2015 Cancer Annual Report

2015 - Public Reporting of Outcomes (Std 1.12)

In the United States, renal cell carcinoma if the sixth most common cancer diagnosed. Here at Fremont Health, it is also a very commonly treated cancer. From the year 2008-2012, it was the fifth most commonly treated cancer. Surgery is a very important part of the treatment of this type of cancer. However, much work must be done prior to undergoing surgery. In order to determine the correct surgery for an individual patient they must first undergo the appropriate imaging.

As a member of the American College of Surgeon’s, Commission on Cancer, Fremont Health Medical Center has a commitment to using the most updated evidence to treat cancer. Data must continually be evaluated to make sure that we are maintaining this standard. We have recently chosen to review the preoperative staging of patients with kidney cancer. In the treatment of kidney cancer the preoperative imaging is of the utmost importance as it helps to guide the surgery. It is currently recommended that every patient with kidney cancer, who is considering surgery, must undergo imaging. This includes either a CT or MRI of the kidney itself, as well as either a CT or X-ray of the chest to confirm that the cancer has not already spread.

Our data from the years 2013-2014 were reviewed. During that time there were 21 new cases of kidney cancer diagnosed. Of those 21 new patients all of them had appropriate imaging. Nineteen of them had a CT scan of the abdomen to evaluate the kidney itself. The other two patients had an MRI. Also, all 21 of those patients had either a chest X-ray or a CT scan of the chest to evaluate for the spread of cancer.

Preoperative imaging for patients newly diagnosed with kidney cancer is of the utmost importance as it determines whether a patient should have a portion or all of their kidney removed. It may also identify patients that will not benefit from having surgery. From 2013-2014, seven patients at Fremont Health Medical Center were able to undergo removal of only part of their kidney because they had the appropriate preoperative imaging according to the most recent guidelines.

In conclusion, the result of this review is that all 21 new cases of kidney cancer diagnosed at Fremont Health Medical Center in 2013 and 2014 were treated appropriately, according to the most recent evidence based guidelines. We will continue to evaluate our own data to assure that the population of Fremont and the surrounding communities is receiving care according to the most recent guidelines.


Dr. Jake Wiesen, MD
Cancer Liaison Physician