Editing Non-RCC Renal Malignancies (section)

=== Management ===

*'''Primarily a surgical disease'''
**'''Wide excision is the goal with intraoperative monitoring of margin status'''
***The initial resection is the key event because this is the best chance for a long-term cure. 
***This often mandates RN along with en bloc excision of adjacent organs.
*'''Chemotherapy'''
**'''Has demonstrated some activity against metastatic sarcomas'''
**'''Response rates are disappointing'''
*'''Combined radiation therapy and chemotherapy'''
**'''Has proved effective in an adjuvant setting for the management of sarcomas of the extremity, has not provided much benefit for renal or retroperitoneal sarcomas'''. 
*A multimodal approach is often pursued if performance status allows, given the poor prognosis.