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When and why do doctors monitor kidney tumors with imaging instead of treating them right away, and what does that monitoring look like?

Doctors often use imaging scans to watch kidney tumors before deciding on treatment. VHL disease can cause tumors to grow in the kidneys.

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Doctors use imaging tests, such as scans, to watch kidney tumors before deciding whether to treat them.

Von Hippel-Lindau (VHL) disease can cause tumors to grow in the kidneys. It can also cause tumors and cysts in other organs. Some of these kidney tumors can become cancerous. Detecting and treating VHL disease early is considered important. Because of this, care teams use imaging tests to look for tumors and cysts. The treatment a tumor needs depends on where it is. It also depends on how big the tumor has grown. Doctors aim to treat tumors while they are still small. The goal is to treat growths before they cause lasting damage. Treatment usually involves surgery, though some tumors are treated with radiation therapy instead. A doctor or medical team familiar with VHL disease watches closely for changes. This kind of care continues until treatment is needed. Your care team can explain what your imaging tests are checking for. They can also explain what your results mean.

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