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Renal Diet Questions

Asked for Male, 35 years old from Navi Mumbai
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My dad has a tumor in the upper and mid pole of the right kidney measuring 14 *6.9*10.5 CMS as per latest USG. 2. Likewise prostrate is also enlarged at 5 CMS. 3. The Impressions mentioned in the report include Mild Hepatocellular splenomegaly, small cyst measuring 1.7 CMS in the left lobe of liver, mass lesion in the right kidney, enlarged prostate. 4.The latest chest ray states, well defined rounded opacities in right mid zone and bilateral lower zone with a possibility of lungs metastasis. 5. He has lost 10 kgs in the last 1 year. 6. His left and right foot especially appear to be swelling now. Not sure why. 7. He wakes up 6-7 times at night to pass urine and as a result has a disturbed sleep. 8.He has been constantly having cough and pain along the lower back and spinal cord. If surgery needs to be done, how critical would that be? Life threats now versus Post surgery? Can surgery be avoided? Any effective oral medication?

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MBBS, MS - Oncology, DNB ( General Surge...read more

Oncologist•Bangalore
Appears kidney cancer with spread to lung. PET/CT scan will show all the body parts affected with it, so that it can be analysed and managed better. Surgery is not required when there is already metastasis (spread). Oral medications are available to keep a control over the growth of tumor so that life can be extended. Please consult a qualified medical oncologist near by for further analysis and prescription.
88 people found this helpful
Asked for male, 72 years old from Chennai
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My dad has a tumor in the upper and middle pole of the right kidney measuring 14 *6.9*10.5 CMS as per latest USG. 2. Likewise prostrate is also enlarged at 5 CMS. 3. The Impressions mentioned in the report include Mild Hepatocellular splenomegaly, small cyst measuring 1.7 CMS in the left lobe of liver, mass lesion in the right kidney, enlarged prostate. 4.The latest chest ray states, well defined rounded opacities in right mid zone and bilateral lower zone with a possibility of lungs metastasis. 5. He has lost 10 kgs in the last 1 year. 6. His left and right foot especially appear to be swelling now. Not sure why. 7. He wakes up 6-7 times at night to pass urine and as a result has a disturbed sleep. 8.He has been constantly having cough and pain along the lower back and spinal cord. How do you suggest I go about?

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MBBS, M.S. General Surgery, M.R.C.S. Eng...read more

Oncologist•Mumbai
He would need a CT thorax to confirm the size and number of metastasis. Also a bone scan would be advisable if bone pain or raised alkaline phosphate level in blood. PET CT scan can be done instead of both the above investigations. MRI brain if symptomatic.
If he is asymptomatic for the lung mets and his general condition is good and tumor is resectable and not poor prognosis on IMDC criteria (based on some blood reports and contition of Patient), then I prefer to to a cytoreductive nephrect...more
Asked for male, 37 years old from Bangalore
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MCh - Surgical Oncology, FEBS - Fellow o...read more

Oncologist•Navi Mumbai
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Hello lybrate-user
lovely report. Congratulations.
Hopefully a partial Nephrectomy has been done saving the rest of the kidney.
This report suggests you have a low risk less aggressive tumor although Lymphovascular invasion may signify some nodal Mets.
Just keep a good follow up every 6 months with USG abdo pelvis for the next 3 years
Regards.
Asked for Male, 0 years old from Chennai
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MD - Radiothrapy

Oncologist•Ahmedabad
hi,
go for surgery to remove that kidney, followed by chemotherapy and/or radiotherapy according to stage of cancer
Asked for male, 22 years old from Mumbai
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Asked for Male, 35 years old from Navi Mumbai
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My dad has a tumor in the upper and mid pole of the right kidney measuring 14 *6.9*10.5 CMS as per latest USG. 2. Likewise prostrate is also enlarged at 5 CMS. 3. The Impressions mentioned in the report include Mild Hepatocellular splenomegaly, small cyst measuring 1.7 CMS in the left lobe of liver, mass lesion in the right kidney, enlarged prostate. 4.The latest chest ray states, well defined rounded opacities in right mid zone and bilateral lower zone with a possibility of lungs metastasis. 5. He has lost 10 kgs in the last 1 year. 6. His left and right foot especially appear to be swelling now. Not sure why. 7. He wakes up 6-7 times at night to pass urine and as a result has a disturbed sleep. 8.He has been constantly having cough and pain along the lower back and spinal cord. If surgery needs to be done, how critical would that be? Life threats now versus Post surgery? Can surgery be avoided? Any effective oral medication?

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MBBS, MS - Oncology, DNB ( General Surge...read more

Oncologist•Bangalore
Appears kidney cancer with spread to lung. PET/CT scan will show all the body parts affected with it, so that it can be analysed and managed better. Surgery is not required when there is already metastasis (spread). Oral medications are available to keep a control over the growth of tumor so that life can be extended. Please consult a qualified medical oncologist near by for further analysis and prescription.
88 people found this helpful
Asked for male, 72 years old from Chennai
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My dad has a tumor in the upper and middle pole of the right kidney measuring 14 *6.9*10.5 CMS as per latest USG. 2. Likewise prostrate is also enlarged at 5 CMS. 3. The Impressions mentioned in the report include Mild Hepatocellular splenomegaly, small cyst measuring 1.7 CMS in the left lobe of liver, mass lesion in the right kidney, enlarged prostate. 4.The latest chest ray states, well defined rounded opacities in right mid zone and bilateral lower zone with a possibility of lungs metastasis. 5. He has lost 10 kgs in the last 1 year. 6. His left and right foot especially appear to be swelling now. Not sure why. 7. He wakes up 6-7 times at night to pass urine and as a result has a disturbed sleep. 8.He has been constantly having cough and pain along the lower back and spinal cord. How do you suggest I go about?

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MBBS, M.S. General Surgery, M.R.C.S. Eng...read more

Oncologist•Mumbai
He would need a CT thorax to confirm the size and number of metastasis. Also a bone scan would be advisable if bone pain or raised alkaline phosphate level in blood. PET CT scan can be done instead of both the above investigations. MRI brain if symptomatic.
If he is asymptomatic for the lung mets and his general condition is good and tumor is resectable and not poor prognosis on IMDC criteria (based on some blood reports and contition of Patient), then I prefer to to a cytoreductive nephrect...more
Asked for male, 37 years old from Bangalore
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MCh - Surgical Oncology, FEBS - Fellow o...read more

Oncologist•Navi Mumbai
banner-image
Hello lybrate-user
lovely report. Congratulations.
Hopefully a partial Nephrectomy has been done saving the rest of the kidney.
This report suggests you have a low risk less aggressive tumor although Lymphovascular invasion may signify some nodal Mets.
Just keep a good follow up every 6 months with USG abdo pelvis for the next 3 years
Regards.
Asked for Male, 0 years old from Chennai
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MD - Radiothrapy

Oncologist•Ahmedabad
hi,
go for surgery to remove that kidney, followed by chemotherapy and/or radiotherapy according to stage of cancer
Asked for male, 22 years old from Mumbai
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