HEALTH ALERT!  For the safety of our patients and staff, effective March 30, 2020, new patients and patients with disabilities will be permitted one visitor over the age of 15. No other visitors will be permitted into the clinic.  Family members and caretakers may participate in the appointments remotely by phone or video conference if desired. Compass is working with other health care providers in the area to help contain the spread of the novel Coronavirus. We are taking active steps to minimize your exposure to the virus. These steps include screening everyone who enters the clinic for signs of illness, banning most visitors in the clinic, minimizing our own staffing and allowing some employees to work from home, and frequent sanitation of the clinic. We are using personal protective equipment such as masks, gowns, gloves, and face-shields according to national guidelines. We are working to identify those patients whose visits or treatments can be safely delayed, and we will notify you of this if you have an upcoming visit.  We ask that you stay home if you have fever and/or cough.

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Kidney Cancer Treatment Options

Common treatment options for people with kidney cancer are surgery, targeted therapy, and biological therapy. You may receive more than one type of treatment.

The treatment that’s right for you depends mainly on the following:

  • The size of the tumor
  • Whether the tumor has invaded tissues outside the kidney
  • Whether the tumor has spread to other parts of the body
  • Your age and general health

Surgery

Surgery is the most common treatment for people with kidney cancer. The type of surgery depends on the size and stage of the cancer, whether you have two kidneys, and whether cancer was found in both kidneys.

You and your surgeon can talk about the types of surgery and which may be right for you:

  • Removing all of the kidney (radical nephrectomy): The surgeon removes the entire kidney along with the adrenal gland and some tissue around the kidney. Some lymph nodes in the area may also be removed.
  • Removing part of the kidney (partial nephrectomy): The surgeon removes only the part of the kidney that contains the tumor. People with a kidney tumor that is smaller than a tennis ball may choose this type of surgery.

There are two approaches for removing the kidney. The surgeon may remove the tumor by making a large incision into your body (open surgery). Or the surgeon may remove the tumor by making small incisions (laparoscopic surgery). The surgeon sees inside your abdomen with a thin, lighted tube (a laparoscope) placed inside a small incision.

The surgeon may use other methods of destroying the cancer in the kidney. For people who have a tumor smaller than 4 centimeters and who can’t have surgery to remove part of the kidney because of other health problems, the surgeon may suggest:

  • Cryosurgery: The surgeon inserts a tool through a small incision or directly through the skin into the tumor. The tool freezes and kills the kidney tumor.
  • Radiofrequency ablation: The surgeon inserts a special probe directly through the skin or through a small incision into the tumor. The probe contains tiny electrodes that kill the kidney cancer cells with heat.

Targeted Therapy

People with kidney cancer that has spread may receive a type of drug called targeted therapy. Many kinds of targeted therapy are used for kidney cancer. This treatment may shrink a kidney tumor or slow its growth.Usually, the targeted therapy is taken by mouth. You may want to read the NCI fact sheet Targeted Cancer Therapies.

Biological Therapy

People with kidney cancer that has spread may receive biological therapy. Biological therapy for kidney cancer is a treatment that may improve the body’s natural defense (the immune system response) against cancer. The treatments used for kidney cancer can slow the growth of tumors or shrink them. The biological therapy is injected intravenously or under the skin. The treatment may be given at the hospital or a doctor’s office.