Kidney Cancer Treatment
Kidney cancer, also most commonly known as renal cell cancer or RCC, arises when cells in the kidney abnormally grow out of control. It comprises various types, with renal cell carcinoma being the most common in adults, while Wilms' tumor is predominant in children.
Kidney cancer accounts for 2% to 3% of all cancers in adults. It is primarily a disease of older adults, with a typical presentation between 50 and 70 years of age. Many symptoms of Early Stage Kidney Cancer are vague, requiring evaluation by an experienced Urologist. Early detection and prompt referral to the expert who specializes in managing Urological Cancers, helps to decide the Best Robotic Kidney Cancer Treatment and Prognosis.
Our team at Ananta Urology and Robotics Clinic, led by senior robotic surgeon Dr. Rohan Patel provides the most comprehensive and latest Robotic Kidney Cancer Treatment in Ahmedabad, India.
Signs and Symptoms
Because of the location of the kidney, many renal masses have no symptoms in the early stage until they become very large and are in a locally advanced stage. With the increased use of advanced imaging for the evaluation of a variety of nonspecific symptoms, more than 60% of RCCs are now detected incidentally in the Early Stage. Symptoms associated with kidney cancer can be due to local tumor growth, bleeding, paraneoplastic syndromes, or metastatic disease.
⦁ Flank pain or pain in the lower back
⦁ Hematuria or red coloured urine
⦁ Palpable swelling in the upper abdomen
Symptoms of the advanced stage include -
⦁ Weight loss
⦁ Swelling of testicular veins
⦁ Persistent cough
⦁ Fever
⦁ Bilateral lower leg swelling
⦁ Night sweats
⦁ Bone pain
Encouraging prompt medical attention is crucial for timely early diagnosis. Early detection is vital to catch the disease in the early stage and increase the chances of cure.
Risk Factors and Etiology
Kidney Cancer often develops due to genetic predisposition, lifestyle choices, environmental factors, or a combination of these factors.
(1) Tobacco Exposure - All forms of tobacco use have been implicated, and the risk increases with cumulative doses or pack years.
(2) Obesity - There is an increased relative risk of 1.07 for each additional unit of body mass index.
(3) Hypertension - High BP or uncontrolled hypertension is the 3rd major cause of kidney cancer in the world.
(4) Other - Family history of kidney cancer, chemical exposure, long-term intake of drugs like NSAIDS, chronic kidney disease (CKD) or End-stage Renal Disease (ESRD), Familial RCC Syndromes.
Diagnosis
Once the urologist suspects kidney cancer, further imaging is done to confirm kidney cancer and provide the needed kidney cancer treatment.
Here, we utilize the best practices for diagnosis and Kidney Cancer Treatment in Ahmedabad.
(1) CT abdomen - A CT scan of the abdomen is usually the first test that is recommended by treating doctor for diagnosis and staging RCC. It gives vital information about the size, location, and number of kidney masses along with local spread.
(2) MRI abdomen - On rare occasions, an MRI is suggested before or after a CT scan if the Kidney Cancer Specialist suspects locally advanced malignant disease or an allergy to intravenous contrast material or spread to IVC.
(3) Kidney Biopsies - Radiological diagnosis is mostly confirmatory of Kidney Cancer. Urologists may recommend a Kidney biopsy in certain cases like small renal mass or before choosing Active Surveillance for Treatment or starting chemotherapy in Neoadjuvant or Metastatic RCC.
(4) Chest CT - It is usually reserved for patients who have pulmonary or respiratory symptoms or an abnormal chest radiograph.
(4) Bone Scan - It may be advised in cases of advanced cancer or if patients have symptoms of bone pain or fracture.
(4) PET-CT Scan - It is the latest modality in cancer staging where the whole body is scanned by advanced imaging for cancerous cells. It may be advised if chances of having an advanced stage of kidney cancer are high.
Early diagnosis and prompt referral or consultation with a Uro-oncologist significantly impact treatment effectiveness and patient prognosis.
Treatment of Kidney Cancer
Once diagnosis and Staging of the disease have been done, the next step is deciding on the treatment for improving outcomes. Each treatment, be it traditional open surgery or the latest Robotic Surgery, has its purpose and advantages. At our hospital, Dr. Rohan Patel, one of the Best Uro Oncologists in India, with over years of experience in providing the best Kidney Cancer Surgery in Ahmedabad, decides the most effective treatment based on the cancer type and stage.
Radical Nephrectomy
It consists of the removal of the entire tumor-bearing kidney along with surrounding lymph nodes. It is done when cancer involves a large part of the kidney, has grown outside the organ, or has invaded the vein (IVC). The decision to perform a Robotic Nephrectomy is made by studying a CT scan or MRI and the status of the opposite normal kidney. The procedure can be done via the traditional open surgery, laparoscopic method, or the latest and the most advanced surgical method patients find is the Robotic surgery for Kidney Cancer in Ahmedabad at our clinic.
