Doctor insights on:
What Causes Anemia After A Partial Nephrectomy
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 moreSee 1 more doctor answer
I had a partial Nephrectomy due to Liposarcoma. Did this cause my Adrenal Gland to stop functioning? I am now on Steroids.
Lose an adrenal?: Hi. Even if you lost the adrenal on the side that had the partial nephrectomy, the remaining adrenal would be enough to provide all the cortisol and aldosterone you need. What "steroid" are you on? It's not listed in your meds (except for cortisone injections in ankle). Did your doc diagnose you with adrenal insufficiency? We need more info. Good luck! ...Read more
What is the survival rate for sarcomatoid renal cell carcinoma after a partial nephrectomy. Encapsulated and clear margins
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 moreSee 1 more doctor answer
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.
Only part removed: A partial nephrectomy is when only part of one kidney is removed. A while ago it was standard to simply remove the entire kidney. Medical knowledge and surgical techniques now allow us to remove only the area of concern. This leaves you with more total kidney tissue and thereby more kidney function (cleaning capability) after the procedure. Good luck. ...Read more
See below: After bilateral nephrectomy, you would need some form of dialysis or transplant, as lack of kidney function leads called ckd leads to higher blood pressure besides salt excess, increase hormonal influences like increase angiotension and catecholamines also cause hypertension. ...Read more
Why anemic?: The initial approach to the patient with anemia is to perform a complete history and physical examination along with a review of the results of a complete blood count (CBC) with white blood cell differential, platelet count, reticulocyte count, and an examination of the peripheral blood smear. ...Read more
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