Active Surveillance for Kidney Cancer
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- Опубліковано 14 жов 2024
- Although the incidence of kidney cancer has increased dramatically over the last few decades, research led by Johns Hopkins urologists is showing many of these patients can be followed safely without the need for immediate surgery. In light of these findings, The Brady Urological Institute began the Delayed Intervention and Surveillance for Small Renal Masses (DISSRM) Registry, following patients with small, localized kidney tumors (4 centimeters or smaller, and confined to the kidney), to avoid surgical intervention.
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This is an excellent resource for anyone diagnosed with a small renal mass. Patients, on finding out they have a tumor in their kidney, are frequently very frightened. This video gives them information that should give them some comfort and at least an understanding that they have time to consider all the options available to them.
Debra Gottsleben
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@@oneidagonzalez5325 I didn't have any problems with kidney function- I had 5 benign tumors in my kidney and originally told that I had RCC.
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@@DebraGottsleben hi dear I hope that you can stilll see my message. They told my father that he has 4 cm enhanced renal mass that need to come out they said it’s RCC and it’s located in the lower pole of the right kidney we want to have active surveillance but they said that the tumor can sitar’s without growing 😭😭
This video made me feel so much better about the small renal mass that was just found on my imaging test. Thank you!
I was diagnosed by CT scan with a 4cm Stage 3 Bosniak Complex Cortical Cyst that has a 50% chance of being cancer 6 months ago and I asked if they recommended further examination or treatment and they have elected to do what Johns Hopkins recommends and thats just 6 monthly scans. I asked if I did have cancer what would be the first symptom and the doctor said blood in my urine. From the video it appears there is no definite timeline on how worse things progress so as I am in no pain and have no bloody discharge I will just see what the followup future scan results show. My followup scan is in 2 weeks. I am also going to look into herbal medication for the condition too.
I cant believe they'll let you wait around? They're making me wait around but they declared my 6mm benign tumour as an angiomyolipoma....no CT scan no MRI, just an ultrasound. I live in Canada and I get no second opinion. How was your followup, sending you well wishes! This is not fun at all.
@@First-v8k I had the scan on Thursday and have the followup this Thursday. I hope to be able to get the results on Wednesday so I can do an online analysis and put together some questions to ask the specialist at the followup appointment. I saw on the Mayo Clinic website last night that complex cortical cysts can be removed as my doctor said they con not remove them only the whole kidney. I will ask at the followup appointment if they can be removed in my country which is New Zealand. I guess now would be a good time to get on a waiting list for its removal before any symptoms start to show. I need to look and see if they can be removed by taking herbal medicine too as I am open about that.
i have 2. but im getting symptoms of pheo .. headaches / chest pains / palour / light headed/ bloodpressure spiralling out of control .
Nice video but unclear what the advantage is of AS except for costs and risk of an operation. A small chance (1%) of cancer spreading (very bad news) is still very bad news as this type of outcome is more important than the small chance. Why take the risk of leaving the small renal mass as it is?
I think it has to do with maintaining a functioning kidney without the risks associated with an operation or anesthesia.
I have a mass that covered my intire right kidney and also partially my left kidney. My pain is so much worse and hurting down both legs. What is the best thing for me to do for this? I'm growing weak and losing weight bad?
if you know that the mass is 3cm and fuhrman grade is 2, you think that active surveillance is possible?
Please speak with your Urologist, each case is different. I am definitely speaking from my issues; Johns Hopkins has great Urologist. Love Doctor Pierazio!
@@zeetomas4039 There are no situation anymore. It was my father´s kidney which was removed.
tero t I hope that your dad is doing ok. I’m going through active surveillance for both kidneys.
@@zeetomas4039 He is quite fine, 2months from surgery. But it is mystical cancer so everyone must be awaken. Broccoli should be good for rcc
@@mikesav9 you have very good changes I think. If your lymph nodes are clean and no metastasis. where it is located, lower pole? It is so Small that it is completely inside of kidney? And no invasion into renal vein or renal artery? Sorry my English is not so good. And do you know fuhrman grade?
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I have a 6.4 cm in the kidney. I’ll be going through 2 procedures in a few weeks. This was found because of uncontrolled blood pressure.
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Hello @victoria, how are you doing now. What actions did you take
My prayers are for you and hope you are doing well
🙏
Is 3.9 cm solid mass considered to be small ?
masses that are less than 4 cm are considered to be a small renal mass. Yassmina where are you located? I hope you got some answers on your small renal mass.
Debra Gottsleben am in new York they wanted to remove it. They said it’s solid it means cancer ☹️
@@yassmina6220 not necessarily. There is a type of benign renal mass called an oncocytoma that looks like rcc on scans. Hopkins has developed a scan called a sestamibi scan which can help detect oncocytomas. Are you in NYC? Could you travel to a different city? I'd recommend either Dr. Alex Kutikov in Philly or Dr. Phil Pierorazio in Baltimore. If you are hesitant about surgery see if they will do a biopsy and also ask about the sestamibi scan. If you are able to travel see about getting an appt. with either of these two drs. Thinking of you. Hope all goes well.
Yassmina if you could get your dad for a second opinion that would be good.
@@yassmina6220 my mum was asked to remove the whole kidney
I have a 7mm leison is this bad?
That is very very small Gerard. What did the urologist say? Frequently now they are doing active surveillance on masses that small. Hope all is well with you.
Thanks still waiting on a scan with contrast .due to corona delays
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@@gerardwharton9737 how are you doing Gerard?
Is 4.4 cm complex mass bad?
I had a ct scan done recently and they find a 1.5×1.9 hypodense lesion in my left kidney. Enybody knows what that means ?😢
Can the surveillance be done without getting contrast?
For specific questions, we suggest reaching out to a doctor.
I have a “shadowy lesion” 17x14x16mm found on an ultrasound. Getting CT next week. What is this ?
My initial diagnostic scan was a CT with contrast but it looks like all my followup scans will be ultrasound. I had no side effects from the contrast other than my ears felt a bit warm. I had to wait 20min after the scan in case I had side effects from it.
In September 2023 i has a mass 10cm+ whole kidney had to be removed with part of my lung I had no clue it was there
I have a 6x4x2 cm mass angiomylipoma os there any side effects or symptoms that may affect my daily life?
For specific concerns, we suggest reaching out to your doctor.
I highly recommend Dr. Osaka on UA-cam channel, who helped me in getting rid of my herpes an my wife from cancer diagnosis, It was Amazing seeing the both of us free from the deadly diseases with the help of Dr. Osaka, I'm forever grateful for making my family happy.
Have your blood test blood urea and serum creatinine.and HB TLC DLC
Mine's 10cm. No idea whats happening next.
Take Turkey tail capsules
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I highly recommend Dr. Osaka on UA-cam channel, who helped me in getting rid of my herpes an my wife from cancer diagnosis, It was Amazing seeing the both of us free from the deadly diseases with the help of Dr. Osaka, I'm forever grateful for making my family happy.