A Prospective Randomized Phase III Study Comparing Radical Surgery to Elective Kidney Sparing Surgery for Low Stage Renal Cell Carcinoma

Pt must have solitary T1-T2 renal tumors, suspicious for renal adenocarcinoma in the presence of a normal contralateral kidney. Tumor must be well located so that surgery can be safely done in healthy tissue; should not exceed 5 cm in diameter; must be single on CT scan; does not show evidence of invasion of the perirenal fat (T1-T2) on CT or IVU. Pt must have N0, M0 disease, be fit for surgery with a WHO performance status of less than 2. Pt must not have a solitary kidney, von Hippel-Lindau disease, multifocal disease, T3-T4 tumors, clinical presence of distant or lymphatic mets nor a WHO performance status of greater than 2.