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Can Urol Assoc J. 2010 Apr;4(2):E45-9.

Recurrent renal cell cancer: 10 years or more after nephrectomy.

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  • 1Richmond Hill Urology Practice & Prostate Institute, Richmond Hill, ON;


Localized renal cell carcinoma (RCC) responds well to surgery. Patients often question how long they have to be on surveillance after their surgery. Several follow-up patterns have been described in the literature. Until 2009, no published established Canadian guidelines existed to assist Canadian health-care practitioners in the surveillance of these patients. We present 3 cases of RCC that recurred 10 years or longer after the initial nephrectomy. These cases emphasize the need for careful long-term follow-up, as recommended in the Canadian Urological Association guidelines. We also discuss the optimism of prolonged disease survival in the era of novel therapeutic agents that target angiogenesis.

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