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

From: J (score_at_anon.anon)
Date: 11/19/04 

Date: Fri, 19 Nov 2004 07:05:23 -0500

Dmitry wrote:

> Russian doctors say that my father does not need a left kidney
> transplant because a ct and an ultrasound show his right kidney is
> fine. The Russian doctors say that it is better to live with one kidney
> than with his own right kidney and a left kidney transplant.

True.
I was not suggesting a transplant for your father.
I was illustrating that a (much younger) man than your father can go
through two similar surgeries and have a good outcome.

> His regional lymph nodes are not enlarged, his pulmonary lymph nodes
> are enlarged.
> His tumor is 5cmx4cm in size and spreads to pelvis of the kidney
> partly, but did not break through the capsule.

That's good. It's best to get at it before it does. And/or before he gets
sicker due to loss of blood.
Jerry, had tumors both his kidneys. If I recall his surgery was in year
2001 to remove the tumours (not the kidneys) and he is doing well with no
sign of spread. Each person is different and as I said, they may see
more/better once inside.

> The doctors say that it is difficult to sample the pulmonary lymph
> nodes.

True, which leaves an unknown.
There can be other possible reasons for enlarged pulmonary lymph nodes.

> My father's 53, feels fine, except an infrequent cough.

It's hard to know what is causing that. There are no guarantees in life.
Could be the enlarged lymph nodes, could be something else.

> A 30 marker
> blood test did not show an existence of a cancer.
> Most of our acquaintances say that his surgeon is the best urological
> oncological surgeon in Russia.

I would follow the advice of the surgeon.

> The surgeon last name is Matveev.

We don't hear surgerons names, so I don't recognize it.;

Best wishes for a good outcome.
J - not a doctor

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