What is the role of radical nephrectomy in the treatment of renal cell carcinoma (RCC)?

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

Radical nephrectomy, which remains the most commonly performed standard surgical procedure today for treatment of localized renal cell carcinoma involves complete removal of the Gerota fascia and its contents, including a resection of kidney, perirenal fat, and ipsilateral adrenal gland, with or without ipsilateral lymph node dissection. Radical nephrectomy provides a better surgical margin than simple removal of the kidney, because perinephric fat may be involved in some patients. Approximately 20-30% of patients with clinically localized disease develop metastatic disease after nephrectomy.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!