Diagnosed Complex Kidney Cyst Stage II

icemantoo said:

Get a second opinion

A lot of quedtions. Does it have the characteristics of Cancer? The Stage II sounds like the Cyst not a Stage of Cancer. At 2 cm. they are very small and may or may not turn into something.

The overall concern is that you have one in each Kidney which alone may require a different approach. Because of this I would want to get a second opinion immeadeately and from a real expert or top Kidney Doctor like at a Medical school or top hospital. Do not wait untill they grow for this second opinion as the smaller they are the more options that are available.

Where are you located so that others may chime in with their suggestions.

 

Icemantoo

The doctor is a kidney specialist in a small town. Campbellsville, KY.  Has good and bad reviews. Has misdiagnosed one person I know with cancer...didn't have cancer. And another, he said wait and it was almost too late for her. So I am definitely getting another opinion. Below is the report. Today was the first time I read it. He never said anything about finding anything but two cysts. This concerns me. I don't want to sound like a big baby, but I would rather catch it now rather than later. 

 As mentioned on the prior exam there is slight malrotation of the right kidney. There is
evidence of a smooth cystic structure measuring 1.72 cm in diameter and on the unenhanced
exam showing some very minimal calcification along the border. The margins of the cyst are
very smooth.

 The left kidney shows a cyst along the superior medial aspect of the left kidney which
measures approximately 1.3 cm in diameter. Smooth margins are noted with no evidence of
calcification.

 There is a 1 cm cyst in the midpole of the left kidney which has minimal calcification in
the rim and slightly irregular rim. There are at least 3 other areas of decreased
attenuation less than 4 mm diameter and too small to characterize but having no
calcification or significant enhancement. The punctate calcification over the upper pole
of the left kidney is not demonstrated well on these exams due to overlying contrast.
These could represent nonobstructing nephrolithiasis.

medic1971 said:

Going to echo

I'm going to echo what everyone else is saying, get a second opinion from a urologist who is very experienced in this arena.  

Reading your report I see a few things that stand out, in a good way

1. No significant enhancement

2. They are small, very small

3. Even if this doctor is not very good a radiologist read the report, not him

When you say stage II I suspect you mean Bosniak 2 classification system?  If so please see below:

Bosniak 2

minimally complex

a few thin <1 mm septa or thin calcifications (thickness not measurable); non-enhancing high-attenuation (due to proteinaceous or hemorrhagic contents) renal lesions of less than 3 cm are also included in this category; these lesions are generally well marinated

work-up: nil

percentage malignant: ~0%

If you don't mind me asking why did you have a CT scan?  Do you have a history of kidney stones?  

Jason

Jason,,

Yes, I have had kidney stones for the last 7 years. In that time, I've had about 40 stones. I hadn't had a stone for about 6 months. Then, 10 months ago I had a stone that was bigger than a quarter. I started having pain a few months ago. Some blood in my urine. Didn't go to the Dr thinking I was just passing stones. The Dr ordered a CTScan, then an ultrasound and then another CT with contrast. No stones, but the cysts. He was concerned and sent me to my urologist. Wasn't really worried until Dr. said we would worry about cutting things out when it gets bigger.