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Diagnostic tests for kidney cancer - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Cancer
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   i did a CT scan they told multiple cyst with internal septation in left kidney
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   so this will most probably a kidney cancer ?
User :age: 27 occupation: Engineer MaritalStatus: Married
Doctor :   ok
User :   Weight: 79 Height:181
Doctor :   when was the scan done?
User :   scan done yesterday....
Doctor :   ok
Doctor :   what was the problem?
Doctor :   for which scan was done? what are the complaints?
User :   no specific complaint when the patient did general health check up in ultra sound they detected cyst 2 months back
Doctor :   ok
User :   then he consulted a urologist 2 days back and CT scan was done yesterday
Doctor :   was there any pain or abdominal swelling?
User :   no pain or swelling in abdominal, except lower back pain he is experiencing for the past 6 months
Doctor :   ok
Doctor :   not all cysts are malignant
Doctor :   were any other tests done?
Doctor :   are you there
User :   yes
User :   no other tests are done
Doctor :   ok
User :   i will type exactly what is there in the report
Doctor :   what are the renal parameters? blood urea, serum creatinine?
Doctor :   ok
User :   multiple left renal cysts WOTJ septations across the large mid segmental cysts --------- Hepatomegaly in lever
Doctor :   ok
User :   this is what written in the CT abdominal report as impressions
Doctor :   are there any other health problems?
User :   except back pain no other problems...
Doctor :   any addictions?
User :   means adict to liqour or smoking you are asking ?
Doctor :   yes
User :   no some two months back i used to drink that too occasionaly that also stopped ...
Doctor :   ok
Doctor :   have you checked your liver enzymes and renal parameters?
User :   no i done a general blood and urine and stool test 2 months back
Doctor :   ok
User :   can we get any of these parameters from there ? or seperate test has to be carried out ?
Doctor :   also you should assess your liver enzymes and renal parameters
Doctor :   to know the underlying problem
Doctor :   did you get a complete urine examination done?
User :   oh ok
User :   yes uring examination is done
Doctor :   ok
User :   sorry urine examination
Doctor :   any changes?
Doctor :   in the urine examination?
User :   pus cells - 2-3 / hpf
Doctor :   ok
User :   Epithelial cells - 1-2 /hpf
User :   that is it others are nil or absent
Doctor :   ok
User :   LFT is done do you need any parameters from that ?
Doctor :   yes
Doctor :   are there any increased
Doctor :   values?
User :   no they told that everthing is normal in that 2 months back
Doctor :   ok\
Doctor :   does anyone in your family have a history of cancer?
Doctor :   especially kidney cancer
User :   yes my father is having left renal cancer
User :   identified in last stage
Doctor :   ok
Doctor :   what is your BP now?
User :   let me check in the report
Doctor :   ok
User :   120
Doctor :   ok
Doctor :   i suggest that you get the renal parameters and liver functions assessed
Doctor :   also you should consult a good urologist and you may need needle aspiration of cyst fluid
Doctor :   from the surface
User :   they will asses that parameters from blood ?
Doctor :   that fluid will be analysed and then it can be known for sure if you have malignancy or not
Doctor :   yes
User :   bisopy has to be done on the cyst ?
User :   sorry biospy
Doctor :   LFT and Blood Urea and Serum Creatinine
Doctor :   are blood tests
Doctor :   cyst fluid is usually aspirated
Doctor :   and the aspirate is analysed
Doctor :   if it is cancer then depending upon the stage the treatment is startes
Doctor :   started
User :   ok so final test could be this taking the cyst fluid and confirm whether it is cancer or not ?
Doctor :   it could be medical treatment with drugs or surgery can be contemplated
Doctor :   yes
User :   ok thanks for your time, let me consult a urologist then to proceed further
Doctor :   please confirm your details
User :   yes
Doctor :   Please fill the feedback form say done when done
Doctor :   Is there any thing else that I could help you with?
User :   no that's it thanks.
Doctor :   Have you filled the feedback form which I have sent?
Doctor :   you are welcome
User :   yes i have filled
Doctor :   ok
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
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