Doctor insights on:
Metastasized Kidney Cancer Proton Therapy
Doctor, my daughter was diagnosed with stage 4 kidney cancer, metastasized and had her right kidney totally removed. Since the nephrectomy, she has undergone 6 months of chemo, and 15 applications of radiation. Her diagnosis of life expectancy is 7-17 mon
Please pose question: This is devastating, but I am not sure what your question is. Nobody can predict with accuracy survival. So, what is the age, what other medical problems, what was the type of kidney cancer (clear cell renal cell, papillary, sarcomatoid, etc). There are molecular targeted therapies for specific tumor types.... ...Read moreSee 1 more doctor answer
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
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
Depend on stage: If caught early- the best treatment will be surgery to cure the cancer. If unresectable or in advance stage with cancer spreading to other organ- treatment would be an oral smart medicine like tyrosine kinase inhibitor ( sunitinib, sorafenib, pazopanib) vs m-tor inhibitor vs interleukin-2 etc.This treatment will need to be continued as long as it is tolerated and as long as it continues to work. ...Read moreSee 1 more doctor answer
Depend on the stage: Depend on the stage and whether surgery can be done. Surgery to remove the kidney cancer either by removing the kidney entirely or partially would be the best cure for this cancer-in early stage when surgery can be safely done. In advanced stage, when cancer has spread to other organ, it would be incurable. "smart pill" like votrient/sutent etc would be the option- trying to control the disease. ...Read moreSee 1 more doctor answer
What is the followup treatment for kidney cancer t1a, clear cell type, grade 3? Will ultrasounds work or do you need catscans?
Follow up after surg: The nccn guidelines suggest follow-up with your doctor, blood work every 3 then 6 months. A ct is suggested at 2-6 months and as needed. You can look at recommended follow up on nccn.Org. Also t1a should have a a good outcome. I would ask my doctor for the whole plan of follow up. There are often reasons why they might suggest something different than the guidelines. ...Read moreSee 1 more doctor answer
Stage and patient: A number of factors determine what kind of treatment such as stage of disease, size of tumor, comorbidities of the patient, age of the patient, overall kidney function, etc. ...Read more
Renal Cell Carcinoma - had radical nephrectomy left kidney, cancer has spread to the lungs - surgery not an option. Life expectancy w/o treatment?
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