Doctor insights on:
Metastatic Renal Cell Carcinoma
My brother has been diagnosed with metastatic renal cell carcinoma stage 4. Am i at risk of this disease . Is this cancer rare?
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
My brother has metastatic renal cell carcinoma and it's spread the doctor said he could pass anytime y r they still giving him chemotherapy?
So sorry : Once cancer metastasizes, it is no longer curable. However, individuals can live for some time especially if they are being treated by chemo or targeted therapies. I don't know your brother's exact situation nor dx. If treatment is too toxic for him, he can elect to stop. Drs may be giving him palliative tx which can help with pain and other symptoms. When time comes, consider hospice to help all. ...Read more
I had nephrectomy in feb. After that i was diagnosed as metastatic renal cell carcinoma (lung cancer). But i don't have any symptoms as doc said.Why?
Congratulations: Renal cell carcinoma is notoriously capricious and unpredictable. It's common for a lung metastasis to vanish or stay stable for many years, especially after removal fo the primary tumor. I'm going to assume the diagnosis is accurate. Cherish being alive and be thankful for whatever time you have left -- fill it with love and good things. ...Read more
Get a good md: Find a doctor you can trust. Get a second opinion if you feel the need to either confirm the treatment course or find a different path. Consider removal of tumor in kidney if possible. Treat sites of metastatic disease aggressively if possible. ...Read more
Treat or observe: Renal carcinoma is a primarily surgical disease. Most patients likely benefit from excision of tumors with the option of partial kidney removal allowing preservation of renal function compared to total removal. Newer options for small tumors include thermal ablation where cold or heat destroys the tumor. In some patients with small tumors and poor health or old age, surveillance can be pursued. ...Read moreSee 1 more doctor answer
Varies with stage: Fortunately many renal cell carcinomas are now being diagnosed at an early stage (when the tumor is small and doesn't invade any other structures) thanks to improvements in imaging (ct scan etc). If early stage, many patients do very well after the tumor is removed. However, as the stage of the tumor increases, the risk of the cancer behaving aggressively increases. So stage helps to predict. ...Read more
Poor: Unfortunately even with chemo, stage IV renal cell has a short survival time. Some reasonably good chemo agents are coming available but present therapies may work for a while, then quit working. ...Read more
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