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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can An Online Doctor Explain The Meaning Of The Kidney Reports ?

I got father s report today, please tell me the meaning in simple words, there is a large mass of the superior/mid pole of the right kidney , measuring approximately 90mm in its maximum transverse dimension with extension into the perinephric space and the renal hilum. tumor extends and abuts the IVC, however, there is no convincing caval extension(T3a). few smalllymph nodes are also seen in the retroperitoneum at the level of renal axis which may indicate N1 nodal status. there is a focal lesion in the right liver lobe which is just under a cenrimeter in size, however, would require ultrasound correlation for further assesment ans small cyst or small metastatic focus would be difficult to exclude.
Mon, 26 Nov 2012
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Nephrologist 's  Response
Hi
Thanks for your query
The report suggests that there might be a tumour or a cancer affecting the kidney and has spread into the area around the kidney. It does not appear to have spread directly into the veins or the blood vessels of the kidney. However it may be spreading to the lymph nodes.
You need to consult a urologist ASAP
Good luck.
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General & Family Physician Dr. Das Arindam's  Response
Hello, Welcome to HCM,
The report shows presence of a tumor mass in the right kidney which has some extension in the surrounding tissues. The intra-abdominal lymph nodes are also involved.
The tumor most probably involved liver also.
From this report, the condition sounds like some cancer of kidney.
Stage of this cancer is advanced.
But, type of cancer cannot be said from this report but most common possibility is renal cell carcinoma.
Consult with a surgeon and an oncologist for further management.

Regards.
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Can An Online Doctor Explain The Meaning Of The Kidney Reports ?

Hi Thanks for your query The report suggests that there might be a tumour or a cancer affecting the kidney and has spread into the area around the kidney. It does not appear to have spread directly into the veins or the blood vessels of the kidney. However it may be spreading to the lymph nodes. You need to consult a urologist ASAP Good luck.