Embolization Prior To Surgery
The best treatment for kidney cancer is to remove the tumor. But sometimes the neoplasm is too large and is detected only at the stage of venous invasion. A feature of renal cell carcinoma is its ability to spread through the great veins. The vascular wall is necessarily affected. The tumor blood clots spread far up, up to the heart.
A few years ago, such patients were doomed to die, but today there are successful combined surgical procedures to remove tumors. Mortality rates in the best European hospitals are minimal. Life expectancy in case of successful treatment is the same as in patients without tumor thrombosis of large veins.
Such transcatheter procedures as renal artery embolization and chemoembolization make a significant contribution to the success of treatment of advanced kidney cancer. The procedure is performed prior to the operation. It allows for:
- Reducing blood supply to the tumor.
- Reducing the volume and length of blood clots in large veins.
- Destroying the tumor if successful, up to 90% of cancer cells can die after embolization.
- Reducing the risk of complications during surgery.
Targeted Therapy And Immunotherapy
Because chemotherapy is not very effective against advanced kidney cancer, immune therapy drugs combinations, combinations of immune therapies with targeted therapies, and targeted therapies are now usually the first-line option to treat kidney cancers that cannot be removed by surgery or have spread outside the kidney. More research is being done to see which people with kidney cancer will benefit most from targeted therapy, immunotherapy or combinations.
Expertise In Treating All Types Of Kidney Cancer
Initially, you may not notice any symptoms of kidney cancer. It is important to be watchful for any that may arise such as blood in your urine, unexplained weight loss, a lump in your abdomen, appetite loss or persistent pain in your sides.
Your kidneys are responsible for filtering and cleaning your blood, taking out waste products and producing urine. Kidney cancer may form in the lining of the tiny tubes inside of your kidneys which will limit your ability to perform these basic functions.
The most common form of kidney cancer is renal cell carcinoma, also called RCC. Since clear cell carcinoma accounts for about 80% of all RCC cases, the majority of treatments are focused on this type of kidney cancer.
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Kidney Cancer Risk Factors
According to the American Cancer Society, almost 65,000 people were diagnosed with kidney cancer in the U.S. during 2018. The lifetime risk for developing kidney cancer is about 1 in 63 . This risk is higher in men than in women. The average age at diagnosis is 64 and is not common in people younger than 45.
The following may increase an individuals risk of developing kidney cancer:
- Workplace exposure to substances such as cadmium , some herbicides, and organic solvents, particularly trichloroethylene.
- Family history of kidney cancer.
- High blood pressure.
- Advanced kidney disease, especially those needing dialysis.
- Long-term use of certain medicines, such as pain pills or water pills .
- Genetic and hereditary factors syndrome, familial renal cancer, Cowden syndrome, tuberous sclerosis, and hereditary renal oncocytoma).
As part of our comprehensive approach to cancer prevention and education, Northside Hospital offers Built To Quit, a smoking and tobacco cessation program offering resources to help individuals quit smoking and stop using other tobacco products. For additional information please call or email or register online for an upcoming class.
Department Of Diagnostic And Interventional Neuroradiology
The Department of Diagnostic and Interventional Neuroradiology offers the full range of services in this medical field. Of particular interest are interventional procedures for the treatment of acute and chronic vascular diseases, such as ischemic strokes, cerebral hemorrhages, cerebral artery stenosis or vascular malformations. To ensure comprehensive medical care, there is maintained close cooperation with the Departments of Neurology and Neurosurgery.
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Types Of Kidney Cancer
Our physicians have extensive experience diagnosing and treating all types of kidney cancer, both common and rare types, including:
- Renal cell carcinoma : About 90 percent of kidney cancers are RCCs, which form in the tiny kidney tubules that clean blood. However, it is important to identify what subtype of RCC a patient has before determining appropriate treatment. Subtypes include:
- Chromophobe RCC
- Clear cell RCC
- Papillary RCC
- Rare subtypes, including collecting duct RCC, multilocular cystic RCC, medullary carcinoma, mucinous tubular and spindle cell carcinoma, neuroblastoma-associated RCC
- Unclassified RCC
Some inherited syndromes can increase the risk of developing kidney cancer, including the following:
- Hereditary papillary renal cell carcinoma
- Hereditary leiomyomatous renal cell carcinoma
- Hereditary renal oncocytoma
- Birt-Hogg-Dubé syndrome
It is important to identify when patients have these syndromes because it can affect how kidney cancer is managed and may put patients at risk for other medical conditions. Patients and their families can seek testing and counseling from our genetic counselors.
The Most Advanced Care For Kidney Cancers
As a leading provider of cancer care in New Jersey our specialists offer the most advanced diagnostic and treatment options for kidney Cancer. Through our partnership withRutgers Cancer Institute of New Jersey, the states onlyNational Cancer Institute-designated Comprehensive Cancer Center, patients have access to complex surgical techniques,clinical trials, precision medicine, immunotherapy, and innovative radiation therapy procedures.
