Path report

DAC677
DAC677 Member Posts: 59

My surgery was in October 2016 and i never bothered to read my own Path report. i just trusted my docs and did what they told me. As some of you know i had a run in a couple weeks ago with who i consider a terrible ONC. That led me here and you all all prompted me to get more knowledgeable and invested in my own healthcare and results.

Today I read my own Path report for the first time and i used a website (Pathologyoutlines.com) to help me read the report.

Neprectomy specimen measured 26.0 X 14.0 X 9.0 CM

Actual tumor 9.5 CM

Fuhrman Grade 3 of 4

tumor site: Upper Pole

Tumor extends into the Renal sinus and major veins

Patholigical Stage (20100 pT3a, pNX, pM- not applicable

Tumor histologial type; clear cell renal cell carcinoma

I wanted to find the type of cancer to determine how fast growing it is but couldnt find that)

 

Pathology.com says

- III T3a or T3b or T4a NO MO (46% survivability rate over 5 years)

Damn, i thought they had this all out and i was good. I played golf yesterday for the first time after my surgery (shot an 80) and planned to ride horses today.

those are depressing stats.

 

 

Comments

  • icemantoo
    icemantoo Member Posts: 3,361 Member
    edited February 2017 #2
    Keep on top of this

    DAC,

    There are many here who have beaten this wiith similar to the challanges facing you. Follow up on your visit to your new ONC and keep up the positive outlook.

     

     

    Icemantoo

  • Jan4you
    Jan4you Member Posts: 1,330 Member
    DAC,  hold on, remember

    DAC,  hold on, remember reports are just that, reports. It takes the specialist, and sometimes more than one, to interpret and tell you what is what and offer you all options.

    AND there are so many on this site with stage 3 & 4 that are HERE! Some with no treatment necessary or NED.

    We're here for you no matter what. Remember we are ok?

    Take a breath, use your faith and wait to hear from the experts.

    Hugs, Jan

     

  • Steve.Adam
    Steve.Adam Member Posts: 463 Member
    How is your general health?

    Hi Dac,

    Are you otherwise fit and healthy?  I don't know for sure but common sense says that keeping our health good will improve all our outcomes.

    All my health markers were in a good place when my tumour was discovered.  That really pissed me off.  But being healthy has really helped me to recover fom surgery.

    Steve.

  • DAC677
    DAC677 Member Posts: 59
    edited February 2017 #5
    Thanks all

    I played golf today and have horse riding and camping trips planned. I went hunting 5 weeks after my surgery and stay very active.

    I dont think  anyone could tell I had this if I didnt tell them. Its odd, in that I didnt go to a gilda's club meeting or post here and learn more about Cancer because I didnt feel sick or in need, i didnt think i belonged in "the cancer club" (and still dont). Then I read the stats and you start thinking about the things you might not get to do if things went bad. things like my when my daughter gets married or has a kid. I dont regret anything, I just have so much left to do. I aim to be very hard to kill and be on the good end of those stats, then I fele guilty its like wishing my misfortune on someone else and I hope to be better and stronger than that.

    I know this seems like a melancholly post and i dont mean it that way. I think I am cancer free for now and have a great life and am doing well. Just sometimes we have thoughts we need to put into words and maybe you all get what im saying more than anyone else.

  • foroughsh
    foroughsh Member Posts: 779 Member
    Dac

    Dac

    I'm very sorry for inconvenient situation you are facing. In last few years kidney cancer related drugs have dramatically improved but the reports are not updated based on the new drug's performances.

    Don't let the the reports make you loose your hope.

    I know it's easier said than done but as you'll see we have many ones here who have good news to share with same baggage.

    Forough

  • duster10
    duster10 Member Posts: 29 Member
    edited February 2017 #7
    DAC677 said:

    Thanks all

    I played golf today and have horse riding and camping trips planned. I went hunting 5 weeks after my surgery and stay very active.

    I dont think  anyone could tell I had this if I didnt tell them. Its odd, in that I didnt go to a gilda's club meeting or post here and learn more about Cancer because I didnt feel sick or in need, i didnt think i belonged in "the cancer club" (and still dont). Then I read the stats and you start thinking about the things you might not get to do if things went bad. things like my when my daughter gets married or has a kid. I dont regret anything, I just have so much left to do. I aim to be very hard to kill and be on the good end of those stats, then I fele guilty its like wishing my misfortune on someone else and I hope to be better and stronger than that.

    I know this seems like a melancholly post and i dont mean it that way. I think I am cancer free for now and have a great life and am doing well. Just sometimes we have thoughts we need to put into words and maybe you all get what im saying more than anyone else.

