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Urology Community

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what to do

by gr1477, Jul 15, 2008 01:04PM
I am going through a  " wait and see "  diagnosis  made of a kidney cyst that is "bleeding in" and  was told that in all probabilities  is cancer. If after 4 months if it has grown and with only a ct scan to varify, I also was told that my kidney had to be removed. I find this unacceptable to have a functionally kidney with a cyst on it to be removed. Is there some way to treat this by not removing the kidney?


This discussion is related to Options to remove kidney cyst-whole kidney.
Member Comments (1)

by Dr Smitha Mathews, Jul 15, 2008 06:06PM
To: gr1477
Hi,
What symptoms have you had with reference to the renal cyst?
A nephrectomy should not be advised without conclusively identifying the renal cyst as definitely carcinogenic.

You also have the option of requesting a biopsy to diagnose by histopathology whether the contents of the cyst or the cyst itself is carcinogenic.

All cysts with bleeding into them need not be cancerous.

"type of simple kidney cyst is called a hyperdense cyst. A hyperdense cyst a simple kidney cyst that has blood within the walls of the cyst. A hyperdense kidney cyst is not suspicious for cancer and is just another type of simple kidney cyst"
"A “complex kidney cyst” is different from a simple kidney cyst as the cyst may be irregular in its outer shape. To be defined as a complex kidney cyst, the cyst must have some type of irregularities inside of it. The irregularities come in different varieties"
"Many complex kidney cysts may have a low risk for being or becoming a kidney cancer. However, there is some risk that a complex cyst is a kidney cancer and complex kidney cysts do require evaluation by an experienced Urologist who may consult with a radiologist. Often, complex kidney cysts may be treated with active surveillance to see if the cyst changes in any way over time.

The risk that a complex kidney cysts is, or may become, cancer depends on its appearance. A system to grade kidney cysts by their appearance on CAT scan has been developed, which help doctors to predict which complex kidney cysts are more likely to have kidney cancer inside. This system is known as the Bosniak classification"
www.kidneycancerinstitute.com/kidney-cyst.html

Do keep us posted on your doubts and progress.
Regards
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