Re: CT Scan might have saved my life!!
This WebDNA talk-list message is from 2006
It keeps the original formatting.
numero = 66572
interpreted = N
texte = The stats I was quoting are for tumor which are very different from cyst. Here is my second opinion from the Cleveland Clinic. Date: 03/08/2006 Patient Name: Sal Physician's name: Andrew C. Novick, M.D. Department: Chairman, Glickman Urological Institute Dear Sal: It is my sincere pleasure to provide you an e-Cleveland Clinic second opinion consultation. I greatly appreciate the detailed records that were forwarded to the e-Cleveland Clinic for our review. Diagnosis / Reason for Consultation: Renal Mass Sal is seeking a second opinion regarding the "best surgery" to remove the mass. Diagnostic Summary / Treatment Summary: It has been recommended that Sal undergo surgery for this mass. Second Opinion Recommendations: Sal is a 33-year-old otherwise healthy male who was recently found to have a renal mass upon a full body CT scan. Upon reviewing the CT scan, this shows a 3.4 cm solid enhancing mass in the anterior portion of the right kidney. The mass extends centrally into the renal sinus. The mass contains a central scar which may, perhaps, be indicative of a benign oncocytoma. Nevertheless, this radiographic finding is not specific for oncocytoma and there remains a significant possibility/probability that the mass represents a renal cell carcinoma. The CT scan demonstrates a normal left kidney and no other findings. This patient apparently has normal overall renal function. The renal mass should be surgically excised due to the possibility/probability that this represents a renal cell carcinoma. Based upon the size and unifocality of the mass, the indicated procedure is a right partial nephrectomy. This technique has been pioneered at the Cleveland Clinic and we have performed over 2,000 of these operations. Our published results indicate equivalent long-term cancer free survival for patients such as this treated with either a partial or total nephrectomy. The obvious advantage of a partial nephrectomy is in preserving the function of the involved kidney as added protection against the development of kidney failure later in life. In the case of Sal, based on the central extension of the tumor, I believe that it would be safer to perform a partial nephrectomy through an open surgical incision rather than with laparoscopy. Our experience with laparoscopic partial nephrectomy, while quite favorable, has indicated a higher risk of bleeding when performed for centrally-located renal tumors. Thank you for the opportunity to provide you this consultation. I do hope you find it helpful Physician Signature: Sincerely, Andrew C. Novick, M.D. On 3/28/06, Bob Minor
wrote: > Its odd because I have a cyst on my kidney, which was discovered > during a CT scan for kidney stones. They suggested I see my doctor, I > of course did and he said that kidney cysts were quite common and > surgery to remove them is very delicate because of the concerned > area. He said it would be important to determine if it was > "malignant" or "benign" before they would recommend surgery. He said > it is quite possible that I have had the cyst since I was a child and > that many folks live there lives with them with no cause for concern. > Now it is something that they are watching closely, ie I go back for > regular xray's and ultrasounds. If there is any significant growth > then they recommend surgery. Any way I don't know why the difference > in the stats for the malignant/benign rates, Checking online I found > this information from the sloan-kettering site. Another article below > suggests the reasoning, that being that your tumor was solid. My > doctors did a ultrasound and found mine to be the "fluid filled" > cyst, which in most cases is not cancerous. > > Good Luck and I hope your surgery goes well, the stats on recovery > are extremely glowing! > > On Mar 28, 2006, at 8:01 PM, Bess Ho wrote: > > > A few days later, I got the call. I was told that I had a 3.4 cm > > kidney tumor that was of concern and needed to be removed as possible > > kidney cancer. Upon further research, it turns out that no biopsy is > > performed before surgery because of the location and risk of spreading > > the cancer. The stats show that 90% of the time, the tumor is > > malignant. > > http://www.mskcc.org/mskcc/html/2459.cfm > > Moreover, as many as 25 percent of kidney masses represent a benign > condition. Often, Memorial Sloan-Kettering doctors may repeat > radiologic imaging with precise studies aimed at the kidney alone to > diagnose a benign mass without the need for a biopsy or any surgical > intervention. > > If your doctor suspects you have a kidney tumor, you may undergo > computed tomography (CT) scanning or magnetic resonance imaging > (MRI). Recently developed imaging techniques -- including 3-D CT, 3-D > MRI angiography, and CT urography -- reveal detailed anatomy, > allowing the doctor to plan surgery, often using a single imaging > test. Radiologists at Memorial Sloan-Kettering are leaders in the use > of these studies. Ultrasound may be used to determine if a kidney > mass is a fluid-filled cyst or a solid tumor. > > If you doctor suspects that you have cancer of the renal pelvis, or > transitional cell carcinoma, he or she may perform a cytoscopy -- in > which small tube with a lens is inserted into the urethra so the > bladder and urethra can be seen; a pyelogram; or a ureteroscopy, in > which a narrow lighted tube is passed through your urethra, into your > bladder, into a ureter, and into the renal pelvis to look for signs > of cancer. > > It is now understood that kidney tumors are a family of tumors with > varying degrees of aggressiveness. About 90 percent of all kidney > tumors are classified as renal-cortical tumors. These tumors are > actually a family of different tumor types. About 65 percent of renal- > cortical tumors are the conventional, or clear-cell type, which have > the most malignant potential. The remaining 35 percent are > oncocytomas (which are virtually benign) and two types of indolent > (slow-growing) tumors -- papillary carcinoma and chromophobe carcinoma. > > After surgery to remove a renal-cortical tumor, doctors will examine > the tumor cells to determine which of the cell types mentioned above > is present. Our doctors can then use this information, along with the > size of the tumor, and other aspects of the tumor's growth, to more > accurately predict the patient's prognosis and determine whether > further treatment is necessary. > > In addition to these tests, your doctor will take your medical > history into account, perform a physical examination, and order > laboratory studies such as blood and urine tests. > > > http://www.ucof.com/education/kidney_cancer.php > > Causes and Risks > > A kidney tumor is an abnormal growth within the kidney. Tumors may be > benign (non-cancerous) or malignant (cancerous). The most common > kidney lesion is a fluid-filled area called a cyst. Simple cysts are > benign and have a typical appearance on imaging studies. They do not > progress to cancer and usually require no follow-up or treatment. > Solid kidney tumors can be benign, but are cancerous more than 90 > percent of the time. > > While we do not know the exact cause of renal cell cancer, we do know > that certain risk factors are linked to this disease. The following > associations may increase the risk of developing kidney cancer. > > > > ------------------------------------------------------------- > This message is sent to you because you are subscribed to > the mailing list . > To unsubscribe, E-mail to: > To switch to the DIGEST mode, E-mail to > Web Archive of this list is at: http://webdna.smithmicro.com/ > ------------------------------------------------------------- This message is sent to you because you are subscribed to the mailing list . To unsubscribe, E-mail to: To switch to the DIGEST mode, E-mail to Web Archive of this list is at: http://webdna.smithmicro.com/
Associated Messages, from the most recent to the oldest:
The stats I was quoting are for tumor which are very different from cyst. Here is my second opinion from the Cleveland Clinic. Date: 03/08/2006 Patient Name: Sal Physician's name: Andrew C. Novick, M.D. Department: Chairman, Glickman Urological Institute Dear Sal: It is my sincere pleasure to provide you an e-Cleveland Clinic second opinion consultation. I greatly appreciate the detailed records that were forwarded to the e-Cleveland Clinic for our review. Diagnosis / Reason for Consultation: Renal Mass Sal is seeking a second opinion regarding the "best surgery" to remove the mass. Diagnostic Summary / Treatment Summary: It has been recommended that Sal undergo surgery for this mass. Second Opinion Recommendations: Sal is a 33-year-old otherwise healthy male who was recently found to have a renal mass upon a full body CT scan. Upon reviewing the CT scan, this shows a 3.4 cm solid enhancing mass in the anterior portion of the right kidney. The mass extends centrally into the renal sinus. The mass contains a central scar which may, perhaps, be indicative of a benign oncocytoma. Nevertheless, this radiographic finding is not specific for oncocytoma and there remains a significant possibility/probability that the mass represents a renal cell carcinoma. The CT scan demonstrates a normal left kidney and no other findings. This patient apparently has normal overall renal function. The renal mass should be surgically excised due to the possibility/probability that this represents a renal cell carcinoma. Based upon the size and unifocality of the mass, the indicated procedure is a right partial nephrectomy. This technique has been pioneered at the Cleveland Clinic and we have performed over 2,000 of these operations. Our published results indicate equivalent long-term cancer free survival for patients such as this treated with either a partial or total nephrectomy. The obvious advantage of a partial nephrectomy is in preserving the function of the involved kidney as added protection against the development of kidney failure later in life. In the case of Sal, based on the central extension of the tumor, I believe that it would be safer to perform a partial nephrectomy through an open surgical incision rather than with laparoscopy. Our experience with laparoscopic partial nephrectomy, while quite favorable, has indicated a higher risk of bleeding when performed for centrally-located renal tumors. Thank you for the opportunity to provide you this consultation. I do hope you find it helpful Physician Signature: Sincerely, Andrew C. Novick, M.D. On 3/28/06, Bob Minor wrote: > Its