    I was/am in the same boat

    Im 40, had a 9.5ish cm tumor.  They got it "all" back in early Sept.  I have had one scan so far and it was perfect (with the exception of a missing kidney).  I actually played in a member guest golf tournament (54 holes in 3 days) 5 weeks and 6 days after my surgery.  I was sore, but other than that, no problems.  I played golf this past Saturday and shot an 84.  My path report says I am stage 3A or something like that.  Honestly, I dont pay any attention to it.  Try to eat healthy, do my scans, and get on with my life.  My 2 cents is that you are doing great......enjoy it!

  • DAC677
    DAC677 Member Posts: 59
    edited February 2017 #8
    duster10 said:

    I was/am in the same boat

    Im 40, had a 9.5ish cm tumor.  They got it "all" back in early Sept.  I have had one scan so far and it was perfect (with the exception of a missing kidney).  I actually played in a member guest golf tournament (54 holes in 3 days) 5 weeks and 6 days after my surgery.  I was sore, but other than that, no problems.  I played golf this past Saturday and shot an 84.  My path report says I am stage 3A or something like that.  Honestly, I dont pay any attention to it.  Try to eat healthy, do my scans, and get on with my life.  My 2 cents is that you are doing great......enjoy it!

    Golf

    Tumor size and activity level and path report sounds very similar for us.

    We should play golf sometime!

    Actually I am going up to IU Thursday to see the specialists there for a second opinion on all this. Like forough said in this thread, I keep getting told that if the surviviability stats are 5 years old or older that are way outdated. The advances are moving so fast.

    My thing is that I dont worry about the next year or two as much as I want to be here in 20 years to teach things to a teenage grandson or granddau who hasnt even been conceived of or thought of yet. I dont think the docs that refer to those stats consider the mental impact of talking about 5 year survivability when my focus is on 20 or 30 years. Its like they think everyone who gets cancer is 80. 

  • Jojo61
    Jojo61 Member Posts: 1,309 Member
    Hi DAC,

    Hi DAC,

    My path report is similar to yours, exept mine is grade 2 and not into veins...however mine was lymphovascular invasion. I am 3 years out. All clear every time!! No immunotherapy, just follow up. Keep up with your scans, and see if your new oncologist recommends any other treatment.

    Don't look at the outdated survival numbers. We have come a long way, baby!

    Fore!!!!

    Hugs

    Jojo

  • Footstomper
    Footstomper Member Posts: 1,237 Member
    Google is NOT your friend

    Its out of date. Or Crazy, or both. Trust this site, smart patients, and I can think of no other place. You will drive yourself crazy for no reason

  • medic1971
    medic1971 Member Posts: 225 Member
    That website...

    I checked that website, and man, there are a lot of red flags there.  Hell, the “contact us” has a gmail email address listed.   I would not put much stock in what they have posted there.  

     

    When I'm researching a topic I tend to avoid website with adds like this in them:

    image

     

     

  • DAC677
    DAC677 Member Posts: 59
    medic1971 said:

    That website...

    I checked that website, and man, there are a lot of red flags there.  Hell, the “contact us” has a gmail email address listed.   I would not put much stock in what they have posted there.  

     

    When I'm researching a topic I tend to avoid website with adds like this in them:

    image

     

     

    Thanks

    I think this site had the 5 year survivability rate at 53% which was better than the one listed above.

    I dont care what it is I plan to be on the good side of those stats. i just cant shake the feeling that in rooting to be on the winning side of the stats im rooting for someone else not to be. numbers are numbers.

  • medic1971
    medic1971 Member Posts: 225 Member
    Keep in mind

    Yes numbers are numbers, but those stats you see listed here are a bit misleading in my humble opinion.  

    The numbers the National Cancer Data Base and are based on patients first diagnosed in the years 2001 and 2002. These are observed survival rates. They include people diagnosed with kidney cancer who may have later died from other causes, such as heart disease. People with kidney cancer tend to be older and may have other serious health conditions. Therefore, the percentage of people surviving the cancer itself is likely to be higher.

     

    You are fairly young, it sounds like you are healthy, and you were diagnosed in 2016.  Those are three major things you've got going for you.   

  • Steve.Adam
    Steve.Adam Member Posts: 463 Member
    DAC677 said:

    Thanks

    I think this site had the 5 year survivability rate at 53% which was better than the one listed above.

    I dont care what it is I plan to be on the good side of those stats. i just cant shake the feeling that in rooting to be on the winning side of the stats im rooting for someone else not to be. numbers are numbers.

    Or maybe

    Maybe we'll all survive the next 5 years and the stats are just wrong.

    I hope eveyone survives. My wishes won't come true but I am certainly not against anyone's survival or happiness.

    Steve.

  • todd121
    todd121 Member Posts: 1,448 Member
    Survivability Rates

    Mixing T3 and T4 is crazy in terms of long term survivability. Their numbers are probably way out of date, most likely pre-dating many advances like the new drugs, new radiation techniques, etc.

