Doctor insights on:
Complex Kidney Cyst
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
? size, ? location: Can possibly removed by robot assisted surgery if robot available & surgeon is robot trained. Might be candidate for hand assisted laparoscopic surgery or laparoscopically depending upon size & location. Could also be removed by open flank or transabdominal surgery. Discuss with your urologist & don't be shy about getting second opinion if necessary. Good luck. ...Read more
Radiologic: Suspicious for malignancy if cyst appears irregular, if there are thick septations within cyst, calcifications, irregularities, polypoid or solid elements within cyst wall or septations. If complex cuts appears to be enlarging. Should be confirmed by ct with IV contrast if diagnosis is by ultrasound. Also needs 2b followed by serial ultrasound if early intervention is avoided. ...Read moreSee 1 more doctor answer
Stop worrying: The worst that can happen is some heavy-duty bleeding and a trip to the operating room. A fraction of a percent of kidney biopsies are followed by this adventure, but i'd be much more worried about not having a tissue diagnosis on that cyst. ...Read more
Child is having MRI to evaluate 1cm complex kidney cyst. Soonest appt is a month from now. What is the risk of waiting this long? Could it grow?
Minimal: If the child is asymptomatic and this was an incidental finding then it is unlikely going to progress fast. It also depends on age of child and any other risk factors. If it were my child I would not be concerned about waiting a month if he was otherwise healthy. ...Read moreSee 1 more doctor answer
If a 1cm complex kidney cyst has been stable in size for 4 months, what are the chances it is cancer and is it possible for it to spread at this size?
Renal cyst: The fact that it is small and stable after 4 months is a good sign. However another renal ultrasound should be done in 6 months to look for growth or change in structure. There is an increased risk of malignancy with a complex cyst and it should be watched closely ...Read more
How significant is the finding of protein in the urine in a child? If the child has a complex kidney cyst? Repeat sample 1st morning urine showed none
Not very significant: Children frequently "spill" small amounts of protein in their urine when they are very active during the day from their high metabolism and rapid muscle growth. That's why we then check a first morning urine sample. If there is no protein with the morning urine, nothing to worry about at this time. I check a yearly urine sample on these kids, but otherwise no restrictions or reasons to worry. ...Read more
Child has elevated AST liver enzyme (1st test 58, 2nd test 43). Dr says no worry. Also has complex kidney cyst. Is it a sign of cancer spread 2 liver?
Return To Doctor: Child's age/details of Kidney disorder unknown. Liver enzymes (AST, ALT) elevate with liver cell damage however AST elevations can also come from anomalies in other organs, (eg. heart, kidneys & more) & does not point specifically to liver. Your child's AST's are very mildly elevated. With so little info given, suggest you see doctor to discuss cancer fears & to better understand child's condition ...Read moreSee 1 more doctor answer
Which is safer for a child- MRI under deep sedation, or low-dose CT scan with no sedation? This is to evaluate complex kidney cyst.
It depends: The best study really depends on what the doctor is trying to evaluate. Certainly having no sedation may be safer than a procedure with sedation, but may not give as accurate a picture of the kidneys. Children are frequently sedated for imaging procedures because excessive movement will make the study unreadable. ...Read more
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
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