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I was recently diagnosed with a 7mm Kidney Cancer on my

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I was recently diagnosed...

I was recently diagnosed with a 7mm Kidney Cancer on my right Kidney. I have been scheduled for removal of same next month but I want a second opinion before subjecting myself o the removal of said Kidney.

Doctor's Assistant: Is the condition chronic, or acute?

Just discovered, via Cat scan, ... no immediate physical symptoms but the Urologist is insistent on removing the Kidney ... suggestions?

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Dr. has all medical history available from Sutter Health Care.

Submitted: 24 days ago.Category: Urology
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Answered in 12 minutes by:
5/30/2018
Urologist: Dr. Mark, Surgeon replied 24 days ago
Dr. Mark
Dr. Mark, Surgeon
Category: Urology
Satisfied Customers: 12,597
Experience: Experience with Neurologic Urologic issues
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Hello -

Did your doctor do a biopsy, or is the diagnosis of cancer based on the CT scan?

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Customer reply replied 24 days ago
THE LATTER
Customer reply replied 24 days ago
HAVE AN ANSWERET?
Customer reply replied 24 days ago
EMAIL YOUR RESPONSE SOONEST PLEASE.
Urologist: Dr. Mark, Surgeon replied 24 days ago

OK, thank you.

7mm seems to be on the smaller side to make a decision about surgical removal of a kidney.

I would ask for a second opinion from another urologist.

Many urologists would take any lesion under 10mm and get another CT scan (or MRI scan) in several months to check for any growth -- then if there is growth, at that time consider surgery.

Others may decide to biopsy the area via CT guided biopsy of the lesion.

However -- if there is a high risk that the lesion is cancerous, then yes -- surgical removal of the kidney (either partially or the whole kidney) is recommended.

So a lot of this depends on how concerned they are that this is cancer.

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Customer reply replied 24 days ago
Thank you for your response. However, you have "tap-danced" around the question. This is why I contacted you to get a medical opinion regarding surgery. If 7mm is considered "Too Small" for removal the so-be-it. However, my current Urologist has Cat-Scans, MRI and sonograms and announced that he will remove my kidney soonest. I do not want anything growing inside my body that can cause loss of function and life.
Urologist: Dr. Mark, Surgeon replied 24 days ago

General recommendations say for small (under 1cm) lesions, it is acceptable to watch it with a repeat CT.

However - if you are concerned about the cancer -- and your urologist is as well, then removing the kidney would be the appropriate step.

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Customer reply replied 24 days ago
Thank you for your response, quite helpful
Urologist: Dr. Mark, Surgeon replied 24 days ago

Best of luck to you.

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