Doctor insights on:
Renal Ultrasound And Kidney Cancer
30 yr old female. Had renal ultrasound for micro hematuria. Left ureter jet wasn't firing. Kidney blood test normal. Could this be cancer?
Blood in urine: It is not likely that you have a cancer. I see you are taking anticoagulant meds. This can predispose to hematuria. Given the ultrasound finging of what could be slowed urine passage thru one ureter, coupled to microhematuria, I recommend further dialogue with your docs. An IVP or better, a CT-IVP is a valuable next test. ...Read more
An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more
31 yo husband bp uncontrolled did a 24 hr urine and kidney ultrasound (abnormality found) family hx of kidney cancer, poss cancer with abnormality?
Need further testing: If indeed a possible kidney mass was found on ultrasound, a CT scan (renal mass protocol) needs to be done in follow-up to confirm the presence of a mass and also to get an idea if there are any abnormally enlarged lymph nodes or other abnormalities in other organs. This is because ultrasound is very limited in resolution. A look at the adrenal glands with CT to rule out mass is important also. ...Read more
I have had kidney cancer CT scan now show another small lesion in the same kidney but ultrasound does not?
38 yr male, good shape, avid runner. Traces of blood in urine. Dad diagnosed with kidney cancer at 40. Dr ordered ultrasound. Would this show cancer?
Not necessarily: Traces of blood in urine can result from many reasons, running and exercise is amongst few of the benign reasons, however it can be an early sign of cancer as well. A thorough investigation is mandatory for anyone with strong family history. One should consult the PCP right away and ideally should be evaluated by a Urologist. A kidney ultrasound is one of the many tests needed. ...Read more
Renal ultrasound showed small hyperechoic foci in both kidneys. What can cause multiple small stones in both kidneys in a 33 yr. Old male? Could taking high vit d daily with calcium long term cause it
Kidney stones: The question is why are you taking vitamin d and calcium (c) at all? Your stones could certainly be due to taking those agents. Have a physician order a 24 hour urine collection for uric acid, c and phosphorus levels. If your calcium is high in it, you may need to be on diuretics to reduce the c there. Have a doctor discuss with you the reasons you should or should not be on vit d and c. Good luck. ...Read more
What is exophytic renal cysts? My husband has one that is measured 8mm. Could it be a precursor to kidney cancer?
Unlikely: Exophytic renal cysts are simply cysts that extend outside the kidney capsule. You can envision a "pimple" on the surface of the kidney. Endophytic cysts are those that are buried within the kidney cortex. The 8 mm cyst is very small and difficult to characterize on noncontrast imaging. However, such a small lesion without complex features is highly unlikely to be cancerous. May deserve followup. ...Read more
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
What is a t1 htperintense right lower pole renal lesion most likely 1cm complex cyst scanhave repeat 6mths. Kidney cancer runs family Could be cancer?
Cyst in kidney: Right now the 1 cm cyst looks pretty small and benign. However it could turn into something solid or can get larger. 6 months is a good time to repeat it. If it looks the same in 6 months then it probably is not malignant or even if it is a cancer, it probably is slow growing and less likely to be aggressive. ...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
Varies: The urine collecting system is supposed to flow out, not back & reflux describes back flow. Two issues have importance;chance of infection going up to the kidney from the bladder& pressure stretching open the collecting system. Low grade reflux will often disappear within a year or two, high grade reflux may require surgery.Discuss your kids findings & explore your options. ...Read more
My brother in law has renal kidney cancer that has spread to his lymph nodes and bones, what is his life expectancy?
Difficult to predict: Each individual case is unique & predictions are very difficult. Factors such as tumor histology, size, & prior surgery have an impact on prognosis. Data from large series show that median survival for patients with stage IV disease is 16-20 months, and the 5 year survival rate is less than 10% for patients with distant metastases. Many new drugs have been developed that may improve survival. ...Read more
Still waiting on my most recent labs but my labs from last week my GFR was 84? This is still a normal value correct? Hydronephrosis r kidney no obstruction on ct, scheduled to have renal ultrasound to verify on 1/16.
The renal ultrasound and kub X-ray shows no stones in kidneys or gall bladder but a urinal stone. What might be the reason?
Renal Cell Carcinoma - had radical nephrectomy left kidney, cancer has spread to the lungs - surgery not an option. Life expectancy w/o treatment?
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 more
Yes: There is no contraindication for spiriva in this scenario. ...Read more
North America: The incidence of kidney cancer varies greatly between countries but north america (at 15/100, 000) far outranks number 2 which is western europe, followed by other parts of europe, south america, and asia. The lowest rate is in western africa where the rate is only 1/100, 000. ...Read more
I had a left nephrectomy for renal cell cancer t1b tumor. Is there anything I shd be doing to protect the health of my r kidney besides 6mo testing?
Protective measures: Glad you got surgery in time, you can take various protective measures, if some gets chronic renal disease by any reason, out come will be the same with one kidney or having two, first control, BP & wt regular exercises, drink plenty fluids control diabetes (blood sugar), avoiding IV contrast tests, angiotensin, &arb agents found to be useful in protecting kidney (s). ...Read more
Variable: Kidney cancers typically appear solid but distinct from surrounding kidney tissue. Sometimes tumors have cystic (fluid-filled) parts as well which can be well appreciated on ultrasound. Small tumors may be difficult to detect on ultrasound. The rate of growth is not reliably determined by any single study, but is more dependent on the nuclear grade and cell type. ...Read more
My 7 year old has been vomiting and bad belly button pain on and off for 6 months ultrasound shows swollen kidney but ct shows nothing should I do a MRI and would a ct show kidney cancer thanks?
Here are some...: Based on what described, it is reasonable to center the attention to possible disorders of gastrointestinal tract including possible incompatibility with what he/she may consume, that is, foods allergy. If nothing significant could be found, MRI would most likely just waste resource without further benefit to see anything further. More? To http://formefirst. Com/onDealSickness. Html. ...Read more
Variable: Generally speaking, the single strongest predictor of growth rate of kidney cancer is fuhrman grade. Grade refers to microscopic features of the tumor cell nucleus. Certain cell types or variants of kidney cancer may also be associated with rapid growth in that they may typically act aggressively and are usually high grade cancers (eg, collecting duct and medullary cancers). ...Read more
Yes: Some patients develop multiple tumors in the same kidney (if the first was removed by partial removal of the kidney) or in the opposite. Often the second tumor is unrelated to the first. Multiple tumors in a young person is sometimes due to an inherited condition. ...Read more
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
Hypernephroma has become an outdated term for cancerous change of filtrating tubules of kidneys and has bee replaced by renal cell carcinoma; literally, it denotes "overgrowth of kidney cells". Its risk factors are tobacco smoking, long-term OTC pain killer use, etc. In few cases, genetic factor is blamed. More? Contact www. Healthtap. Com/dr-Lin ...Read more
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