CSN Login
Members Online: 3

Grading / Surgery question.

Posts: 45
Joined: Oct 2011

As mentioned in my 1st post, I had no idea what my tumor grade was. My Urologists said both kidneys were Stage 1 before the surgery and after said size of ping pong balls left and right sides. I had clean margins on both and I figured that was that.

So after seeing how much you all knew about your little buddies I asked my home health nurse to look at my pathology reports on her laptop. I had assumed they would both be T1a N0 M0 Fuhrman 1.

Turns out R side was T1a N0 M0 Furhman 2. That sounds good. The L side was T3a N0 M0 Fuhman 3&2 with renal vein involvement.
Doesn't sound so good. The tumor was 5.5 x 5.0.

I went to a kidney surgery site and it said that T3 & 4 tumors require radical procedure except in the case of bilateral tumors, like I had, to do a partial on T3a,b,c to delay the need for dialysis. Really doesn't sound good.

So I'm curious if anybody out there had a T3 with renal vein involvement that had a partial and how has that worked out?

Thanks and Peace to all! Alan

Posts: 85
Joined: Jun 2011

Hi Alan,

What subtype of Renal Cell Carcinoma did you have? I know for Chromophobe the grade is not a correlated prognostic driver.

Also, was there sarcamatoid characteristics? I wish you well and my prayers are out for you.


Posts: 45
Joined: Oct 2011

They were clear cell.

Yeah, I don't think clear cell affects prognosis either. It's the renal vein involvement I was most curious about. That is what jacked a T1 to a T3.
Also the part of the turor with the renal vein involvement was Furman 3 where as the rest of the tumor was Furman 2.

I'm happy with my surgery outcome as pathology said clean margins on both. I was just curious about the renal vein twist.

Happy Days and Great Thanksgiving to all! Alan

Subscribe with RSS
About Cancer Society

The content on this site is for informational purposes only. It is not a substitute for professional medical advice. Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Use of this online service is subject to the disclaimer and the terms and conditions.

Copyright 2000-2015 © Cancer Survivors Network