odd because I have a cyst on my kidney, which was discovered > during a CT scan for kidney stones. They suggested I see my doctor, I > of course did and he said that kidney cysts were quite common and > surgery to remove them is very delicate because of the concerned > area. He said it would be important to determine if it was > "malignant" or "benign" before they would recommend surgery. He said > it is quite possible that I have had the cyst since I was a child and > that many folks live there lives with them with no cause for concern. > Now it is something that they are watching closely, ie I go back for > regular xray's and ultrasounds. If there is any significant growth > then they recommend surgery. Any way I don't know why the difference > in the stats for the malignant/benign rates, Checking online I found > this information from the sloan-kettering site. Another article below > suggests the reasoning, that being that your tumor was solid. My > doctors did a ultrasound and found mine to be the "fluid filled" > cyst, which in most cases is not cancerous. > > Good Luck and I hope your surgery goes well, the stats on recovery > are extremely glowing! > > On Mar 28, 2006, at 8:01 PM, Bess Ho wrote: > > > A few days later, I got the call. I was told that I had a 3.4 cm > > kidney tumor that was of concern and needed to be removed as possible > > kidney cancer. Upon further research, it turns out that no biopsy is > > performed before surgery because of the location and risk of spreading > > the cancer. The stats show that 90% of the time, the tumor is > > malignant. > > http://www.mskcc.org/mskcc/html/2459.cfm > > Moreover, as many as 25 percent of kidney masses represent a benign > condition. Often, Memorial Sloan-Kettering doctors may repeat > radiologic imaging with precise studies aimed at the kidney alone to > diagnose a benign mass without the need for a biopsy or any surgical > intervention. > > If your doctor suspects you have a kidney tumor, you may undergo > computed tomography (CT) scanning or magnetic resonance imaging > (MRI). Recently developed imaging techniques -- including 3-D CT, 3-D > MRI angiography, and CT urography -- reveal detailed anatomy, > allowing the doctor to plan surgery, often using a single imaging > test. Radiologists at Memorial Sloan-Kettering are leaders in the use > of these studies. Ultrasound may be used to determine if a kidney > mass is a fluid-filled cyst or a solid tumor. > > If you doctor suspects that you have cancer of the renal pelvis, or > transitional cell carcinoma, he or she may perform a cytoscopy -- in > which small tube with a lens is inserted into the urethra so the > bladder and urethra can be seen; a pyelogram; or a ureteroscopy, in > which a narrow lighted tube is passed through your urethra, into your > bladder, into a ureter, and into the renal pelvis to look for signs > of cancer. > > It is now understood that kidney tumors are a family of tumors with > varying degrees of aggressiveness. About 90 percent of all kidney > tumors are classified as renal-cortical tumors. These tumors are > actually a family of different tumor types. About 65 percent of renal- > cortical tumors are the conventional, or clear-cell type, which have > the most malignant potential. The remaining 35 percent are > oncocytomas (which are virtually benign) and two types of indolent > (slow-growing) tumors -- papillary carcinoma and chromophobe carcinoma. > > After surgery to remove a renal-cortical tumor, doctors will examine > the tumor cells to determine which of the cell types mentioned above > is present. Our doctors can then use this information, along with the > size of the tumor, and other aspects of the tumor's growth, to more > accurately predict the patient's prognosis and determine whether > further treatment is necessary. > > In addition to these tests, your doctor will take your medical > history into account, perform a physical examination, and order > laboratory studies such as blood and urine tests. > > > http://www.ucof.com/education/kidney_cancer.php > > Causes and Risks > > A kidney tumor is an abnormal growth within the kidney. Tumors may be > benign (non-cancerous) or malignant (cancerous). The most common > kidney lesion is a fluid-filled area called a cyst. Simple cysts are > benign and have a typical appearance on imaging studies. They do not > progress to cancer and usually require no follow-up or treatment. > Solid kidney tumors can be benign, but are cancerous more than 90 > percent of the time. > > While we do not know the exact cause of renal cell cancer, we do know > that certain risk factors are linked to this disease. The following > associations may increase the risk of developing kidney cancer. > > > > ------------------------------------------------------------- > This message is sent to you because you are subscribed to > the mailing list . > To unsubscribe, E-mail to: > To switch to the DIGEST mode, E-mail to > Web Archive of this list is at: http://webdna.smithmicro.com/ > ------------------------------------------------------------- This message is sent to you because you are subscribed to the mailing list . To unsubscribe, E-mail to: To switch to the DIGEST mode, E-mail to Web Archive of this list is at: http://webdna.smithmicro.com/
"sal danna"
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