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Treatment for Cyst on the kidney - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   CT scan of abdomen to investigate recurring pain in RH lower abdomen has by chance revealed a solid mass on top side of right Kidney. Earlier two months back colonoscopy had revealed colonic & small bowel diverticulosis. What can it be ?
Doctor :   hi
Doctor :   let me read your query
User :   Hello Doctor!
Doctor :   ok
Doctor :   may i know your age ?
User :   64 years
Doctor :   ok
User :   Have you understood my Query?
User :   query
Doctor :   can u describe the CT report on the mass
Doctor :   the mass could be due to cysts, or also could be due to a mass ( benign or tumour)
Doctor :   also, exact details need before we can know, whether it is cancer or any sort of infection
User :   My attending gastroentrologist has seen the CT reprt today at 5.00pm He has said "There appears to be a mass ij the right kydney with a cortical cyst
Doctor :   ok
Doctor :   do u know the size of the mass ?
Doctor :   if it is a small mass like 2 -4 cm, these are simple cysts which develop due to age related changes
User :   I do not have the report but the doctor said it is on top of rt Kydney and biggish solid mass.
Doctor :   if large as in case more than 5 cm, with clinical history of blood in urine, pain abdomen, etc
Doctor :   we need to rule out renal cancer
Doctor :   by the description, it needs further evaluation, and needs to rule out cancer
Doctor :   a large mass is usaully cancer in 60 % cases
User :   I had a case of UTI in May at that time I had passed a little blood in urine. UTI has been treated by urologist with antibiotics
Doctor :   this i feel is a clue to possible tumors
User :   What is best course of action to confirm. What further tests
Doctor :   complete blood and urine analysis
Doctor :   test urine for cytology (cancer cells)
Doctor :   then if positive , consult a oncology surgeon, for possible biopsy of the lesion, or complete removal surgically
User :   Urine culture has been done last month It showed infection. Iwas given Faronem & Niftran
Doctor :   i understand, but i mean cytology thats a different test
Doctor :   and can detect tumor cells
Doctor :   cultures are for infection
Doctor :   not for tumor cells
Doctor :   I hope u have understood my opinion
Doctor :   i hope u have a good
Doctor :   recovery and curable diagnosis
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