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Doctor insights on: Status Post Right Partial Nephrectomy Renal Carcinoma

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What is the survival rate for sarcomatoid renal cell carcinoma after a partial nephrectomy. Encapsulated and clear margins ?

What is the survival rate for sarcomatoid renal cell carcinoma after a partial nephrectomy. Encapsulated and clear margins

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Good: The survival rate for renal cell carcinoma is determined by several factors, including the stage and grade. Although sarcomatoid is a more aggressive variant of the disease, most predictive programs do not factor this into estimates of survival. For a small tumor (< 4 cm), well encapsulated and completely removed the 5 year survival should be > 90%. ...Read more

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Dr. Barry Rosen
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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


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I am 9 weeks post op for renal cell carcinoma (partial nephrectomy) and I have a jp pump and a nephrosty tube. For how long?

I am 9 weeks post op for renal cell carcinoma (partial nephrectomy) and I have a jp pump and a nephrosty tube. For how long?

Await healing leak: Having a nephrostomy tube and jp drain for 9 weeks after a partial nephrectomy would be very unusual. I assume that this was because of a urine leak after surgery? Urine leaks, while rare, can occur, particularly if the tumor was large or very central in the kidney. However, your course is unusual and i would recommend you ask your surgeon specifically what the long term plan for management is. ...Read more

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What is the survival rate of renal cell carcinoma patients who have had treatment with nephrectomy?

What is the survival rate of renal cell carcinoma patients who have had treatment with nephrectomy?

Depends on stage: Renal cell carcinoma, like every other cancer, has a staging system. Within any one stage, survival is usually quoted as 5-yr survival, that is, the % of patients one can expect to still be alive in 5 years. So a nephrectomy might be performed on a patient in stage i, and have excellent survival, or in stage IV and have poor survival. ...Read more

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What r the chances of getting back renal cell carcinoma for an old male (63 yrs) after being cured by nephrectomy & taking nexavar (sorafenib) ?

What r the chances of getting back renal cell carcinoma for an old male (63 yrs) after  being cured by nephrectomy & taking nexavar (sorafenib) ?

It depends: This is not an easy answer, because it depends upon the stage of your original tumor and your surgical pathology. I would ask this question of your urologist or oncologist, who know the specifics of your case. ...Read more

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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?

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

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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

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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?

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

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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

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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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Can you list the key lab results I should be monitoring in a f 70y/o, 2nd day post op pt after a partial nephrectomy w/ renal cell ca. ?

Can you list the key lab results I should be monitoring in a f 70y/o, 2nd day post op pt after a partial nephrectomy w/ renal cell ca.
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Bun, creat, cbc: Monitor renal function ( bun, creatinine, potassium or bmp 7) and CBC to make sure he is not bleeding post op assuming that there are no other abnormalities due to other conditions. ...Read more

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When you have a partial nephrectomy for stage 1 grade 3 clear cell kidney cancer, how can you tell if the lymph nodes are clear?

When you have a partial nephrectomy for stage 1 grade 3 clear cell kidney cancer, how can you tell if the lymph nodes are clear?

Only Time Will Tell: Usually, lymph nodes are not removed at the time of partial nephrectomy, unless suspicious on pre-op imaging. Post-op imaging surveillance will be necessary to watch for recurrence. If no nodal enlargement is observed over the following years, then the nodes are not involved. ...Read more

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I have had a nephrectomy due to renal cell carcinoma in 2011. My CMP= creatinine 1.72, GFR 31, ALT 68, AST 45. are ^ numbers due to diabetes/kidneys?

I have had a  nephrectomy due to renal cell carcinoma in 2011. My CMP=  creatinine 1.72, GFR 31, ALT 68, AST 45. are ^ numbers due to diabetes/kidneys?

Nephrectomy: ...will reduce kidney function in half resulting in increased serum creatinine (Cr) and reduced (GFR). With time the kidney compensates through hypertrophy, and these numbers partially normalize. Your numbers are not normal suggesting another cause of kidney dysfunction, possibly from diabetes, if there is a longstanding history of this. The increased AST and ALT suggest mild liver dysfunction. ...Read more

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If I had a nephrectomy due to renal dysplasia, but was told my remaining kidney was healthy, how often should I get my kidney checked?

If I had a nephrectomy due to renal dysplasia, but was told my remaining kidney was healthy, how often should I get my kidney checked?

Infrequently: Prognosis for normal health + life span is excellent. Solitary remaining kidney will provided more function than you need as has undergone so called compensatory hypertrophy. Avoui xs animal protein or added salt in diet. (good advice for everyone) annual blood pressure check and biannual blood creatinine check should more than suffice and can be performed by your primary health care physician. ...Read more

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All the types of kidney cancer requires total nephrectomy??? Or it's depending on the aggressiveness and grade and size of the cancer ??

All the types of kidney cancer requires total nephrectomy??? Or it's depending on the aggressiveness and grade and size of the cancer ??

Here are some...: How much kidney tissue needs to be remove, totally or partially, chiefly depends on the size and location of the tumor, which contribute to if the mass could be successfully removed with renal tissue preservation. Of course, professional experience and proficiency with updated thought and skill are important for the care. So, ask the surgeon to see how and what he/she may thing. ...Read more

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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. Richard Link
1,056 doctors shared insights

Nephrectomy (Definition)

Surgical removal of kidney for ...Read more