Posted By jay on April 14, 1999 at 11:47:48
Two yrs, ago, nepherectomy for rcc. No Mets. Grade 3 stage 3 scan clear
However, 3 weeks ago, blood with urination and no symptoms however uA c/s indicated UA ecoli treated no blood.. Had ulta sound they found two area of foci hyperechogenic 9 mm. on my remaining kidney.. Radiology says it looks like fatty tumor, however there was none on previous scanns. Scheduled sono in 2 months. I am concern as I have only one kidney....kidney function wnl... Could kidney cancer return to my remaining kidney??? Help I am concern
Primary malignant renal tumors are predominantly renal cell carcinomas(85-90%). Historically only 40% to 45% of patients present with localized disease. Your grade and stage indicate a fairly aggressive cancer that did have some lymphatic spread at the time of diagnosis. Do to the fact that your cancer is aggressive, it is possible that metastasis could occur. The common sites of metastasis are lung, bone, regional lymph nodes, renal vain, adrenal, brain, adjacent organs, and finally the contralateral kidney in only 2% of cases.
Before you get concerned about cancer in your other kidney, let your doctors work-up these hyperechoic areas. Once they can give you a better idea of what they are, you can make further plans. It is possible to resect a portion of the kidney if necessary to retain adequate renal function and stay off dialysis.
Good Luck! I think a CT scan would give you your answer and at the same time evaluate for local mets. The blood in the urine is probably a UTI but it should still be evaluated.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.