For a tumor of that size most probable Stage I, partial nephrectomy most probable will be curative.
"Definitive treatment — Surgery is curative in the majority of patients with RCC who do not have metastases. Surgery is therefore the preferred treatment for patients with stages I, II, and III disease.
Treatment may require a radical nephrectomy, although a partial nephrectomy to preserve renal parenchyma is preferred for appropriately selected patients. The choice of surgical procedure depends upon the extent of disease, as well as patient-specific factors such as age and comorbidity. Surgery may be carried out through a conventional approach or by a minimally invasive approach such as laparoscopy. (See "Definitive surgical management of renal cell carcinoma"
"Partial nephrectomy — Patients with tumors ≤7 cm and those at risk for a significant loss of renal function should be managed with a partial nephrectomy if it is technically feasible. Partial nephrectomy results in similar oncologic outcomes compared with radical nephrectomy. In addition, it is associated with a significantly lower risk of chronic renal dysfunction [3,18,19]. (See 'Overview of the surgical approach' above and 'Partial versus radical nephrectomy' below.)
As with radical nephrectomy, both open and laparoscopic/robotic techniques are utilized and result in comparable outcomes [20,21]. Although laparoscopic partial nephrectomy is technically difficult, robotic-assisted, laparoscopic partial nephrectomy has evolved as a technique that offers similar outcomes to open partial nephrectomy yet has the advantage of precision and maneuverability to minimize ischemia times [22]. In a meta-analysis of robotic versus open partial nephrectomy that analyzed 3418 patients, robotic partial nephrectomy had a longer operative time but less blood loss, shorter length of stay, and fewer complications [23]. (See "Robot-assisted laparoscopy" and 'Solitary kidney' below.)
They do not mention to follow with radiation or chemo."
This is from UPTODATE the best place in internet for medical information. It is behind a pay wall, I can't post a link.
Good luck. In 1989, a surgeon removed a cancerous tumour the size of an orange, my entire left kidney and all the surrounding lymph nodes. There was no follow-up treatment. In 2010 I was diagnosed with prostate cancer and had 42 radiation treatments which did not cure me. I went on Lupron in early 2014 and have been on it ever since. Current PSA is .26 and has been around that mumber for past five years.
Similar to Sandy 752, I also had a large tumor on my kidney. It was in the center of my right kidney so a partial nephrectomy was not possible. So, in 2015, I had a laparoscopic radical nephrectomy of my right kidney. Out in 3 days. Clean margins so no further treatment and I'm still here fighting PC 7 years later.
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