Renal Cell (Kidney) Cancer - Stage and Survival

kidney_small.jpg (5720 bytes)

Five Year Survival Table for Kidney and Renal Pelvis Cancer Cases Diagnosed in 1998 and 1999 All States / Data Reported from 1234 Hospitals Type of Hospital

Current national survival data
 


Primary tumor (T)

    T0: No evidence of primary tumor
    T1: Tumor 7 cm or less in greatest dimension limited to the kidney
    T2: Tumor more than 7 cm in greatest dimension limited to the kidney
    T3: Tumor extends into major veins or invades adrenal gland or perinephric tissues but not beyond Gerota's fascia
         T3a: Tumor invades adrenal gland or perinephric tissues but not beyond  Gerota's fascia
         T3b: Tumor grossly extends into the renal vein(s) or vena cava below the diaphragm
         T3c: Tumor grossly extends into the renal vein(s) or vena cava above the diaphragm
    T4: Tumor invades beyond Gerota's fascia Regional lymph nodes (N)

NX: Regional lymph nodes cannot be assessed
N0: No regional lymph node metastasis
N1: Metastasis in a single regional lymph node
N2: Metastasis in more than 1 regional lymph node
Note: Laterality does not affect the N classification.

AJCC stage groupings

Stage I : T1, N0, M0
Stage II : T2, N0, M0
Stage III : T1, N1, M0 , T2, N1, M0 , T3a, N0, M0 , T3a, N1, M0 , T3b, N0, M0 , T3b, N1, M0 ,T3c, N0, M0 , T3c, N1
Stage IV: T4, N0, M0 , T4, N1, M0 , Any T, N2, M0 , Any T, Any N, M1

Stage and Survival from NCDB (National Statistics)
Stage Incidence 5 Year Survival
I 9% 85%
II 41% 84%
III 16% 59%
IV 24% 11%
All   58%


Survival from the Literature
Stage 5 Year Survival
I 51 - 93%
II 47 - 68%
III 12 - 60%
IV 0 - 20%

1