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Curative Surgery

jroby55
Posts: 36
Joined: Feb 2019

I am a bit confused by the verbiage my doctor uses. He uses the term curative quite a bit and he said that following the pathology report there is an 87% chance of the surgery being curative (I had a radical nephrectomy). Does that mean there is an 87% chance I will not have mets down the road? What about secondary cancers? It's all a little confusing I guess! Thanks!

icemantoo's picture
icemantoo
Posts: 3208
Joined: Jan 2010

jroby,

 

 

Sounds like a small to very small chace of mets down the road. From reading these posts for many years we probaly have the same chance as non members of getting other cancers.

 

 

icemantoo

jroby55
Posts: 36
Joined: Feb 2019

Thank you Iceman! I sure am hoping so for all of us!

Dominick0711's picture
Dominick0711
Posts: 87
Joined: Jan 2019

I was confused about the same thing. My doc said 95%, even 98% once but then you see all the cases of mets that pop up later and it is scary. I think the bottom line message is, like icemantoo said, our likelihood is high that surgery can be curative when this is found before the cancer metastisizes but following your scan schedule and staying vigilant is important because in some instances it pops up and early detection is key to treatment going further if it does recur or metastisize after surgery, however unlikely that may be based on tumor size, type etc.

Just something I found helpful, posting your medical history can help people on here address your questions as there are so many different scenarios dependent on your medical history.

jroby55
Posts: 36
Joined: Feb 2019

Thanks Dominick, That is an awesome scenario your doc suggested for you! Heree is what my specific pathology report said:

RCC Clear Cell Type

ISUP Grade 2

Pt1b (stage)

Unifocal

Sarcomatoid features: Not Identified

Rabdoid features: Not identified

Necrosis: Not Identified

Size: 6.5cm (limited to kidney) clear margins

Limelife50's picture
Limelife50
Posts: 476
Joined: Nov 2011

I always looked at it this way 100 people get rrc 87 of them never get it again 13 of them do those are very good odds

Dominick0711's picture
Dominick0711
Posts: 87
Joined: Jan 2019

Sounds like a very good prognosis for you jroby based on what I have learned to date about RCC.  Grade 2 without sarcomatoid features means low likelihood of recurrence.  When they catch it before it finds its way out surgery is most often curative.  I wish you a lifetime of good health and a cancer free future!  

jroby55
Posts: 36
Joined: Feb 2019

Thanks Dominick! The sarcamatoid features are what makes it more aggressive, correct? I was confused when I first read it and it said "not identified" I thought that meant they did not look for that but my urologist said that they did not find that feature. 

 

I wish you a lifetime of good health and freedom from cancer as well! 

Dominick0711's picture
Dominick0711
Posts: 87
Joined: Jan 2019

Yes not identified definitely means the tumor did not contain those features. 

jroby55
Posts: 36
Joined: Feb 2019

Awesome! Thank you!

Manufred's picture
Manufred
Posts: 239
Joined: May 2017

Your prognosis does seem very good, so hope for the best.  But remain vigilant and commit to a decent follow-up regime.

Unfortunately they are talking about risk, not anything absolute.  There is no definitive way of knowing if metastasis occurred before they got it out of you, and it can take a while for mets to show up if it did happen.  Don't stress and enjoy life, but don't skip any scans.

Best Wishes, Fred.

jroby55
Posts: 36
Joined: Feb 2019

Very true Manufred... Thank you for your sharing! Best wishes to you too!

Mighty Frog's picture
Mighty Frog
Posts: 135
Joined: Jul 2017

As far as i know, there is no cure (very sorry to said this). Always be vigilant and adopt a healthy lifestyle. 

Tapman63's picture
Tapman63
Posts: 136
Joined: Dec 2017

The word "curative" was usded by my doctors as well.  I sure hope for that, but I can't say that 13% doesn't lurk in the back of my head....oh....every single day.  And, from being on this forum for a while - I know that's normal.  So, let's hope our doctors were correct and we'll be here to try to help other folks for years to come!

Jim

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