Jun 07, 2013 - 10:56 am
Hey again. Looking for any additional input you all may have from the CT scan results.
Findings: 1) There is a complex mass involving the upper pole of the right kidney with sigificant enhancement as well as low attenuation probable necrotic areas. This was not seen on any of the previous exams and measures 3.4x2.8x2.9 cm. This is most likely a renal cell carcinoma.
2) There is an abnormal upper pole left renal mass anteriorly which is exophytic and high attenuation on the unenhanced and enhanced images measuring 19.7x13.8x16.2 mm. This was seen back in 2007 and has not shown significant change in size. This may be a complex cyst or proteinaceous cyst.
3) There are very tiny right-sided retroperitoneal lymph nodes at the level of the right kidney. The largest node is an anterior aortocaval node measuring 9.4x7.2 mm. This node was present in 2009 and 2007 and is stable in size.
4) I do not see evidence of any sclerotic or lytic skeletal metastases.
Impression: repeats the above and also adds: Recommend bilateral renal MRI without and with contrast.
Does it seem to have spread to the lymph nodes? Does this help differentiate between open or laproscopic nephrectomy or partial nephrectomy? I am adjusting to the fact that I most likely have cancer. Now I'm anxious to see the stage and what type of surgery I will need to have. I respect everyone's knowledge and look forward to hearing your opinions. Thanks!