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Doctor insights on: Clear Cell Renal Cancer

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Dr. Steven Ginsberg Dr. Ginsberg
Internal Medicine - Hematology & Oncology
33 years in practice
State University of New York Downstate Medical Center College of Medicine
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Received a diagnosis 1 yr and 8th months ago for stage 4 clear cell renal cancer. My organ functions are normal. Life expectancy?

Received a diagnosis 1 yr and 8th months ago for stage 4 clear cell renal cancer. My organ functions are normal. Life expectancy?

Difficult to answer: Many variables are evaluated to determine a prognosis. A medical oncologist is knowledgeable and should be consulted. ...Read more

Dr. Barry Rosen
4,316 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


Dr. William A Biermann Dr. Biermann
Internal Medicine - Oncology
42 years in practice
Jefferson Medical College of Thomas Jefferson University
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How effective is pet scan in detecting metastatic clear cell renal cancer if its used as per scheduled?

How effective is pet scan in detecting metastatic clear cell renal cancer if its used as per scheduled?

Not normally used: Pet scan can be used for evaluation of metastatic renal cancer. It is not currently recommended as a regularly scheduled test for follow-up according to the nccn. These guidelines are made by a group of experts in each cancer area. ...Read more

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Dr. William A Biermann Dr. Biermann
Internal Medicine - Oncology
42 years in practice
Jefferson Medical College of Thomas Jefferson University
3
Dr. Donald Higby Dr. Higby
Internal Medicine - Oncology
48 years in practice
Stanford University School of Medicine
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What"s the prognosis of stage 1 and fuhrman grade-2 clear cell renal cancer in 60 yr asymptomatic diabetic male after 2 yrs of radical nephrectomy?

What"s the prognosis of stage 1 and fuhrman grade-2 clear cell renal cancer in 60  yr  asymptomatic diabetic male after 2 yrs  of radical nephrectomy?

About 90% survival: Depending on the series, you will find estimates from 67% to 94%. With stage i disease, the grade is less important in determining prognosis. A two year disease free interval improves the outlook over the stage alone. ...Read more

Dr. Stuart Hickerson Dr. Hickerson
Family Medicine
28 years in practice
University of Illinois College of Medicine
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Dr. Peter Sadow Dr. Sadow
Pathology
13 years in practice
University of Chicago Pritzker School of Medicine
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After nephrectomy for clear cell renal cancer , pathology lab gave me slides of cancer.How can they be helpful for me in screening/prognosis?

After nephrectomy for clear cell renal cancer , pathology lab gave me slides of  cancer.How can they be helpful for me in screening/prognosis?

Screening/prognosis: Having your slides with you are always helpful. You are young, and rcc is rare in young people except those with familial predispositions, such as von hippel lindau, polycystic kidney disease or tuberous sclerosis. In terms of screening, your slides can be used by pathologists to compare your prior tumor to anything new that arises or assess the grade of your tumor to prognosticate behavior. ...Read more

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Dr. Yash Khanna Dr. Khanna
Family Medicine
53 years in practice
University of Lucknow, K. G. Medical College
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Dr. Andrew Turrisi Dr. Turrisi
Radiation Oncology
43 years in practice
Georgetown University School of Medicine
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Which type of CT scan required for detecting metastatic clear cell renal cancer in chest/abdomen, is it plain or contrast ?

Which type of CT scan required for detecting metastatic clear cell renal cancer in chest/abdomen, is it plain or contrast ?

This sounds like: Radiology calling. It should be the radiologist deciding, but the contrast tends to identify vessels, and some tumors "flush" with contrast. The contrast is iodine based. One wants to see vessels in venous phase in a kidney tumor, and looking for metastasis to liver and lung. I vote for contrast. ...Read more

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Dr. Donald Higby Dr. Higby
Internal Medicine - Oncology
48 years in practice
Stanford University School of Medicine
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Can iron deficiency anemia consider normal response to post- nephrectomy for clear cell renal cancer without metastasis?

Can  iron deficiency anemia consider normal response to post- nephrectomy for clear cell renal cancer without metastasis?

No.: I would be looking for another cause if you have iron deficiency anemia. If you have one functioning kidney, you are probably making enough erythropoietin (which is important in regulating red cell production) but a low epo level would give you a different kind of anemia. Usually iron deficiency anemia in a 60 year old male is due to some sort of blood loss, assuming a normal diet. ...Read more

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Dr. James Krick Dr. Krick
Urology
32 years in practice
Ohio University College of Osteopathic Medicine
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Dr. Gurmukh Singh Dr. Singh
Pathology
45 years in practice
University of Pune, Armed Forces Medical College
11
Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
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Renal cell carcinoma (kidney cancer) at 83years. Would u recommend surgery?

