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Waiting?

Pmsxpert
Posts: 4
Joined: Feb 2017

Hi,

I had a ultra sound done and they found a 5cm mass on my right kidney, I don't have the official report yet but my Dr. (He's a DO) Told me that it's too small to biopsy but if I wanted he could send me to a cancer specialist but they would tell me the same thing? At this point I'm really confused, I have no idea if it is cancer or not, My Dr said it needs to be 7cm to biopsy?  My dad died of kidney cancer in 2013, he was having back pains, went to the er they admitted him on a Sunday on Wednesday they informed my family that he had a very aggressive cancer, Thursday he was moved to hospice and died on Sunday....I'm very concerned about "waiting" until it's a 7! Thoughts? Suggestions are truly Appreciated! 

Thank You! 

sucotai
Posts: 19
Joined: Jan 2017

Find a urologist ASAP, preferably one with training in dealing with kidney cancer. 5cm mass is more than enough for a biopsy, you do not want to wait until its 7cm, by which time it will become at least a stage II as opposed to a possible stage I

Pmsxpert
Posts: 4
Joined: Feb 2017

Thank you for your quick response!  I think I knew this all along but needed someone to confirm it! 

icemantoo's picture
icemantoo
Posts: 3284
Joined: Jan 2010

Pmsxpert.

 

Your DO is in over his head. At 5cm you need a CT ordered by the Urologist. At 5cm they will probably skip the biopsy. 4cm is a small kidney tumor. 5cm is a tad larger than small. Get to the Urologist ASAP.

 

 

Icemantoo

Pmsxpert
Posts: 4
Joined: Feb 2017

Thank you, I'll be making calls tomorrow!  Thank you all so much!

medic1971's picture
medic1971
Posts: 200
Joined: Sep 2015

Just to confirm...  Your mass is 5cm not 5mm?  (1cm=10mm). 5mm would be too small to biopsy, but 5cm and that sucker needs to come out, unless it's just a simple cyst.  

Mine was 2.2cm and 0.8cm (I had two small spots on the same kidney) and I had surgery to remove part of my kidney.  Get to a urologist who deal with renal masses.  

Keep us posted and good luck!

icemantoo's picture
icemantoo
Posts: 3284
Joined: Jan 2010

Pmsxpert,

Check whether your mass is 5cm or 5 mm. If it is 5mm the DO gave you appropriate advise. 5mm is sort of wait and watch size. If it is in fact 5 cm proceed as suggested before.

 

 

Icemantoo

Kat23502's picture
Kat23502
Posts: 179
Joined: Feb 2016

Assuming your measurements are correct (5cm not 5mm), its standard practice with kidney masses to skip the biopsy and go straight to surgery. With solid renal masses, the statistics are quite high that they are malignant so most believe that the risks from doing a biopsy are unnecessary so they move straight to surgery. Those high statistics aren't meant to scare you, 5cm isn't tiny but it is small enough that there is a good chance you can have it removed and live a very long life. Especially considering your history, I wouldn't wait a day longer before going to  a urologist.

Pmsxpert
Posts: 4
Joined: Feb 2017

I'm hoping to pick up the official report today, my Dr said "it's 5cm, about 1/2 inch in size" those were his words. Did he mis speak? Possibly, as soon as I know for sure I'll be Back! Thank you! 

icemantoo's picture
icemantoo
Posts: 3284
Joined: Jan 2010

Pmsxert,

5cm is about 2 inches.

5mm is about 2/10th's iof an inch.

A half inch is 1.27 cm

Lets get the correct measurement from the Ultrasound before we go out in left field.

 

Icemantoo

 

mrou50
Posts: 389
Joined: Mar 2013

Demand to see a Urologist they are more equiped for this situation.  I had a biopsy taken on  a lung met that was 3 cm's so I don't know where your doctor gets the idea that five is to small.  Don't wait on this demand action remember the earlier detected the better your chances of a long life.

Mark

Ktmg
Posts: 24
Joined: Feb 2017

A good interventional radiologist can biopsoy small masses. Mine is about 3cm and they were able to do a biopsy. You need to be agressive with this, and find a doctor who is willing to be interested in your case. Best of luck!

Bay Area Guy's picture
Bay Area Guy
Posts: 455
Joined: Jun 2016

As others have said, get a referral to a good urological oncologist.  If it's 5cm, they will likely recommend surgery.  If it's 5mm, they'll likely recommend observation and a CT scan or ultrasound every six months or so to see if it changes at all.  If it changes (grows), they'll likely recommend surgery.

foxhd's picture
foxhd
Posts: 3183
Joined: Oct 2011

Run to a specialist. Everyone is correct in their advice. Refuse a biopsy. Growth has to come out.

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