Category Archives: Kidney Cancer

I have kidney disease and my gfr is around 27 and I have just been diagnosed with a renal cancer mass that is around 5cm. What choice would be best for me? I am also obese. If I choose to do nothing, what would happen? Thank you.

The problem that you pose is very complex. In this case, you would have to consult with both a nephrologist and a urologist for a discussion of the risks and benefits of kidney surgery. Kidney surgery could cause your kidney … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Cancer, Kidney-Related Health Questions, Nephrologist, Urological Issues

I was found to have a 6.8 x 5.6 x 4.7 cm lower pole septated cyst. What are the chances this is a concern for AKA cancer? I’m 58 in good health. The cyst was 1.6 cm in 2009.

The question that you ask is a urological question.  I am a nephrologist and do not deal with cancers of the kidney.  In the case of the septated cyst that you mention, the radiologist should describe the cyst using the … Continue reading

Posted in Ask the Doctor, Kidney Cancer, Kidney Cysts, Kidney-Related Health Questions, Nephrologist, Urological Issues

Last year in September, I had got back pain and I got an ultrasound done and they told me I had a small cyst but they told me to come back in 6 months.  I started to have pain on both kidneys and it is hard for me to use the restroom because it hurts to push . It’s hard to bed over or stretch.

I am unable to make a specific diagnosis based on the information that you present.  I do not recognize this as a form of kidney disease.  I suggest that you consult with your primary care physician (PCP) and have a … Continue reading

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

I’m at stage 3b kidney failure. I had 20 % of my left kidney removed in 2015 because they found a mass that was RCC.  They just recently found a mass in my right kidney through ultrasound. I have been having real pain in my right and left kidney not to mention chronic pain in my back. My question to you is, Is it possible to have RCC in my other kidney? And I also have a tumor in my upper right lung “too small for them to do anything with it except monitor it.” I have had to change my diet because my phosphorus level is real high. Is that a sign that it could be RCC again? I’m very scared of my outcome. My dad passed at 50 and my brother at 43. They both had kidney disease and diabetes, and CHF.  

Kidney cancer is usually cared for by urologists.  I am a nephrologist and have very limited experience with kidney cancer.  I am aware that if you have had cancer in one kidney, then you are more prone to have cancer … Continue reading

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

I am 78 years old and had a total nephrectomy due to large benign Oncocytoma tumor. No test for oncocytomas, and all tests suggested tumor was a malignant cytoma. Should I dump my urologist or in addition, find a nephrologist to give me a total check up to determine staging of my remaining right side kidney?

As you have had removal of one of your kidneys, it is likely that you have chronic kidney disease (CKD).  Your primary care physician (PCP) is well aware of the followup of patients who have a single kidney.  You should … Continue reading

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

My kidneys have a tumor on them. The left kidney bleeds out sometimes. The Doctor said it’s cancer. They will remove it but I will not have to much time left. The operation will carry me away a few years from now.

The problem that you pose is a urological problem. I suggest that you consult with a urologist. A urologist is a surgeon and deals with the urinary tract.  I am a nephrologist and I have no surgical expertise.

Posted in Ask the Doctor, Kidney Cancer, Kidney-Related Health Questions, Urinary Tract Infection/Pyelonephritis

My husband is waiting for a kidney. He has a donor willing to do the paired kidney exchange. He was diagnosed with kidney cancer. A cryoablation was performed on him. My question is, will he still be eligible for a transplant? If so, can they remove the bad kidney at the time of transplant? He had stage 2 cancer.

I am not a surgeon, and have no specific expertise in kidney cancer.  In this case, your husband will have to discuss this with his urologist who is a surgeon.  This should also be discussed with the transplant nephrologist and … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Kidney Cancer, Kidney-Related Health Questions, Nephrologist, Symptoms and Side Effects

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