Renal cell carcinoma (kidney cancer) at 83years. Would u recommend surgery?

More info needed: Yes but just because 83 yr old you don't write of people in cancer treatment , could be very healthy 83 , stage of the disease, health status , patient's own desire etc are all the factors to consider, for aggressive treatment, of course end stage, disease palliation and hospice care , make as comfortable as possible is the option at any age. ...Read more

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Dr. Carlos Encarnacion Dr. Encarnacion
Internal Medicine - Oncology
31 years in practice
University of Puerto Rico School of Medicine
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Targeted therapy for stage 1 renal cell carcinoma(kidney cancer), can you tell me more about this?

Targeted therapy for stage 1 renal cell carcinoma(kidney cancer), can you tell me more about this?

Surgery: Stage i cancer of the kidney is treated successfully with surgery (total or partial nephrectomy). I'm assuming by targeted therapy you mean agents like sunitinib, sorafenib, axitinib, or everolimus. Those are approved for advanced cancer (stage iv). I believe there are clinical trials using them after surgery for high risk patients (stage iii) but not in stage i. ...Read more

Dr. Ka-Lok Tse, M.D. Dr. Tse, M.D.
Internal Medicine - Nephrology & Dialysis
27 years in practice
Jefferson Medical College of Thomas Jefferson University
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Renal Cell Carcinoma - had radical nephrectomy left kidney, cancer has spread to the lungs - surgery not an option. Life expectancy w/o treatment?

Renal Cell Carcinoma - had radical nephrectomy left kidney, cancer has spread to the lungs - surgery not an option.  Life expectancy w/o treatment?

RCC: The American Cancer Society reports the following five-year survival rates: •stage 1: 81 percent •stage 2: 74 percent •stage 3: 53 percent •stage 4: 8 percent ...Read more

Dr. Sean Williamson Dr. Williamson
Pathology
9 years in practice
Temple University School of Medicine
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What is necrosis in reference to renal cancer and would it be clearly stated on a pathology report as the percentage of sarcomatiod is ?

What is necrosis in reference to renal cancer and would it be clearly stated on a pathology report as the percentage of sarcomatiod is ?

Dying cells: Necrosis refers to part of the tumor that is dying, presumably because the tumor is growing too rapidly. There is some evidence to suggest that necrosis indicates a worse prognosis although it is not yet included in the required reporting. However if a procedure called embolization is performed to cut off blood flow to the tumor, this type of necrosis is not necessarily bad. ...Read more

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Dr. Raymundo Romero Dr. Romero
Internal Medicine - Oncology
18 years in practice
Loma Linda University School of Medicine
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What is renal cancer spread?

What is renal cancer spread?

METASTASIS: When kidney cancer spreads it goes to the nearby lymph nodes first. If it further spreads it tends to go to the bones or lungs. Kidney cancer is treated initially surgically. When it spreads there are several oral medications to control the cancer. ...Read more

Dr. Howard Adler Dr. Adler
Urology
27 years in practice
Mount Sinai School of Medicine
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What could cause renal cancer?

What could cause renal cancer?

Smoking: Cigarette smoking is associated with many cancers including renal cancer. Certain inherited disorders may also increase the risk of developing kidney cancer. ...Read more

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Dr. Liawaty Ho Dr. Ho
Internal Medicine - Hematology & Oncology
19 years in practice
Udayana University Faculty of Medicine
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Has anyone here survived renal cancer?

Has anyone here survived renal cancer?

Sure: Early stage of renal cancer is curable with surgical resection. The earlier the stage of the cancer, the higher your chance to survive/ to be cured. ...Read more

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Dr. Liawaty Ho Dr. Ho
Internal Medicine - Hematology & Oncology
19 years in practice
Udayana University Faculty of Medicine
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Renal cancer survival rates at 5 years?

Renal cell ca: In general-- stage i kidney cancer-- a 5-year survival rate over 90 % stage 2 - a five-year survival rates ranging from 75 to 95 % stage 3 - ranges from ranges from 46 to 70 % the median survival for patients with stage IV disease is 16 to 20 months in contemporary studies -with 5 year survival less than 10%. ...Read more

Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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What characterizes non-small renal cancer?

What characterizes non-small renal cancer?

There's a mistake: Non-small-cell is a group of lung cancers, not renal (kidney) cancers. I am sorry that someone made a mistake and i hope this helps explain why you have had difficulty finding information. Good luck. ...Read more

Dr. Terence Chapman
305 doctors shared insights