Hello, this is Dr. David. I have read your question and am ready to help.
I am so sorry for your uncle.
sounds like his bladder cancer may have spread to his lungs.
usually a biopsy of the lung nodules is needed to prove that the bladder cancer has spread to the lungs, because it is a very important thing to know because if the cancer has spread there, it is no longer curable, and so extra measures should be taken to make absolutely sure that it is bladder cancer spread to the lungs and not something else.
the cancer were told are not linked
so he has a new separate lung cancer? did they do a lung biopsy ?
yes thay have, sorry for delay was finding out info,many thanks.
how old is your uncle and how aggressive does he want to be with his cancers?
he is 58, has been sensitive awkward but is fighting it mentally very well and in pretty good spirit
well it sounds like he has two aggressive cancers and if the lung cancer has not spread outside of the lungs, still can be attacked with either lung surgery or radiation and chemotherapy
his bladder cancer sounds like it has also progressed and needs a ureteral stent and can be attacked with either removing the bladder and ureter and kidney on that side and he then has to live with one kidney
these are two very big treatments.
because of kidney problems they wont do chemo or radio therepy
one kidney is very bad and the other apparently works 40%. also there is a blockage between between bladder and kidneys
yes, this would complicate all the treatments.
I am so sorry for your uncle's situation.
if he has bad kidneys then there is not much which can be done to fight the cancers.
can a good kidney be trasplanted
transplant is usually not done in cancer patients
because they have to give a lot of immune suppressing drugs to suppress the body's reaction to reject the organ.
and these immune suppressing drugs can cause the cancer to grow even faster
im sure it can be sucsessful if pursued
organ transplantation is a very very tricky thing and very complicated.
it is a lot of effort from the transplant team and risk to the patient as well. these organs are rare and the team does not usually transplant organs into patients who are high risk. and a patient with two cancers would be extremely high risk.
especially the bladder cancer.
it is up to you and your uncle if they want to pursue this, but I believe your doctors will not consider this.
let me know if you have other questions
you can always reach me as Dr. David
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can unblocking blood problem at least prolong life as much as we can
what do you mean unblocking blood problem?
do you mean unblocking the tube between the bladder and kidneys?
they have placed a ureteral stent as you mentioned and this will keep the ureter as open as possible for now.
this will allow the urine to flow out of that kidney and hopefully the kidney will recover. somewhat
only blood testing can see if that kidney has recovered some.
that stent will have to be replaced every few months to decrease chances for infection.
the stent is not working and cant pass urine
there might be too much scar tissue in the bladder or too much bladder tumor pressing on the ureter and ureter stent to allow flow
or the kidney itself on that side could be dead and not making any urine.
is there any hope of unblocking the tube if the kidneys work other than the stent
he can talk to his doctors about doing a nephrostomy tube.
this is a tube which drains the kidney from the back
an interventional radiologist puts a tube directly into the pelvis of the kidney from the back and drains the kidney from the back if the ureter is completely blocked.
they will not do this for a dead kidney
but if the kidney is still functioning, this is an option
how well does the kidney need to be working for this
it needs to be able to put out some sort of urine
they had him on a filter machine but the bloods clotting and wont flow through filter
he dribbles urine when is
he gows bowels open
I see, he is currently getting dialysis
what was your last question?
he dribbles urine when he has a bowel movement?
yes. hes on filtration is that dialysis
yes, that is called kidney dialysis where a machine filters the blood when the kidneys can not.
what is nephrostomy
a tube into the back directly into the kidney to drain the kidney when there is a blockage below
but it only works when the kidneys make urine
and it doesn't seem like his kidneys are making urine.
I am so sorry
I have an appointment this morning
I will be back in about a hour or so
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best of luck to you and your uncle
you are welcome
you can always reach me as Dr. David here
thanks for using JustAnswerrs.com