Dec 25, 2012 - 1:11 pm
Let me preface with some basic information. I am 52 years old, male, former long time smoker. I have in the past year been placed under initial treatement for tachycardia (unknown origin), mild HBP and have experienced two instances of TIA (mini strokes). While hospitalized in April a small renal mass was discovered by CT Scan with contrast in the "upper pole left kidney". The local urologist (we have only one here) saw me briefly in the hospital and indicated he thought it was not of concern and placed me on antibiotics for one month and I received a follow up appointment. At the follow up appointment I had an US done and basically was told to ignore the mass.
Fast forward to November, in the ER for Right lower side pain - the ER doctor did another CT with contrast to rule out appendicitis (which was ruled out) - incidentally reported by the radioligist that the mass had "changed since April scan" and showed to be hypervascular - and to quote "this is considered renal cell carcinoma until proven otherwise". The ER doctor advised because of the change from the previous scan I should see a Nephrologist. The local nephrologist indicated I had approximately 70% kidney function and that the mass had to be evaluated by a urologist as she "didn't do that"???
As I refuse to return to the local urologist I am waiting for a referral to one out of town at a reputable university hospital. The mass was NOT detected on a non contrast CT scan in January. Initially it appeared in a CT scan with contrast in April (that report also indicated by the radioligist "may be malignant - ignored by urologist), the final report indicating it had changed. It measures only 1 - 1.5 CM at the time of the scan.
I find widely diverse information on the internet in regard to small masses - ranging from they can be "observed" to they need to be addressed immediately. As I am beginning to develop health issues in the last year I have a fair amount of concern about this.
I do not want to wait until I am "symptomatic" and take the chance the cancer has spread. With the mass being this small, would those of you who have experienced this disease think it should be ignored?