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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had renal cell carcinoma, and partial nephrectomy. Noticed a swelling. hand is bigger. Pressure on bladder. Problem?

Hello,

I had renal cell carcinoma and had a partial nephrectomy om 05/29/2013. After 4 weeks I noticed a swelling which has subsequently got to the size of my hand and gets bigger by night. It throbs intermittently a few times an hour. My incision itself looks good. I have a lot of pressure (new) on my bladder. It feels like when I was pregnant and the baby's head was going down into the birth canal. I have backache like pyelonephritis on and off, and I have heat running through my body, sweating on the back of my neck yest cold and clammy on my forehead. Yet no high temp on the thermometer. I am so uncomfortable that I can only manage to be out and about for a couple of hours at a time. I'm normally a workaholic but can't bear the thought of going to work as a nurse. I have had 5 previous abdominal surgeries prior to this. What can all this mean?
Mon, 2 Sep 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Swelling is there about the size of hand ,but where it is ?
2nd swelling is there at the hand ?
So please exact the site where swelling developed.
Also write down the type of cancer ( benign or malignant ) in kidney ( squamous or columnar or other type).
Pain behind neck and in pelvic region may be due to metastasis ( from renal carcinoma).
Also mention the type of surgery performed five times for evaluation of diagnosis.
Cold ,clammy forehead is not due to any particular disease ,but due to tension ( stress ) through which going.
Still I will advise you please consult an Oncologist and C T scan as well M R I are very important for you.
Good luck.
Dr. HET
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