What are the National Comprehensive Cancer Network (NCCN) guidelines for the initial workup for renal cell carcinoma (RCC)?

Updated: May 21, 2019
  • Author: Kush Sachdeva, MD; Chief Editor: E Jason Abel, MD  more...
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Answer

The National Comprehensive Cancer Network (NCCN) guidelines for kidney cancer recommend the following as part of the initial workup [20] :

  • Abdominal/pelvic CT or abdominal MRI with or without contrast, depending on renal insufficiency

  • Chest imaging

  • Brain MRI, if clinically indicated

The NCCN guideline recommends abdominal MRI to assess suspected tumor involvement in the inferior vena cava, or as an alternative to CT for renal mass detection and staging in cases where the use of contrast is contraindicated because of allergy or renal insufficiency. [20]


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