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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Kidney Cancer. Scan Shows Mass On Adrenal Gland. Metastatic Kidney Cancer?

I had kidney cancer in 2012 and had my left kidney removed. But they left the adrenal gland . All the scans say that i have a mass on my adrenal gland which they are saying its probally is a hematoma . The size is 2.1 x 1.4 cm. I feel its metastic. Also i have multiple mesenteric lymph nodes in the right lower quadrant. Could i have matastic kidney cancer?
Mon, 23 Sep 2013
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Oncologist, Surgical,  's  Response
It is standard practice these days to preserve the adrenal gland while removing the kidney for cancer except when the tumor is at the upper pole of the kidney in which case the adrenal should be removed. If your tumor was not at the upper pole, it is unlikely to be a metastatic deposit, otherwise it may be. A whole body Positron Emission Tomography Scan (PET Scan) can differentiate a hematoma from a metastatic deposit and i would advise you to get it done. The mesenteric lymph nodes are not a cause for concern as they may be normally present in many individuals. The PET scan will also help determine their nature.
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History Of Kidney Cancer. Scan Shows Mass On Adrenal Gland. Metastatic Kidney Cancer?

It is standard practice these days to preserve the adrenal gland while removing the kidney for cancer except when the tumor is at the upper pole of the kidney in which case the adrenal should be removed. If your tumor was not at the upper pole, it is unlikely to be a metastatic deposit, otherwise it may be. A whole body Positron Emission Tomography Scan (PET Scan) can differentiate a hematoma from a metastatic deposit and i would advise you to get it done. The mesenteric lymph nodes are not a cause for concern as they may be normally present in many individuals. The PET scan will also help determine their nature.