I got the answer of My Right Kidney B... - Advanced Prostate...

Advanced Prostate Cancer

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I got the answer of My Right Kidney Biopsy

NOCanceros profile image
13 Replies

Hello

Answers received

PAD: minimal biopsy from right kidney, image consistent with clear cell carcinoma. Malignancy grade 1.

Assessment

The patient is informed of the PAD response by telephone.

Regarding the patient's prostate cancer, stop Bicalutamide since May 2022. The patient has checked the PSA value privately. PSA was 0.45 in June, 0.95 in July and rose further to 1.1 when sampled on August 11. The patient has started taking the Bicalutamide tablets again since a week ago.

Measure

Planned actions

Return visit to the urology clinic with Dr. Ellasy or Alamdari for discussion regarding further management of the kidney tumor. New PSA check in four weeks with subsequent phone call with signed for prostate cancer follow-up.

Booking documents already created.

Diagnostic and Action Code

C619-Malignant tumor of the prostate-Main diagnosis

C649-Malignant tumor of kidney with the exception of the renal pelvis

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NOCanceros profile image
NOCanceros
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13 Replies
MyDad76 profile image
MyDad76

I'm sorry to hear about the "bonus" kidney cancer, but it seems you are having things planned and necessary action will be taken.

NickJoy profile image
NickJoy

Rotten news but at least its low grade. Good that you are onto it. Hopefully it can be treated quickly. Just wondering what alerted you to check on it? Are there signs I should check for in my husband?

NOCanceros profile image
NOCanceros in reply toNickJoy

HiI did a Dt(CT) scan and they discovered the unknown thing in my right kidney and they decided to make a BIOPSY to be sure. My history is a prostate cancer,

NickJoy profile image
NickJoy in reply toNOCanceros

Thank you - I hope all goes well with the new treatment. BTW I enjoy your posts - always something interesting!

NOCanceros profile image
NOCanceros in reply toNickJoy

HiYou are welcome.

Scout4answers profile image
Scout4answers

Bummer but Sounds like you caught the 2nd cancer early. Can they zap it?

NOCanceros profile image
NOCanceros in reply toScout4answers

hiI hope so.

Tall_Allen profile image
Tall_Allen

How big is it? Small localized renal carcinomas may be safely monitored with annual CTs.

NOCanceros profile image
NOCanceros in reply toTall_Allen

HiAccording to my BIOPSY they told me its a Its 1.6 cm clear cell carcinoma Malignancy grade 1. and i will soon talk to a specialist for kidneys. I did a contact to my oncology Dr. in Germany he told me you will receive surgery for the renal tumor. Depending on size, site and access to blood vessels.

Tall_Allen profile image
Tall_Allen in reply toNOCanceros

Mine is also 1.6 cm and I'm on active surveillance for it. No need for an unnecessary surgery.

auajournals.org/doi/10.1097...

europeanurology.com/article...

In fact, my kidney oncologist has recommended against even getting a biopsy because I would do exactly the same thing if it is benign or cancerous. I just get annual imaging with no need for any kind of intervention unless it grows.

If it grows, I could opt for SBRT or a "lumpectomy." But I can decide at that time - there are usually more options later.

NOCanceros profile image
NOCanceros in reply toTall_Allen

HelloI forgot to mention on the right of my kidney in 2015 it was 4mm and after 7 years to 1.6cm what do you suggest about the growth, Thanks.

Tall_Allen profile image
Tall_Allen in reply toNOCanceros

Read what the data say in those references.

Medline profile image
Medline

Bicalutamide can cause renal injury and fibrosis through multiple mechanisms, including androgen deprivation, But co-treatment with testosterone may clinically reduce these adverse effects.

nature.com/articles/s41598-...

Higher androgen receptor expression predicts longer survival in clear cell renal cell carcinoma. Therefore, maintaining or restoring androgen receptor expression could have therapeutic benefits.

ncbi.nlm.nih.gov/pmc/articl...

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