Table 1: Canadian Urological Association guidelines for imaging during surveillance after radical or partial nephrectomy for localized and locally advanced renal cell carcinoma (adapted with permission of the Canadian Urological Association9)*
Cancer stage; examinationNo. of months postoperatively
361218243036486072
pT1
History and physical examinationxxxxxx
    Blood tests†xxxxxx
    Chest radiography‡xxxxxx
Computed tomography or abdominal ultrasonography§xx
pT2
History and physical examinationxxxxxxxxx
    Blood tests†xxxxxxxxx
    Chest radiography‡xxxxxxxxx
Computed tomography or abdominal ultrasonography§xxx
pT3
History and physical examinationxxxxxxxxx
    Blood tests†xxxxxxxxx
    Chest radiography‡xxxxxxxxx
Computed tomography or abdominal ultrasonography§xxxxxx
pTxN+
History and physical examinationxxxxxxxxxx
    Blood tests†xxxxxxxxxx
    Chest radiography‡xxxxxxxxxx
Computed tomography or abdominal ultrasonography§xxxxxxxxxx

*If patient is symptomatic or if blood test gives abnormal result, earlier radiologic investigations may be indicated.

†Include complete blood count, measurement of serum chemistry and liver function tests.

‡Can be alternated with chest computed tomography.

§Can be alternated with abdominal ultrasonography in patients with stage pT1-2N0 disease.