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A total nephrectomy is the removal of at least the entire kidney, whereas a 'radical nephrectomy' also includes at least some perinephric fat, possibly including Gerota's fascia, and usually also the ipsilateral adrenal gland. [10] For some illnesses, there are alternatives today that do not require the extraction of a kidney.
Surgery for metastatic disease: If metastatic disease is present surgical treatment may still a viable option. Radical and partial nephrectomy can still occur, and in some cases, if the metastasis is small this can also be surgically removed. [10] This depends on what stage of growth and how far the disease has spread.
Nephrectomy or partial nephrectomy is usually recommended for PRCC treatment, often accompanied with several targeted molecular therapies to inhibit metastatic spread. [8] [9] PRCC patients are predominantly male with a mean age of 52–66 years. [10]
Radical surgery, also called radical dissection, is surgery that is more extensive than "conservative" surgery. In surgical oncology , radical surgery is surgery intended to remove both a tumor and any metastases thereof, for diagnostic and/or treatment purposes. [ 1 ]
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