Re: Should we remove a left kidney with a tumor if pulmonary lymph nodes are enlarged?

From: Steph (steph_at_vancouver.island)
Date: 11/15/04 

Date: Mon, 15 Nov 2004 16:20:43 GMT

"Dmitriy" <kopn@hotbox.ru> wrote in message
news:292d5375.0411150018.127fedf@posting.google.com...
> Should we remove a left kidney with a tumor if pulmonary lymph nodes
> are enlarged? The pulmonary lymph nodes are metastases probably. The
> man has a hematuria ones in two weeks, an infrequent cough and an
> aching [dull, boring] pain in his waist. The tumor is 5cmx4cm in size
> and spreads to pelvis too of the kidney.

If the kidney CAN be completely resected, it's worth doing for several
reasons:
It will control the haematuria; it will address the pain; and there are
(very rare) instances of spontaneous regression of metastases after removal
of a kidney for renal cell cancer.

If it would not be possible to completely resect the kidney and primary
cancer, an operation would be counter-productive. Some local radiotherapy
would provide best symptomatic palliation

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