Complex Kidney Cyst (8.5 CM)

I am a 28 yr. old female and have been diagnosed with 8.5 cm complex cyst on my left kidney and/or adrenal gland (by ultrasound). I originally went to the doctor because I was having a constant pain (1 week) on my left side beneath my rib cage. The pain would get worse when I would touch the area, move to quick, take a deep breath, sneeze, cough, etc.  I have also had a number of UTIs over the past few years.  One of them I didn't even know that I had until I had a urine test.  I had blood/urine tests done because I was breaking out in hives and had a low grad fever and didn't know why. I am suppose to get a CT scan next week.  The CT scan was ordered by my primary physician so I haven't seen a urologist yet.  Should I be worried about the size of the cyst and that it is causing pain?  Also, should I worry that it is a complex cyst rather than a simple cyst (cancerous)?  Also, the constant pain has gone away, but now I have pain throughout the day, but it comes and goes and is more of a throbbing pain.  Could the cyst be infected?  I am also starting to feel some pain in the lower and middle part of my back towards my left side.  Also, a little pain in the lower left side of my abdomen (occasionally on my right side too).  Could all this be caused from the cyst and an infection moving to my bladder an other kidney?  If the cyst is causing the pain, what would be my options.  Would surgery be an option.  Sorry for all of the questions, but I am just very concerned.  Thanks in advance for your help.

[Kevin Pho, MD]

The CT scan will help classify the severity of the cyst.  Infection is possible - and if suspected can be treated with appropriate antibiotics.

Depending on the CT scan, the cyst can be removed surgically.  If there is persistent pain, despite maximal medical therapy, the cyst can be laparoscopically unroofed for relief.  Surgical therapy, including removal of the kidney, can also be considered.  

I agree with the CT scan and urology referral.  These questions can be discussed with your urologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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[Tallulah]

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[sheila H.]

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