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Robson staging of renal cell cancer

contributed by Dr Frank Gaillard on November 7, 2009

System: Urogenital
Section: Staging
Tag: kidney

Robson staging of renal cell carcinoma (RCC) is simple but has largely been replaced by the TNM system (see renal cell cancer staging article). Robson staging revolves around the relationship to Gerota's fascia, involvement of renal vein and regional nodes.

  • Stage 1 : limited to kidney
  • Stage 2 : involvement of perinephric fat by remains limited to Gerota's fascia
  • Stage 3
    • 3A : renal vein involvement
    • 3B : nodal involvement
    • 3C : both 3A and 3B
  • Stage 4
    • 4A : direct invasion of adjacent organs / structures
    • 4B : distant metastases