tumor. We specializes in robotic kidney surgery using the da Vinci Surgical System. A urologic oncologist uses computerized imaging to direct the robot as it performs the procedure. This minimally invasive surgery means less blood loss and pain, and a faster recovery.
- Radiofrequency ablation: The surgeon inserts a probe through the skin or through a small incision and kills the kidney cancer cells with heat.
- Radiation therapy: This treatment is much like getting an X-ray, but the radiation is much stronger. Kidney cancers are not very sensitive to radiation. The treatment is used most often to ease symptoms of kidney cancer such as pain or bleeding caused by the cancer’s spread.
- Targeted therapy: People with kidney cancer that has spread may receive a type of drug called targeted therapy to shrink a kidney tumor or slow its growth. The drug usually is taken by mouth.
- Chemotherapy: This treatment uses anti-cancer drugs that are given intravenously or by mouth to reach all areas of the body. However, kidney cancer generally is resistant to chemotherapy, so it is not a standard treatment.
- Biological therapy: People with kidney cancer that has spread may receive biological therapy. This treatment is meant to slow the growth of tumors or shrink them. The biological treatment is injected intravenously or under the skin.
- TomoTherapy: At the John Wayne Cancer Institute, we also prescribe TomoTherapy whenever possible. This advanced radiation treatment uses computer imaging to closely target the kidney cancer. As a result, a higher dose of radiation can be used with less damage to surrounding tissue.