Jun 06, 2011 - 9:55 am
From CT and MRI scans, it was incidentally found in Feb that there was a 1.5x1.5x1.4cm solid mass near the lower pole of my right kidney. I went to a local urologist and the doctor (in fact, who was not good at kidney surgery, I found later and now regret very much to let him do surgery) said this was the simple and most idealized case with much confidence and he can easily remove the whole mass by a lapascopic surgery. So, I trusted him and had the surgery in May. The pathology report said that it was conventional clear cell RCC (grade 2 of 4). My biggest concern is that the report also indicates that the tumor extends to the margin of the resection; there is non-encapsulated tumor in the base of the resection, although partially encapsulated. The specimen is 2x2x0.6 cm. It appears that the tumor was not completely removed. Is this right? I do not understand why the doctor removed such a small area that was even smaller than CT/MRI indicated. The surgery failed. I will have to change to another kidney surgery expert to save my life. My biggest concerns are (1) Do I need another surgery immediately to remove the remaining tumor in my right kidney? Or remove the whole right kidney? (2) Does this failed surgery (incomplete removal of the tumor) lead to cancer spread to other places? I worried very much.