Renal cell carcinoma staging

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Robson Staging of Kidney cancer

• Stage I: Tumor confined within capsule of kidney
• Stage II: Tumor invading perinephric fat but confined within the Gerota fascia
• Stage III:
  • A: Tumor invading the renal vein/IVC
  • B: Tumor in regional lymph nodes
  • C: Tumor with both renal vein and region lymph node involvement.
• Stage IV: Tumor invading adjacent viscera, excluding ipsilateral adrenal, or distant metastases