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Genitourinary Cancer Archive Questions

Below are Dr. Richard Alexander’s answers to Genitourinary Cancer questions
received through the Ask the Expert feature.

This content is provided for informational purposes only, and is not intended
to be a substitute for individual medical advice in diagnosing or treating a
health problem. Please consult with your physician about your specific health
care concerns.



Now displaying records 1 to 4 of 4.

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Q : 1

06/01/2009
My 72-year-old father was told he has a cancerous tumor on his kidney. He has high blood pressure, had prostate cancer 10 years ago, and is considering elective removal of the entire kidney laproscopically. Is this his only option? The tumor has doubled in size in two years.

It really depends on the size and location of the tumor. Without looking at the films, I could not really comment.


Q : 2

05/25/2009
My father has a 2 cm tumor on his kidney and he has received a lot of conflicting information about whether the Da Vinci Robot or open surgery is best for a partial nephrectomy. The reason given was the size of his tumor. What is your opinion?

I would need to review the films to be sure; however, most 2 cm tumors can be resected with the laproscopic or Robotic technique.


Q : 3

03/02/2009
I am a 48-year-old female diagnosed as having bilateral kidney cysts. The right kidney shows a 2x3cm cyst and the left kidney has a larger exophytic cystic lesion. The lesion has a partially calcified rim in the superior-anterior aspect, and a small rim of soft tissue. It has also been classified as a bosniak type 2f. My urologist has recommended that i wait 6 months then repeat the CT scan. I feel uncomfortable waiting, shouldn't my doctor do a biopsy?

From your description, this sounds like a reasonable plan. I see no indications that would suggest that a biopsy is necessary.


Q : 4

01/20/2009
My brother has a 4-5cm tumor in his right kidney. The CT scan says "likely to be malignant." His doctor is not planning to do a biopsy. Without a biopsy, how can they know whether the tumor is benign or malignant? They are suggesting that the kidney be removed. The patient feels healthy and both kidneys appear to be working fine. Your expert suggestions/guidelines?

This sounds like a reasonable plan. In general, renal biopsy is not necessary if the lesion is solid and enhances as suspicious.


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