HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Does Hypoechoeic Mass In The Lower Pole Of The Right Kidney Indicate?

Posted on Tue, 1 Jul 2014

Question: Hello! Doctor...I am 60 yrs old and facing a problem of urgency in urinating then i have got done my ultrasound. The report shows everything is normal except Hypoechoeic Mass is seen in the lower pole of the right kidney measuring 3.2* 2.4 cm. Vascularity noted with in the mass. I have shown ultrasound report to a doctor who advised me for CT scan and from his language in which he was explaining has turned me panic. I am a diabetic for 15 yrs but my blood sugar is always remains between 90 to 100 in the fastening and less than 150 on PP. I have fully controlled sugar and besides there is no Blood Pressure noticed by doctor for the last 15 yrs.. Kindly suggest me whether it is risky and what should I do for its treatment.3 months earlier i have got checked my 24 hrs urine where in protein was 1200 but now after taking precaution and diet chart now it is 0.55 in the latest report.. I am not feeling any weakness neither lazyness....

Answered by Dr. Dr. P. T. Patil (21 minutes later)

Brief Answer:
It is likely to be Renal Cell Carcinoma

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have a Hypoechoeic mass in Rt kidney.reported on ultrasound scanning.

In majority of cases hypoechoeic lesions in the kidney are tumours( mostly Renal Cell Carcinomas) and need to be confirmed by C.T Scanning with contrast studies of Kidney ureter and bladder (KUB)and CT Renal angiography .

As regards urgency for urination and frequency for urination may be due to
1) Fibrous Prostate or Bladder neck obstruction .
2) Over Active Bladder syndrome

This to be confirmed by doing endoscopic examination of bladder (Cystoscopy).

Please go ahead and get these investigations done under guidance of Urologist to confirm the diagnosis.

Further treatment will depend upon the results of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (9 minutes later)

Thanks for ur reply....If your findings shall be proved after CT scanning then kindly let me know that it is curable with medicines or required other treatmment...

Answered by Dr. Dr. P. T. Patil (17 minutes later)

Brief Answer:
Surgery is the only treatment option.

Detailed Answer:
Hllo
Thanks for follow up.
If turns out to be Renal Cell Carcinoma .surgery of Nephron sparing Partial Nephrectomy or Radical Nephrectomy is the only treatment option.This will depend upon extent of the tumour and enhancement reported on CT scan and CT angiography .There is no medical treatment for renal tumours.
Thanks and Regards,
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar