Among the malignant diseases of the kidney, which are treated in our clinic, are:
Renal cell carcinoma (RCC)
Renal cell carcinoma takes its origin from the parenchymatous tissue of the kidney(parenchyma). It is the most common tumor of the kidney. Kidney cancer is the sixth most common type of cancer in men and the eleventh most common type in women. More than 90% of all tumors of the kidney are malignant. Only about 8% of all tumors of the kidney are benign changes (angiomyolipomas, complicated cysts, oncocytomas). Most cancers remain for a long time without any symptoms and are detected as an incidental finding during an ultrasound examination.
The therapy depends among other things from the size and the location of the tumor. Whenever possible, the kidney-conserving therapy (enucleation of the tumor, partial nephrectomy) is sought. With an unfavorable position or large tumors the entire kidney must be removed. Likewise in case of advanced tumors (metastasis, lymph node disease), the entire removal of the kidney is sought. This extends the survival of those afflicted.
Through the use of new substances (antibodies, targeted therapy), even in these cases the treatment was able to be improved.
Urothelial tumors in the renal pelvis or ureter
The tumors of the renal pelvis originate from the mucosal lining of the cavity system of the kidney (renal pelvis, calices, ureters and bladder have the same mucosa).
This tumor is mainly noticed through a painless blood in the urine (hematuria). Through the passage of blood clots colic can occur. Due to an increasing congestion of the kidneys, dull flank pain are also possible.
The treatment consists of a complete removal of the affected kidney together with the ureter and junction of the ureter into the bladder (nephroureterectomy - see the picture at the right side).
Surgical specimen of a complete removal of the kidney together with the ureter due to a tumor of the renal pelvis and of the ureter. By clicking on the diagram you can figure out the different areas.
renal pelvic expansion (pyeloplasty) by obstruction/stenosis of the outlet of the renal pelvic/ureter(usually laparoscopic)
through the urethra and ureter with movable instruments
through the skin
extension/ Expansion of the diverticula of the renal calices with the laser
renal biopsy/ puncture
There is no effective chemotherapy For the renal tumor. But through the use of newest substances (targeted therapy) it is now possible to keep the recurrence of metastases under control for a longer time.
By cancer of the renal pelvis/Ureter chemotherapy can be helpful. Since the tumor is the same like in the bladder tumor, the same substances are applied.