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Urology: Clear cell renal carcinoma — Tumor resection. Treatment

Clear cell renal sarcoma (CCRS) accounts for about 3% of malignant diseases of the genitourinary system in children. This tumor is embryonic, i.e. is developed from embryonic tissue. The bulk of cases is diagnosed from 2 to 5 years old. CCRS is prone to rapid growth and metastasis to the bones, so the treatment is commenced immediately after diagnosis.

Treatment Stages

Usually, the first treatment stage is surgery. For large formations, the initial chemotherapy is advisable, which will reduce the volume of the tumor tissue and facilitate the surgical procedures.

A complete removal of the affected kidney, irrespective of the tumor size, is preferred in patients with CCRS. During the intervention, the surgeon examines all abdominal organs and tissues and excises the suspicious lesions or performs their biopsy. Quite often, the neighboring lymph nodes and adrenals are removed too.

In rare cases, a partial kidney resection is performed. This approach is practiced, if the disease is bilateral, or the child does not have the second kidney.

After intervention, the radiation therapy for the operated area is prescribed. In recent years, the proton therapy has become widely used in pediatric oncology, which, in comparison with a conventional treatment, features a high degree of safety. The method implies irradiation of a pathological focus with proton beams. Most of the energy is released at a preset depth, not distributing around the healthy tissues.

The procedures are conducted daily, except for weekends, for 15 to 20 minutes. The treatment duration varies from 1 to 6 weeks. Irradiation can also be focused on bone and liver metastases. For inoperable CCRS, the proton therapy can be used as a primary treatment.

In parallel with radiotherapy, the anticancer drugs are recommended. The treatment pattern is selected in view of the disease stage. In the early stages, the patients are treated with dactinomycin, vincristine and doxorubicin. At the 3rd and 4th stage, cyclophosphamide, vepezide and other drugs are also used.

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See also for clear cell renal carcinoma:

University Hospital Cologne

9.8/10 from 82 Votes

Department of Urology

Resection of clear cell renal carcinoma #208643

According to the Focus magazine rating of 2017, the Department of Urology at the University Hospital Cologne ranks among the top German departments specializing in prostate cancer treatment! The Department of Urology deals with the treatment of various urological diseases.


location_onCountry: Germany
location_searchingCity: Cologne
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University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

Department of Urology

Resection of clear cell renal carcinoma #201925

A team of 20 physicians at the Department of Urology at the university hospital Klinikum rechts der Isar provides state-of-the-art medical and surgical patient care in all areas of adult and pediatric urology.


location_onCountry: Germany
location_searchingCity: Munich
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University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of Urology and Pediatric Urology

Resection of clear cell renal carcinoma #210733

According to the Focus magazine rating of 2017, the Department of Urology and Pediatric Urology ranks among the top German departments specializing in prostate cancer treatment! The department specializes in urological tumor diseases, endourology with modern kidney stone therapy, treatment of benign...


location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

Department of Adult and Pediatric Urology

Resection of clear cell renal carcinoma #355997

The Department of Adult and Pediatric Urology offers the full range of services in this medical field.


location_onCountry: Germany
location_searchingCity: Hamburg

University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from 40 Votes

Department of Urology

Resection of clear cell renal carcinoma #203707

The Department of Urology at the University Hospital of Munich is a patient-oriented maximum medical care hospital, which offers the full range of urological diagnosis and treatment options at the highest level.


location_onCountry: Germany
location_searchingCity: Munich
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HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Department of Adult and Pediatric Urology

Resection of clear cell renal carcinoma #388862

The Department of Adult and Pediatric Urology offers the full range in these medical focuses. The department specializes in the diagnosis and treatment of all diseases of the urogenital tract in adults and children.


location_onCountry: Germany
location_searchingCity: Krefeld

Leverkusen Clinic

10/10 from 23 Votes

Department of Urology and Pediatric Urology

Resection of clear cell renal carcinoma #301022

The Department of Urology and Pediatric Urology at the Leverkusen Clinic provides not only conservative, but also surgical treatment of all diseases of the kidneys, adrenal gland, ureter, bladder, prostate and male reproductive organs, including pediatric urology.


location_onCountry: Germany
location_searchingCity: Leverkusen

University Hospital Muenster

9.8/10 from 78 Votes

Department of Urology and Pediatric Urology

Resection of clear cell renal carcinoma #294114

The chief physician of the Department of Urology and Pediatric Urology at the University Hospital Muenster is Prof. Dr. med. Andres Jan Schrader. As a highly qualified urologist, Prof. Dr. med.


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location_searchingCity: Muenster

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

Department of Urology

Resection of clear cell renal carcinoma #338745

The Department of Urology at the Vivantes Humboldt Hospital offers the whole range of urological diagnostics and treatment. It specializes in surgical and conservative treatment of urological oncological diseases, urolithiasis and benign prostatic hyperplasia as well as urinary incontinence.


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location_searchingCity: Berlin

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Urology

Resection of clear cell renal carcinoma #204091

The department of urology treats diseases of the urinary tract of women and men and the internal and external male sexual organs.


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location_searchingCity: Munich

PAN Clinic Cologne

9/10 from 14 Votes

Department of Urology

Resection of clear cell renal carcinoma #221605

The Department of Urology offers counselling and treatment of patients with all kinds of urological and andrological problems.


location_onCountry: Germany
location_searchingCity: Cologne

Urology Hospital Munich-Planegg Munich

9/10 from 23 Votes

The Department of Urology and Pediatric Urology

Resection of clear cell renal carcinoma #335108

The Urology Hospital Munich – Planegg offers the full range of diagnosis and treatment of urological diseases in women, men and children. The hospital is primarily specialized in the surgical treatment of malignant tumors of the genitourinary system (prostate, bladder and kidney cancer).


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location_searchingCity: Munich

Hannover Medical School

9.8/10 from 43 Votes

Department of Urology and Urological Oncology

Resection of clear cell renal carcinoma #245923

The Department of Urology and Urologic Oncology at the Hannover Medical School encompasses the entire range of modern urology with a special focus on treatment of oncological diseases of the urogenital system.


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location_searchingCity: Hannover

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Urology

Resection of clear cell renal carcinoma #328003

The Department of Urology at Rambam Health Care Campus specializes in the diagnosis and treatment of urinary tract diseases in men and women, as well as of male reproductive disorders.


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Vivantes Auguste-Viktoria Hospital Berlin

9.7/10 from 23 Votes

Department of Urology

Resection of clear cell renal carcinoma #341590

The Department of Urology at the Vivantes Auguste-Viktoria Hospital treats the whole spectrum of urological diseases. One of the key areas of specialization is the diagnosis and treatment of prostate, bladder and kidney tumors with the minimally invasive methods.


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location_searchingCity: Berlin

Vivantes Am Urban Hospital Berlin

9.7/10 from 23 Votes

Department of Urology

Resection of clear cell renal carcinoma #340477

The Department of Urology offers prompt and conservative treatment of urological diseases at the highest level. The main goal of all employees of the department is to support the patient, provide him with competent and individual counseling, and develop an optimal treatment strategy.


location_onCountry: Germany
location_searchingCity: Berlin




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