Category Archives: Kidney Cancer

I was working with a solvent tricholorethylene. Now I lost my right kidney and am waiting for chemo or radiation treatment. Which is less dangerous?

I am a nephrologist and have no expertise with kidney cancer.  I suggest that you consult with a urologist or an oncologist in order to know what to do with kidney cancer.  Kidney cancer is very difficult to treat unless … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Cancer, Kidney-Related Health Questions, Urological Issues

This week I was diagnosed with cancer in my kidney. Originally my urologist said the latest protocol is to try chemotherapy first and then take the kidney if necessary. Now he wants to take the kidney and decide if I need chemo on what he finds during the surgery. I am 75 years old if that is pertinent. What determines the order of chemo/surgery?

I am a nephrologist and do not have any expertise in the surgical or medical management of kidney cancer.  I suggest that you continue to consult with your urologist.  A urologist is a surgeon and has expertise with management of … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Cancer, Kidney-Related Health Questions, Symptoms and Side Effects, Treatments, Urological Issues

I had a kidney tumor removed (partial nephrectomy) – was clear cell renal carcinoma limited to the kidney – grade 1 (2.4cm) but stage 4 (WHO/ISUP 4) with clean margins. Pathology said it had sarcomatoid differentiation (95% sarcomatoid element) and extensive necrosis, extreme nuclear pleomorphism, multinucleate giant cells and /or rhabdoid sarcomatoid differentiation. Adrenal gland not identified and regional lymph noded pnx (could not be assessed. Pt1a grade. 5 questions: 1. Because it was grade 4 my doctor is recommending full removal of the kidney in 6 weeks. Is that the recommended course of action – is it likely that recurrence would be at that kidney again and removal lessens my chance of recurrence? 2. Should I have a PET scan, brain scan, bone scan, etc now since it was grade 4? They are saying just a chest CT is required now? 3. Is my likelihood of recurrence or distant metastes high because it was grade 4 even though it was very small stage 1a? Lots of conflicting information? 4. If the tumor was removed am I considered disease free and now just need aggressive regular surveillance? 5. How would I know if there was microvascular invasion and is the necrosis and sarcomatoid indicators of a recurrance? I’m quite scared so thank you so much for answering my questions!

The questions that you ask are surgical questions and must be asked of a urologist.  I am a nephrologist and do not have any surgical expertise in regards to kidney cancers.  If you have concerns about the opinions of your … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Cancer, Kidney-Related Health Questions, Nephrectomy / One kidney, Treatments, Urological Issues

My left kidney was removed in 2009 due to cancer. The cancer popped back up again on my Right Adrenal Gland which was removed in 2014. In August 2016 they found a spot on my remaining Right Kidney which was too small at the time. I go back for my next scans in March. If it turns out this has grown, will they be able to do a Partial Nephrectomy? If not what can they do?

The question that you ask is a urological problem and should be addressed to a urologist.  I am a nephrologist and have no experience with kidney surgery.  A urologist is a surgeon and deals with tumors and cancers of the … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Kidney Cancer, Kidney-Related Health Questions, Laboratory Testing, Nephrectomy / One kidney, Symptoms and Side Effects, Treatments, Urological Issues

I am 42 years old. I am living in Ethiopia (east Africa). I lost my right kidney because of renal mass in 2007. Currently, on my left kidney there is attenuating left renal mass. Now I am really worried. Dr. please what do you advise me?

The problem that you pose is a urological problem and is treated by a urologist.  You should address your question to a urologist.  I am a nephrologist and have no expertise in kidney tumors or cancer.  

Posted in Ask the Doctor, Kidney Cancer, Kidney-Related Health Questions, Laboratory Testing, Nephrectomy / One kidney, Urological Issues

My husband was diagnosed with kidney cancer Oct 14 with large bite (cancer) out of mid right femur. Had rod insertion immediately followed by 10 radiation treatments. was recovering from walker to cane. Source was large mass in right kidney. it was removed 11/8. Due to ileus complication now on 11/27 still not able to move without walker due to pain/fluid something in right knee. No cancer apparent. We are seeing Oct14 orthopedic doc today – others are scheduled out 2 wks to 30 days. Main question: can he be given a diuretic to remove fluid in lower body? His creatinine is 2.3.

I cannot recommend medical treatment without performing a complete history and physical examination.  The fluid and swelling in his lower legs are likely related to his acute illness and poor nutrition.  I’m not sure using a diuretic would be indicated … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Cancer, Kidney-Related Health Questions, Laboratory Testing, Nephrologist

I’m 37. I have an atrophic left kidney and a non atrophic right kidney as a result of cancer and cancer treatment. What’s my life expectancy?

I am unable to provide a prognosis based on the information that you present.  Your life expectancy will not be based on having a single kidney.  Many people live a normal life with a single kidney.  Your life expectancy will … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Cancer, Kidney-Related Health Questions, Treatments

I’m 37. I have a previous history of High Blood Pressure. I’m in remission from testicular cancer. Before cancer treatment my creatinine was 1.3. Cancer has made my left kidney a little smaller than my right kidney. I have renal atrophy in my smaller left kidney. And since treatment my creatinine has been as high as a 6. In February 2016 my creatinine was 3.5. In April 2016 my creatinine was 2.8. In July 2016 my creatinine is 3.1. My creatinine goes up and down. I’m looking for a way to control it and make my creatinine stable. What do I do?

I am unable to make a specific diagnosis based on the information that you provide.  Cancer treatments can damage the kidney, but I cannot make a specific diagnosis.  I suggest that you consult with your nephrologist and ask for a … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Kidney Cancer, Kidney-Related Health Questions, Nephrologist

My CT scan shows a 1.7 cm lesion highly suspicious for renal cell carcinoma. My question: Do I definitely have renal cell carcinoma? One of my doctor’s said I have kidney cancer, and the other said I would need a biopsy to tell and is ordering an MRI with contrast. I’m confused.

It is not possible to make a diagnosis of cancer based on a Computerized Tomogram (CT) scan of the kidney.  The only way to tell is to do a kidney biopsy or remove the kidney and have it examined.  I … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Biopsy, Kidney Cancer, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Urological Issues

My husband’s GFR is 29 and he has only one kidney. His left kidney was removed because of cancer. He has bladder cancer which was treated 3 times with BCG. This last time it didn’t work. His only option now is to remove the bladder. I guess my question is what is and average time until he gets to stage 5 kidney disease. I want to know because this could be a factor in his decision to remove the bladder.

There is no way to provide a time course of kidney failure in this situation.  There is no way to provide a prognosis for patients with a single kidney.  On average, kidney function declines at a rate of about 1% … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, GFR, Kidney Cancer, Kidney-Related Health Questions, Nephrectomy / One kidney