    With T3 and Grade 3 you do need to stay on top of your followups. I had the same stage/grade and saw two RCC expert oncologists. Both told me somewhere between a 20-40% chance of it coming back. That's pretty high. You want to catch it early if it does come back. The earlier you catch it, the more likely it might be operable and can put you back where you were.

    I had a nuclear bone scan (to make sure no bone mets) and a brain MRI, plus a baseline CT of chest/abdomen and pelvis after my nephrectomy. This was to make sure I really had no other mets. The first year I had CT of chest/abdomen and pelvis every 4 months. The second year every 6 months. I would have had that until five years and then annually after that. However, I had a met to my adrenal gland after 2 years. They caught that pretty early and removed my adrenal gland. I was told that put me back where I was when I started in terms of likelihood of it coming back. However, because of the met, I'm on a 3 month scan schedule now plus blood work. 2 years no with no mets.

    My urologist would not have done any baseline scans, nor the nuclear bone scan or brain MRI. His plan was to go to a chest xray, and CT scan of abdomen and pelvis every 6 months. I think he was wrong. I'm happy my current oncologist is aggressive. When I asked when I can cut the frequency of the scans back, he said to forget about that for now. He wants to catch anything that comes early when it might be operable again.

    If I'd had more mets in that first year after my adrenal met, they probably wouldn't have done surgery again. They probably would have put me on medication.

    Try and find a medical oncologist that knows a lot about RCC or is willing to call one and work with one to get you the followups you need.

    Regards,

    Todd

  • Footstomper
    Footstomper Member Posts: 1,237 Member
    edited February 2017 #16
    medic1971 said:

    Keep in mind

    Yes numbers are numbers, but those stats you see listed here are a bit misleading in my humble opinion.  

    The numbers the National Cancer Data Base and are based on patients first diagnosed in the years 2001 and 2002. These are observed survival rates. They include people diagnosed with kidney cancer who may have later died from other causes, such as heart disease. People with kidney cancer tend to be older and may have other serious health conditions. Therefore, the percentage of people surviving the cancer itself is likely to be higher.

     

    You are fairly young, it sounds like you are healthy, and you were diagnosed in 2016.  Those are three major things you've got going for you.   

    first diagnosed in the years 2001 and 2002.

    Even if true, these numbers are nonsense now. Cancer research is progressing so swiftly there is absolutely no point in looking at numbers that old.

  • DAC677
    DAC677 Member Posts: 59
    edited February 2017 #17
    todd121 said:

    Survivability Rates

    Mixing T3 and T4 is crazy in terms of long term survivability. Their numbers are probably way out of date, most likely pre-dating many advances like the new drugs, new radiation techniques, etc.

    With T3 and Grade 3 you do need to stay on top of your followups. I had the same stage/grade and saw two RCC expert oncologists. Both told me somewhere between a 20-40% chance of it coming back. That's pretty high. You want to catch it early if it does come back. The earlier you catch it, the more likely it might be operable and can put you back where you were.

    I had a nuclear bone scan (to make sure no bone mets) and a brain MRI, plus a baseline CT of chest/abdomen and pelvis after my nephrectomy. This was to make sure I really had no other mets. The first year I had CT of chest/abdomen and pelvis every 4 months. The second year every 6 months. I would have had that until five years and then annually after that. However, I had a met to my adrenal gland after 2 years. They caught that pretty early and removed my adrenal gland. I was told that put me back where I was when I started in terms of likelihood of it coming back. However, because of the met, I'm on a 3 month scan schedule now plus blood work. 2 years no with no mets.

    My urologist would not have done any baseline scans, nor the nuclear bone scan or brain MRI. His plan was to go to a chest xray, and CT scan of abdomen and pelvis every 6 months. I think he was wrong. I'm happy my current oncologist is aggressive. When I asked when I can cut the frequency of the scans back, he said to forget about that for now. He wants to catch anything that comes early when it might be operable again.

    If I'd had more mets in that first year after my adrenal met, they probably wouldn't have done surgery again. They probably would have put me on medication.

    Try and find a medical oncologist that knows a lot about RCC or is willing to call one and work with one to get you the followups you need.

    Regards,

    Todd

    Thanks all

    Great advice all the way accross and it confirms alot of what I hoped.

    I meet my new ONC in the AM tomorrow and go to IU in the afternoon for a follow up with a research specialist and i have had every type of scan they can do so i think thats about all i can do for now

  • JerzyGrrl
    JerzyGrrl Member Posts: 760 Member
    edited February 2017 #18
    medic1971 said:

    That website...

    I checked that website, and man, there are a lot of red flags there.  Hell, the “contact us” has a gmail email address listed.   I would not put much stock in what they have posted there.  

     

    When I'm researching a topic I tend to avoid website with adds like this in them:

    image

     

     

    On the other hand...

    On the other hand, should anyone ever be in need of a pathologist who can get them a deal on upholstery foam, it looks as though that's your site.