Most cancers have different stages in which the disease progresses through the body. If the disease is caught in
its earlier stages, the treatment options are greater and have more chances for success. Renal cancer is no different.
Renal cancer has four different stages of illness: Stage I, Stage II, Stage III and Stage IV (National Cancer Institute,
2007).
Stage I Renal Cancer is confined to the area of the kidney. It usually only consists of a tumor that is
7 centimeters in diameter or less (OHSU, 2006). In some cases, the fatty tissue surrounding the kidney known as Gerota's
Fascia is affected as well (OHSU, 2006). This stage of renal cancer has the greatest number of treatment options
and a high treatment success rate (National Cancer Institute, 2007).
Stage II Renal Cancer is also confined to the area of the kidney. It also can affect Gerota's Fascia of the kidney.
The difference between this Stage II and Stage I is the size of the tumor. In Stage II, the tumor is greater than 7
centimeters in diameter (OHSU, 2006). Just as in Stage I, if renal cancer is caught in this stage is easier to treat.
Stage III Renal Cancer is beginning to spread outside of the area of the kidney (OHSU, 2006). The tumor in this
stage may be any size but it now is extended beyond Gerota's Fascia (OHSU, 2006). Renal cancer in this stage typically
spread to the adrenal gland, surrounding lymph nodes and the renal vein (OHSU, 2006). Cases of cancer that have progressed
to this stage require more in depth treatment.
Stage IV Renal Cancer is the metastatic stage of this disease. By the time the cancer has reached this stage it
has likely spread to other organs as well as the adrenal glands, surrounding lymph nodes and the renal veins (OHSU, 2006).
This stage requires the most aggressive treatment and has the lowest survival rate. My father's cancer was found in
this stage and the cancer had progressed from both kidneys, to his liver and lungs.