How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Urologist,M.D. Your Own Question

Urologist,M.D.
Urologist,M.D., Urologist
Category: Urology
Satisfied Customers: 4102
Experience:  Board Certified in Urology, Fellowship trained
19896974
Type Your Urology Question Here...
Urologist,M.D. is online now
A new question is answered every 9 seconds

Lower abdominal ct scan on October 6th discloses a dark spot

Customer Question

Lower abdominal ct scan on October 6th discloses a dark spot in my upper (left?) kidney. 9x9x11 cm in size. I had a bout with high blood pressure about 24 months to 8 months ago. 170 over 120 at the highest. The blood pressure was effectively controlled by amplodipine. I stopped taking the amplodipine about 5 months ago and my blood pressure remains ~135/75.

Lungs and bones are clear. but thrombus for vena cava which "could be bland or tumor". October 8th MRA confirms mass.

Radiologist suggests renal cell carcinoma is consistant. The surgeon who had the test taken was only to happy to go along with the suggestion. Wants to remove whole kidney. Should I rush to accept?

hemoglobin dropped over 8 months from 11.6 to 4. Brought back up by transfusions to ~10. No blood leaks from urine. stool test not back yet. Srength back up.

Is there a way to attempt to resolve without surgery. Is it possible that there is a way to confirm tentative diagnosis, which the surgeon is eagar to accept and to remove whole kidney?

Duke
Submitted: 4 years ago.
Category: Urology
Expert:  Dr. Y. replied 4 years ago.
Hi there,

Thanks for your question. Please be patient for a response as I may be in the OR or driving, but will get back to you ASAP.

The only things that cause tumors to grow into the vena cava are cancers of the kidney or adrenal glands. You have an advanced renal cell cancer that requires ammajor surgery to remove the entire kidney and opening of the vena cava to remove the tumor clot. This doesn't require any additional tests. Hope this helps.
Customer: replied 4 years ago.

You are a surgeon, I asked for alternatives. I realize that the 15th century cure of amputation is attractive to you.

 

I would like this discussion with other than a surgeon. It is not that I am fighting this answer but the surgury may have significant downsides.

Customer: replied 4 years ago.
Relist: I asked for non-surgical solutions, Dr. Y is a surgeon and gave me surgeon answers..
I asked for non-surgical solutions, Dr. Y is a surgeon and gave me surgeon answers.
Expert:  Urologist,M.D. replied 4 years ago.
Usually the treatment for this is surgical, unfortunately. However, if you want to be sure this is renal call cancer, then request your doctor to do a biopsy so you will know. In terms of nonsurgical treatment, visit with a medical oncologist that treats kidney cancer. There may be some experimental trials or chemotherapy that can be given forst to see if there is a response to nonsurgical treatment. It would be worthwhile for you to explore these so that you feel more comfortable with whatever treatment your doctors recommend. Hope this helps.
Customer: replied 4 years ago.
<p>Bone scan and chest mri were clear. clots appear in lower vena what is the range of speed if it is cancer of metastasizing?</p><p> </p><p>What is the prognosis if I have radiacal kidney removal and removal of the venal cysts? Srival rate, time and quality of life?</p>
Expert:  Urologist,M.D. replied 4 years ago.
The range of speed once the cancer has spread into the vena cava is very quick so you will want to get treated ASAP. Or you risk spread to other organs and if this happens, your survival rate goes way down. Your prognosis is actually very good if you have no metastasis to solid organs and if your surgeon is able to remove all the tumor thrombus during the surgery along with your kidney. It is still treatable, so don't wait too long.
Customer: replied 4 years ago.
I realize that there is no firm answer to this question, but would give me an estimate of "ASAP" and "quick", I would like as much time as possible to determine testing. Thank you, XXXXX XXXXX
Expert:  Urologist,M.D. replied 4 years ago.
If this is renal cell cancer and tumor is in your vena cava, I would get this operated on no later than one month. If you wanted, that will give you time to get other studies, but get that kidney out no later than one month.
Urologist,M.D., Urologist
Category: Urology
Satisfied Customers: 4102
Experience: Board Certified in Urology, Fellowship trained
Urologist,M.D. and other Urology Specialists are ready to help you
Customer: replied 3 years ago.
other than the disabused renal biopsy, are there ANY tests to determine cancer, what about biopsy of the vena cysts, anaysis of the blood in the urine? other than the guess of the radiologist?
Expert:  Urologist,M.D. replied 3 years ago.
No, only biopsy of the tumor or visual appearance based on CT scan. This is how we diagnose renal cell cancer.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Y.

    Urologist

    Satisfied Customers:

    17592
    Specializing in general urology and reconstructive urology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/lyeung1/2010-07-25_032152_tn_IMG_0241.JPG Dr. Y.'s Avatar

    Dr. Y.

    Urologist

    Satisfied Customers:

    17592
    Specializing in general urology and reconstructive urology.
  • http://ww2.justanswer.com/uploads/TH/tharun/2012-4-16_192945_passportyellow.64x64.jpg Dr. Tharun's Avatar

    Dr. Tharun

    Urology Resident

    Satisfied Customers:

    1177
    MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.
  • /img/opt/shirt.png Dr. B's Avatar

    Dr. B

    Urologist

    Satisfied Customers:

    62
    Trained in Adult and Pediatric Urology, Fellowship trained in Urologic Oncology.
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    44473
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    13579
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University