Mar 30, 2014 - 8:47 pm
John from Australia here. Long time reader first time poster. Let me first say the support and advice you guys provide to members of this forum is amazing and inspiring.
At the age of 34 in 2012 I was diagnosed with RCC - clear cell in my right kidney. I had a radical nephrectomy 15th October 2012 and recovered really well physically. Of course the main source of anxiety is the worry that the cancer will come back. I have found that while my doctors were extremely professional, they were not very forthcoming with details when I asked about my pathology report and prognosis in particular. Therefore I was hoping to get a bit of advice from the knowledgeable people on this board. I will of course look at getting a better doctor if my next follow up scheduled in a couple of weeks is unsatisfactory in terms of info provided.
I was hoping you could please advise if there is a good chance the surgery has cured me of the cancer given the info below. I understand everyone is different and every kidney cancer is different but appreciate any advice or info you guys can provide bad or good! I also understand that survival stats are pretty much close to useless when applied to individual cases although I did check out some of the calculators on various sites.
The main thing that worries me is that the tumour was classed as a grade 3. Does this mean that the cancer has a good chance of recurring due to it being a higher grade? A plus was that I had a follow up CT scan and chest X-Ray nearly a year after surgery (Sept 2013) due to an admin stuff up at the hospital (it should have been at 6 months). The scans came up all clear which was a huge relief < src="/sites/all/libraries/tinymce/jscripts/tiny_mce/plugins/emotions//smiley-smile" alt="Smile" title="Smile" border="0" />
Type: Clear cell
Max tumour dimension: 75mm
Nucleolar grade: 3
Tumour location: Originating mid pole right kidney. Tumour was abutting sections of the renal capsule but not invading past it. Tumour encapsulated within kidney capsule.
Surgical margins: well clear
Perinephric fat involvement: Not seen
Renal sinus fat involvement: Not seen
Renal vein invasion: Not seen
Tumour necrosis: Not seen
Lymphovascular invasion: Not seen
Sacromatoid differentiation: Not seen
Pelvicalyceal system involvement: Not seen
PS I typed the above path report details from memory so excuse any spelling mistakes. Thanks all for your help and god bless!