Rookie Question

Tapman63
Tapman63 Member Posts: 137 Member
in Kidney Cancer #1

A quick question about one (of many) things I don't understand:

 

According to the CT scan, my mass is <7cm.  The CT scan showed my other organs in the abdomen were "unremarkable" and to the best of my understanding the stuff around the kidney was all good and nothing showed up.  I'm assuming (hoping) that means nothing has spread.  I know it can't OFFICIALLY be called cancer until it's tested...but wouldn't this mean it's stage I if it tests positive for cancer?  Why do they have to wait until the removal to stage it?  Am I missing something where it may have actually done something that doesn't show up on the CT scan?

 

Just curious.

Comments

  • icemantoo
    icemantoo Member Posts: 3,361 Member
    edited January 2018 #2
    I could try and answer the questions

    Tapman,

     

    I could try and answer the questions, but you are seeing the Uro tomorrow and he can explain it a lot better. He will also probably order a chest CT (better) or chest xray to check your lungs if not already done.

     

     

    Icemantoo

  • foxhd
    foxhd Member Posts: 3,181 Member
    edited January 2018 #3
    You want to

    make an educated leap. Until an actual sample can be authenticated for cancer, it is only probable. Even if the odds are greater than 99 to one. This would be true of any suspected diagnosis in medicine. Even if everybody agrees.

  • Abunai
    Abunai Member Posts: 173 Member
    #4
    Staging

    It sounds like you've read up on the staging system and the meaning of each stage, or you've had it explained to you.

    My guess is that if it hasn't been declared cancer yet, and further testing hasn't been completed, there's really no point of declaring a stage.

    You are technically correct that if:

    • cancerous
    • <7cm
    • Not spread to lymph nodes
    • Not spread elswhere

    is the definition of stage 1.

     

    My urologist told me that I was stage 2 because of the size of my tumor when he remove my kidney.

    However, he didn't do any further testing or scanning.

    It was only after my wife wheeled me into his office, a week after my nephrectomy, in a wheelchair, because my legs had stopped working and I could empty my bladder, that he knew that it was more than stage 2.

    There was even evidence in the CT scan I had prior to my nephrectomy that it had spread further. He, and the radiologist, had just not seen a tumor in my L5 spine, because they weren't looking for it. They were focusing on the kidney itself. It was a later, full-body, bone scan that showed additional tumors above and below the area visible in the abdominal CT scan.

    Make sure that, after the surgery, you consult a Urologic Oncologist, and get a thourough set of scans and testing.

    Only then can they give you a valid diagnosis and staging.

    Reading over this, it sounds like I'm being scary and gloomy. What I'm hoping for is to just make sure that you are your own advocate and get the best people you can get to give you the most thourough information they can.

  • stub1969
    stub1969 Member Posts: 978 Member
    #5
    Staging

    Hi, Tapman.  I'd encourage you to read posts by "Tango Xray".  Her story will explain your question about staging.  In summary, her tumor was smaller than 7 cm but it had broken out of the kidney.  Only through pathology were they able to determin this.  Her original stage 1 diagnosis moved to stage 3.  Like iceman said, you'll get a better explanation tomorrow.  Hope this helps.

    Stub

  • Tapman63
    Tapman63 Member Posts: 137 Member
    #6
    stub1969 said:

    Staging

    Hi, Tapman.  I'd encourage you to read posts by "Tango Xray".  Her story will explain your question about staging.  In summary, her tumor was smaller than 7 cm but it had broken out of the kidney.  Only through pathology were they able to determin this.  Her original stage 1 diagnosis moved to stage 3.  Like iceman said, you'll get a better explanation tomorrow.  Hope this helps.

    Stub

    Herein Lies My Confusion....

    I guess this is where I'm getting lost a bit....I thought the CT scan could tell if the cancer had spread or left the kidney and you'd know this before surgery.   Tons of questions to ask the doctor today.....

  • kidneystoneblessing
    kidneystoneblessing Member Posts: 26 Member
    #7
    Tapman63 said:

    Herein Lies My Confusion....

    I guess this is where I'm getting lost a bit....I thought the CT scan could tell if the cancer had spread or left the kidney and you'd know this before surgery.   Tons of questions to ask the doctor today.....

    I had the same issue.  

    I had the same issue.  On the scans I looked to be stage 1.  So NO spread to organs or bones. Then after they took it out, they found two small focal spots in the paranephric fat around the kidney of tumor adjacent to my 4 cm Tumor.   So as a result I went from t1a to t3a.  Also I have a rarer type translocation rcc.  So now I have to be watched even closer for reoccurrence since I have lymph invasion (these are like blood vessels except they carry your white blood cells).  So pathology is important.  This is called be upstaged.  

  • Tapman63
    Tapman63 Member Posts: 137 Member
    #8
    kidneystoneblessing said:

    I had the same issue.  

    I had the same issue.  On the scans I looked to be stage 1.  So NO spread to organs or bones. Then after they took it out, they found two small focal spots in the paranephric fat around the kidney of tumor adjacent to my 4 cm Tumor.   So as a result I went from t1a to t3a.  Also I have a rarer type translocation rcc.  So now I have to be watched even closer for reoccurrence since I have lymph invasion (these are like blood vessels except they carry your white blood cells).  So pathology is important.  This is called be upstaged.  

    Learn Something New Every Day

    Okay - I thought that since nothing showed in the lymph glands or in the organs on the CT scan I was in the clear as far as a higher staging goes.  That's exactly where I was confused.  So instead of feeling pretty confident I shoudl just go to cautiously optimistic.  

  • Abunai
    Abunai Member Posts: 173 Member
    #9
    Tapman63 said:

    Learn Something New Every Day

    Okay - I thought that since nothing showed in the lymph glands or in the organs on the CT scan I was in the clear as far as a higher staging goes.  That's exactly where I was confused.  So instead of feeling pretty confident I shoudl just go to cautiously optimistic.  

    Keeping fingers crossed

    Let us know the outcome.

    We're all wishing for the best.

  • foxhd
    foxhd Member Posts: 3,181 Member
    #10
    Sometimes

    many small mets are taking up residence in other places. They are too immature to show up. Often they seem to be supppressed by the primary growth. After primary and or kidney are removed, follow up scans can show an explosion of secondary tumors. Like an invasion of dandelions in your yard. An express to stage 4. So keep up with those scans.

Discussion Boards