label: Stage IV Renal Cell Cancer AJCC v6
label_lc: stage iv renal cell cancer ajcc v6
description: Stage IV includes: (T4, N0, M0); (T4, N1, M0); (Any T, N2, M0); (Any T, Any N, M1). T4: Tumor invades beyond Gerota's fascia.  N0: No regional lymph node metastases.  N1: Metastasis in a single regional lymph node.  N2: Metastasis in more than one regional lymph node.  M0: No distant metastasis. M1: Distant metastasis. (AJCC 6th ed.)