Grade 1

[Hh2712]

After partial nephrectomy pathology result is renal cells carcinoma, grade 1, t1A, free margins.

What kind of follow up I need and for how many years ?

This type of cancer may come back again?

If yes how can I prevent that?

[Judyanne]

The guidelines can be found in NCCN.org for kidney cancer and AUA.

[greg1976]

Wow, that is great results as far as cancer goes. The chance that you will live WITHOUT cancer showing it's ugly head again is GREAT! I don't know how you will be followed in the future, perhaps surveillance and maybe scans once a year or once every two or three years for a little while? I started off at stage 3, grade 4 and was scanned at my year anniversary. Your doctor will advise you.

Sorry you joined the "club" but I think you are a associate member now. Great job on catching it early!

[Hh2712 in reply to greg1976]

Thanx for ur answer

But I have another question: grade one in rcc means little chance for cancer to come back? Or grade doesn’t determine that?

[greg1976 in reply to Hh2712]

There are lots of factors that go into cancer coming back. The grading is one of the factors. Here is information from the American Cancer Society website: "Renal cell cancers are usually graded on a scale of 1 through 4. Grade 1 renal cell cancers have cells that look a lot like normal kidney cells. These cancers usually grow and spread slowly and tend to have a good prognosis (outlook). At the other extreme, grade 4 renal cell cancer looks quite different from normal kidney cells."

This is what I was told by my Doctor as well. There are some things that could help, not smoking, losing weight and it could not hurt to exercise and eat better.

[Hh2712 in reply to greg1976]

Thanx a lot