Right renal cystic lesion 3.2cm

Fish76
Fish76 CSN Member Posts: 5 Member
in Kidney Cancer #1

Hello 48m I was wondering if anyone had any information about my CT w/contrast or US report I have an appointment set with urologist in 20 days, long wait and very worried.

US -2 complex cysts, the larger in mid region is 2.8x2.0x3.2 in 2019 it was 1.5x1.1x1.1, margins are irregular. Internal septations noted. No dominate soft tissue mass is seen associated with the cystic lesion.
Impression Bosniak IIF of right kidney.

CT - Simple right renal cortical cyst. No hydronephrosis cyst measure 3.2cm there maybe minimal internal enhancement without obvious solid component or septation.


Impression- Right renal cystic lesion 3.2cm w/ possible enhancement. No obvious solid component or septation. This finding does raise concern for neoplasticism process, particularly given the enlarged adjacent right retroperitoneal lymph node. No other health issues besides herniated discs in cervical, thoracic and lumbar spine.

Any information or thoughts appreciated!

Thank you!

Comments

  • Fish76
    Fish76 CSN Member Posts: 5 Member
    #2

    I didn’t get the info down right I have simple cyst that is smaller and this one is the larger that the concern is with and is a renal sinus cyst, all other organs normal and the lymph node is 1.8x1.7 cm. Thank you.

  • BobFV1
    BobFV1 CSN Member Posts: 2 *
    #3
    https://csn.cancer.org/discussion/329403/right-renal-cystic-lesion-3-2cm

    I had an incidental finding of two neoplasms a little smaller than that on my left kidney and was sent to the urologist (which took a couple of weeks). The urologist sent me to an interventional radiologist who agreed to use microwave ablation to remove them and to biopsy them at the same time. He did the ablation 2 weeks ago and the biopsy results were that they were benign oncocytomas. The urologist was the best first step - he's seen so much of this stuff, he knew exactly what treatment to refer me to and I got great care. By the way - the radiologist who read my initial MRI (where the incidental finding came from) characterized the neoplasms as probably renal cell carcinoma - but he was wrong. He was wrong because it was just a guess based on their appearance - the biopsy told the rest of the story. Best of luck to you.

  • Fish76
    Fish76 CSN Member Posts: 5 Member
    #4

    Thank you for the response I go in about a week and hoping mine is the same that would be great news for sure of they come back the same as yours, also glad yours came back non cancerous!!!

  • Allochka
    Allochka CSN Member Posts: 1,081 Member
    #5

    Hello,

    There is a big possibility that your lesions are cysts and nothing else.

    Previous poster had solid lesions, which are seldom benign in kidneys. Your's look like cyst after all, so chances of good outcome are even bigger.

    Enlarged lymph node could sound concerning, but it doesn't mean it is cancer and it has spread.

    My husband was Stage 1 (now in remission for 10 years), but he does have some enlarged lymph nodes in abdomen, which have nothing to do with his kidney cancer and are not a concern. They are from him having Hep C years ago. Some nodes enlarge due to infection and never go down.

    Waiting is the hardest, but your bigger cyst is smallish, so there is no immediate emergency even if turns out to be carcinoma. 3 cm is small in kidney cancer world. So even in the worst case scenario you'll be allright.

    Hang in here and let us know how it ends up!

  • Fish76
    Fish76 CSN Member Posts: 5 Member
    #6

    Thank you very much for the response, glad to hear your husband is doing well and I hope that continues. I will post the information I get from the urologist as well.
    Thank you again :)!

  • Fish76
    Fish76 CSN Member Posts: 5 Member
    #7

    Hello reporting back after the urologist appointment.
    Good news…

    He said he doesn’t believe it is serious and just a complex cyst it was actually 2.2cm in 2016 when I had a kidney stone removed he said they had the old CT still and has grown 1cm in 9 years. He said it needs to be followed up in 4 months with another scan. He did say it was in a bad spot renal sinus and that would require removing the whole kidney and he will not do that unless he is positive it needs to come out because of cancer.
    He is concerned about the enlarged lymph node and is sending me to an oncologist to have that Pet scanned.

    I will report what they find there as well.

    Thank you!

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