MRI and CT results
EDIT: Got a second opinion today. Surgeon reviewed my CT and MRI with me and said that a radical nephrectomy was not necessary. Although the tumor is close to the collecting ducts, he’s confident that he can get the tumor out with clear margins and still have it be a partial nephrectomy. But that if once he’s in surgery he determines that a radical is necessary then he would do that. He’s having me go in for a biopsy next week and I am scheduled for surgery on Sept 30th. Yesterday, I met with the initial surgeon that told me there was no way of saving the kidney and he didn’t even go over the MRI images with me. Then he told me he doesn’t even do partial since they don’t have the necessary equipment at the facility. WHUT? So take my whole kidney because it’s necessary or just because you don’t have the ability/capability to do a partial?
I’m going with the surgeon that can do both, hoping he can do a partial instead of a radical but it was a relief to have the option. He took the time to explain everything in details, explained all the imaging and is taking the time to biopsy it.
That other surgeon was immediately burning the house down to kill the spider.
Get a second opinion. Thank you for the advice here.
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Had a CT to check on a hernia and they saw a tumor in my kidney.
Abdomen CT 3 weeks ago: New abnormal enhancement of the medullary space of the right kidney, 2.2 cm. This is consistent with renal neoplasm.
They scheduled me for a robotic radical nephrectomy later this month.
MRI result from this week: 2.6 x 2.4 x 2.4 cm heterogeneously enhancing solid mass in the lower pole right kidney involving the cortex and medullary space, suspicious for renal cell carcinoma. No evidence of renal vein involvement. No evidence of metastatic disease in the abdomen.
CT of chest from this week: No concerning nodules. Small calcified granuloma in the medial basilar segment of the right lower lobe. No evidence of metastatic disease to the chest.
I’m wondering is a radical nephrectomy still the best option. Those of you who have had a similar experience, what am I looking at here long term? I have an appt with my doctor on Monday and just want to make sure I’m asking the right questions. Any advice would be appreciated.