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Department Of Adult And Pediatric Diagnostic Interventional Radiology Neuroradiology
The Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology offers the full range of modern radiological diagnostics and minimally invasive treatment both on an inpatient and outpatient basis. It has advanced equipment for conducting radiological studies in adults and children, as well as minimally invasive procedures under the guidance of imaging systems. There is maintained close cooperation with many departments of the hospital, which provides an interdisciplinary approach to treatment and comprehensive medical care.
What To Expect During Follow
The follow-ups are especially important in cases of cancers to manage side-effects and monitor the overall health, recovery progress as well as check for any signs that cancer has come back. So, follow-up care and active monitoring are essential. These include the same tests used to diagnose the kidney mass/tumor such as regular physical examinations, medical tests, and routine blood & urine tests.
Cancer rehabilitation and survivorship care are recommended, and this could mean any of a wide range of services that help people regain control over many aspects of their lives and remain as independent and productive as possible and these services may include physical therapy, career counseling, pain management, nutritional planning, financial counseling, and/or emotional counseling.
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What Treatment Options Are Available For Kidney Cancer
The course of the treatment is decided when the patient and doctor together discuss the options and go through a process called â shared decision making.â Treatment options are decided based on several factors such as the cell type and stage of cancer, possible side effects, and the patientâs health, etc. Following are the four treatment options that are available for kidney cancer:
How To Begin Your Treatment Abroad
Treatment abroad means experienced specialists, high-precision equipment, advanced techniques, and a high level of comfort. If you want to go to Germany, Turkey, Israel, or any other country for treatment abroad, Booking Health will organize the whole treatment abroad for you.
Booking Health negotiates with clinics, prepares and translates documents, issues a medical visa, provides accommodation and transfer, selects the best hospital for treatment for you, and provides many other services.
Booking Health company employs qualified specialists who will help you get answers to all your questions, as well as provide all possible assistance in the selection of specific cancer hospitals or doctors.
Leave a request on the Booking Health website, and our consultants will be happy to answer all your questions.
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Kidney Cancer Support & Survivorship
Kidney cancer treatment and recovery can be overwhelming, which is why we have oncology nurse navigators to guide you every step of your cancer journey. Northside Hospital Cancer Institutes nurse navigators are registered nurses with extensive knowledge and training in oncology, available to help support patients after their cancer diagnosis and throughout treatment, educating and supporting cancer patients to make informed decisions about their care.
Support provided by oncology nurse navigators includes:
- Clinical information and education on kidney cancer.
- Answering questions about diagnosis, treatments and any side effects experienced.
- Facilitating communication between the patient and their care team.
- Access to emotional and psychological support, including referrals to the right counseling services and support groups.
- Monitoring each patients health and overall cancer treatment progress.
To learn more about oncology patient navigation or to speak with an oncology nurse navigator, please call or email .
Ongoing support is crucial when facing kidney cancer and afterward. Northside Hospital Cancer Institute provides a full range of support and survivorship programs and services to address the unique needs of each kidney cancer patient.
- Clinical Support
Department Of Interventional Radiology
The Department of Interventional Radiology provides the full range of medical services in the area of its specialization. The team of the department’s doctors specializes in diagnostic and therapeutic image-guided interventional procedures. The doctors have at their disposal the most advanced imaging devices, including X-ray systems, ultrasound devices, equipment for computed tomography and magnetic resonance imaging. In most cases, the department’s specialists perform interventions on the vessels, and therefore doctors from the Department of Vascular Surgery are often involved in the therapeutic process. The use of state-of-the-art equipment allows the patients to get rid of pathological changes in the vessels of any part of the body, excluding open invasive surgery with its high risks. The department’s medical staff has excellent qualifications and vast clinical experience, so patients confidently trust their health to real professionals.
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Expert Diagnostic Capability To Monitor Health Status
Active surveillance is the standard of care if you have kidney cancer but are in generally good health and experiencing few or no symptoms. This treatment involves monitoring your tumor with regular appointments and advanced diagnostic tests, including:
- Computed Tomography : With detailed cross-sectional images of your kidney, a CT scan provides precise information about the location of a kidney tumor, but also the size and shape.
- Magnetic resonance imaging : With detail of both the kidney and major blood vessels in the abdomen, an MRI can determine any spread of kidney cancer.
- Advanced positron emission tomography: While not as detailed an image as a CT or MRI, a PET scan shows if suspicious tissue is likely to be cancerous, including if kidney cancer has spread to the lymph nodes.
To determine the optimal timing and type of more advanced treatment, our team carefully monitors your individual condition, in many cases within our regional community locations. With our system of care at University Hospitals, our radiology experts also provide advanced imaging services such as diffusion-weighted MRI with contrast to better visualize tissue to determine response to therapies.
What Are The Causes And Risk Factors Of Kidney Cancer
Anejaculation is defined as the inability to ejaculate semen. Men with this condition can produce sperm, and they might experience a normal orgasmic sensation, but no semen gets ejaculated through the penis during sexual climax. It can be a primary anejaculation- total absence of ejaculation from the beginning of the sexual response, or secondary anejaculation – having occasional or situational ejaculation issues.