Partial Nephrectomy
Also known as Nephron Sparing Surgery or NSS, it consists of the process of removing just the cancer while preserving the remaining normal part of the kidney. It leaves the normal kidney intact, thereby decreasing the risk of developing chronic kidney disease (CKD) in the future. It is usually recommended in case of tumors <7> cm in size, patients with already decreased renal function, or having only a single kidney.
Robotic Surgery in Kidney Cancer
Robotic Surgery in Kidney Cancer (Robotic Partial Nephrectomy) is an advanced form of minimally invasive surgery, that has revolutionized urological cancer procedures. Its advantages like precision, smaller incisions (<1> cm), magnified vision (10X), reduced blood loss, quicker recovery, and shorter hospital stays have made it a Gold standard for kidney cancer surgery.
Thermal Ablative Therapies
In select cases, Thermal ablative therapy may be chosen. It includes renal cryosurgery and radiofrequency ablation (RFA). They are an alternative form for patients with localized RCC. Both offer the potential for reduced morbidity and more rapid recovery. It is usually reserved for patients who are deemed unfit to undergo surgery or who refuse surgical intervention.
Active Surveillance
It consists of serial monitoring of cancer at regular intervals by imaging, and intervention in case of an increase in size in the future. It is an acceptable management strategy for carefully selected patients who are not candidates for conventional surgery or thermal ablative approaches. For those requiring a more advanced surgical option, we offer robotic nephrectomy in Ahmedabad, providing a minimally invasive and precise treatment. Ideal patients for this form of treatment are those with small renal lesions, who are elderly or have poor surgical risks.
Chemotherapy
In advanced cases, or metastatic RCC stage 4, the oncologist advises chemotherapy, Immunotherapy, or targeted therapy as a part of your treatment.
Early-stage cancer is associated with excellent outcomes and cures. Although the advanced stage is associated with less favorable outcomes, remarkable advances have been made in the field of immunotherapy and targeted therapy for kidney cancer, thereby improving outcomes. At our clinic, we follow Internationally accepted prognostic models to estimate the outcomes depending on the stage. Such patients with early-stage cancer who have undergone Kidney Cancer Surgery in Ahmedabad from our expert have witnessed better results. Our experienced Surgeon, Dr. Rohan Patel, discusses the prognosis of the disease by evaluating the tumor stage and patient factors.
For consultation or 2nd opinion with the best UroOncologist For Kidney Cancer Treatment in Ahmedabad, India, contact us to book an appointment.
Advanced Urology
Better Living
Why Choose Dr. Rohan Patel as Your Kidney Cancer Specialist in Ahmedabad?
At Ananta Urology and Robotics Clinic, we provide personalized care for each patient. You will receive the attention and expertise you deserve. We use advanced robotic surgery techniques that help you recover faster and achieve better results.
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Years of Expertise
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Satisfied Patients
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Successful Robotic Surgeries
Comprehensive Cancer Team
Top-Rated Urooncologist
Fellowship from Vattikuti Foundation (USA)
FAQS
Yes. Early-stage kidney cancer is completely curable. As the stage of the disease increases
the survival rates decrease. Stage 1 kidney cancer is completely curable. Stage 4 kidney
cancer is associated with less than 15% 5-year survival rates if not treated.
Survival rates of kidney cancer depend upon the Kidney cancer stage as well as the overall
health of the patient. If detected early, Kidney cancer
surgery is associated with a complete cure.
Treatment of kidney cancer depends upon the size of the tumor and local or distant spread.
In tumors < 7 cm in size or Stage 1, robotic partial nephrectomy is the treatment of choice.
If the tumor is larger or in stage 2, Radical Nephrectomy or complete removal of the
kidney is usually the treatment of choice. In stages 3 and 4, usually, a combination of
surgery (Radical Nephrectomy) and chemotherapy is recommended. The final decision is
made by a team of Kidney Cancer Specialist.
As with any surgery, certain risks are commonly related to anesthesia. Expert Kidney
Cancer Surgeon mentions that complications specific to surgery include bleeding, urine
leak, recurrence, and infection. With Robotic Surgery at the Best Hospital for Kidney
Cancer Treatment in Ahmedabad, complication rates are low.
The cost of kidney cancer surgery depends on various factors like the hospital, complexities of the tumor, patient comorbidities, and the length of stay. It also depends on the modality of surgery, whether robotic, laparoscopic, or open surgery. If you are seeking guidance from a kidney cancer specialist in Ahmedabad, they can help you choose the best surgical option based on your condition. Robotic surgery is the most common technology utilized worldwide, and the average cost ranges from ₹4-5 lacs in India.
