do i need to undergo surgery

[mcdsanjay]

after ultrasound and ct scan i have been diagnoised with a larger predominantly exophytic complex space occupying lession arising from the upper cyst pole of the right kidney with enhancing solid components - suggestive of a type IV comlex cystic lession

should i undergo surgery to remove and to do abiopsy of the cyst

no indications of the problem  in my body no pain no urinary poblems

[mcdsanjay]

thanks Dr,   my urologist is advising a open surgery to evaluate the cystic lesion which will be followed by nephrectomy if needed . in this case will there be a second procedure
ie one to extact the cyst and later in case of malignancy , for nephrectomy
in case of malignancy how long will the therapy be.


mcdsanjay

[Dr Smitha Mathews]

Hi,

The decision regarding nephrectomy or other procedures will be discussed with you by your doctor while evaluating your options after definitive diagnosis.

If the lesion is not cancerous, intervention to correct the obstructive or compressive effects may be needed. If there is sign of cancer, further treatment with chemotherapy and radiotherapy may be required.

Recovery time depends on the type of surgery.

If undergoing a laparoscopic radical nephrectomy:

operation time will be longer than for the open nephrectomy.
discharge will be after 2-4 days, if there are no complications.
General care would be the same as advised for open nephrectomy.

Open nephrectomy:

Discharge from hospital will be after a week from the procedure.
You are advised not to bend, lift heavy weights, indulge in strenuous activity, drive a motor vehicle, etc., during the 4-6 weeks following surgery.

Recovery time varies between 3-6 weeks.

[mcdsanjay]

thank you for your guidance. in case of surgery including nephrectomy what type of further treatment will be required and how long will it take to resume  day to day activities  and to what degree one can get back to normal work.
m chandradasan

[Dr Smitha Mathews]

Hi,

A type IV complex cystic lesion has a high potential for being malignant.

There are several inherited and acquired cystic diseases of the kidney, including simple and complex renal cysts. Depending on the character of the lesion, such as borders, contents, calcification, enhancement on imaging, etc., the lesion is presumed to be benign or malignant(cancerous). A CT scan can provide a better idea but is not conclusive in kidney cysts. Conclusive diagnosis is only through biopsy to acquire kidney tissue for histopathological examination.

Some conditions of the kidney can be present without obvious symptoms but may be reflected in changes in blood pressure control and blood tests.

The preferred course of management would be a biopsy following or followed by surgical exploration and/or nephrectomy (surgical removal of the affected kidney). Further options of management will need to be discussed with your nephrologist.

Do keep us posted on your doubts and progress.