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Department Of Diagnostic And Interventional Radiology
The Department of Diagnostic and Interventional Radiology offers the full range of imaging diagnostics, as well as innovative imaging-guided minimally invasive techniques for the treatment of tumors, diseases of the vessels and internal organs . The doctors of the department have deep knowledge and tremendous experience in the application of interventional radiological treatments, which represent an excellent alternative to open surgical interventions. Despite the high level of technical equipment and the availability of advanced computerized systems, the focus remains on a person with his individual needs.
Help Getting Through Cancer Treatment
People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.
Whether you are thinking about treatment, getting treatment, or not being treated at all, you can still get supportive care to help with pain or other symptoms. Communicating with your cancer care team is important so you understand your diagnosis, what treatment is recommended, and ways to maintain or improve your quality of life.
Different types of programs and support services may be helpful, and can be an important part of your care. These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help.
The American Cancer Society also has programs and services including rides to treatment, lodging, and more to help you get through treatment. Call our National Cancer Information Center at 1-800-227-2345 and speak with one of our trained specialists.
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Medical Treatments For Kidney Cancer
Kidney-sparing therapies and procedures can help you maintain your quality of life after kidney cancer treatment. Hackensack surgeons and medical oncologists work closely together to develop a personalized treatment plan that may combine anticancer medications with surgery to achieve the best possible outcome.
Our medical oncologists participate in a range of kidney cancer clinical trials that provide you with access to the latest, most promising chemotherapy, immunotherapies, and targeted treatments.
Depending on your specific situation, your kidney cancer treatment plan may include:
- Targeted therapy with drugs that shrink or slow the growth of kidney cancers. Sunitinib, a drug that slows cancer growth, can be used to treat early-stage kidney cancer, or after surgery for more advanced cases of kidney cancer.
- Immunotherapy, which uses medications to help your immune system fight cancer. Immunotherapy can be used to treat advanced cases of kidney cancer, kidney cancer that is not responding to targeted treatment, or disease that has spread to other areas of your body. Sometimes immunotherapy can be combined with certain targeted treatments
- Chemotherapy, which treats cancer using medications given through an intravenous injection or pill and which travel throughout your body. Kidney cancer does not usually respond well to chemotherapy, but chemotherapy may be used if targeted treatment or immunotherapy is not working.
Using Ablation For Kidney Tumors
If you have small tumors and surgery is not the best approach for you, we may recommend image-guided ablation to destroy the cancer. This procedure uses needles that boil or freeze cancerous tissue. We place the needles through your skin and use x-rays to guide them into the tumor. Your body removes the dead tissue, leaving scar tissue in its place.
We can also use thermal ablation to help relive pain if kidney cancer has metastasized to the bone. The freezing needle numbs the pain.
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Treatment Options For Non
The most common type of renal cell carcinoma is called clear cell. About 20% are different subtypes and called non-clear cell RCCs. Initial studies seem to show that they do not respond as well to targeted therapy drugs and appear to have poorer outcomes. More research is being done to find out how each subtype of non-clear cell RCC behaves in the hope this information will help guide better treatments for this type of kidney cancer.
Embolization In Early Stage Kidney Cancer
At stages 1-2 of kidney cancer, the disease can only be treated with a surgical technique. Other treatments, such as chemotherapy or radiation therapy, are usually not required. The risk of recurrence does not exceed 1.5-4%.
Embolization cannot be used as an alternative to surgery to destroy the tumor, but can be used to reduce blood loss.
Total or partial kidney removal is the mainstay of cancer treatment. With neoplasms up to 4 cm, the kidney is often removed only partially. For tumors up to 7 cm, the kidney is removed laparoscopically instead of open surgery through a large incision.
Nonetheless, the problem of these operations remains significant blood loss. It can reach 2-3 liters or more. Preoperative superselective renal artery embolization can be used to minimize blood loss and reduce the risk of complications. The technique reduces the time required for surgery. In addition, a well-defined area of necrosis is formed, which is the ideal line of resection.
An additional benefit of embolization is better kidney function after partial organ removal surgery. When performing surgery, the doctor is usually forced to pinch the main trunk of the renal artery to avoid heavy bleeding. But while the intervention continues, the kidney suffers from ischemia , and therefore its function may deteriorate due to the death of part of the renal cells. If the embolization of arteries of a smaller caliber is performed, it is not necessary to clamp the trunk of the renal artery.
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Treatments For Improved Outcomes In Kidney Cancer
If you are living with kidney cancer, our urology specialists will design a customized treatment plan that is based on the specific type of kidney cancer you have, kidney cancer stage, your age and your overall health. UH Seidman Cancer Center follows an evidence-based approach to kidney cancer treatment. Our team works together to determine the highest possible cure rate with the lowest risk of complication. While traditional chemotherapy or radiation are occasionally used in a comprehensive approach to kidney cancer treatment, the following more advanced treatments are generally the more widely accepted treatment choices at University Hospitals: