Decision Time: Radical or Partial Nephrectomy

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Decision Time: Radical or Partial Nephrectomy

by Budesq on Fri Mar 25, 2005 12:00 AM

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Discovered two stage one tumors in right kidney two weeks ago as byproduct of surpise kidney stone in left kidney. Dealt with stone and now have decision. First opinion from local urologist with good credentials says 39 year old with stone-free perfectly functioning left kidney should just do a radical nephrectomy, lapriscopically with little risk and call it a day. Second opinion from top surgeon with world-wide reputation says he has done hundreds of partials and worth try to save bottom half of right kidney. Monitor and we can always go back in if needed. Appreciate any thoughts on the matter. Sincerely, Michael

Renal Cell Carcinoma

by Sheree on Sun Apr 10, 2005 12:00 AM

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As a kidney cancer fighter, I would recommend a radical nephrectomy . I had my kidney removed a week after I was told I had a tumor in the left kidney. The ct scan was not completely accurate, when surgery began, they also found a metastatized small tumor on the tail of my pancreas which then had to be removed at the same time. I stayed cancer free for 14 months, and now have been fighting my recurrence in the chest and lungs since Aug. 2004. I have been in one clinical trial Avastin/Tarceva which stablized until most recently, a new tumor appeared. Now I am beginning a clincal trial for a new drug by Pfizer, SU11284. The longer you wait deciding the options, the cancer spreads and grows at will. They had not thought mine had gone outside the kidney, but you see, it had. You will not really know until they go in. ALso I would suggest the open procedure, so they can actually feel around the liver, pancreas, spleen etc. for tumors, which hide in ct scans. I have been the medicine for l8 years as a medical assistant and I would opt for a laprascopic procedure, it doesn't show enough. Good luck to you. Prayers are with you.
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