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Kidney Cancer

Postby Telford » Mon Jun 13, 2016 6:56 am

How are you Mr. Goldstein?  my name is don i'm a 21 year old male college student from sayreville NJ and I work out a lot, non smoker, eat healthy for the most part, not obese 5'11 224..Around 2/23/08 I was working out and started to notice a pain in my kidney area... I was getting sick prior to this and then later that night got pretty Ill.. I had slight flu-like symptoms for about a week(i live at college and everybody was getting sick around this time) and bad back pain to the point where I couldn't lay down comfortably for about 4 days.. I thought it was an infection or a stone.. I came home and my Doc gave me muscle relaxers and Mobic for anti-Infl. thinking it was muscle related b/c i was working out when i noticed the pain.. It's now just a dull pain that I only feel when I bend backwards into the kidney area..  Recently I noticed varicocele in both Testicles although i've had discomfort there for a while, just never knew varicocele was a condition..  I also noticed this is a clear sign of RCC..  

When I came home.. I had my BP done 3 times Doc said it was great, Blood taken, Doc said it was great, X ray's of the kidney(doc said they were great),Testicular Sonogram(although I was laying down, as to where a varicocele won't show up) came back normal ,Chest X rays that came back good, and have had two Urine Dipstick tests that both came back good.. The dull ache isn't really in my lower back(where everybody explains the pain radiates from) but rather in my mid-upper back....Tuesday I'm seeing a Urologist and   I'm going Wednesday for a CT Scan(it's been put off 3 times already due to Insurance issues) I've had really bad anxiety throughout the past 2 1/2 weeks I've been home from school that's also not helping trying to figure out what's wrong.. Nobody's been able to give me any advice.

I guess what I'm asking is would all of those tests come back normal if I had RCC or any other kind of Kidney Cancer?

Thank you so much for your insight....

ANSWER: Donnie, your main complaint seems to be a dull only when bending backwards in the area of the kidney.  Later in your note, you describe the pain as being in the mid upper back.  Kidney pain is typically unilateral, in the flank(not midline of the back), and it often radiates on the same side from the back forward into the lower abdomen, groin, and scrotal area.  The discomfort you describe does not sound characteristic of renal pain.  It is highly unlikely that you have a renal cancer of any type given the atypical pain and normal urinalyses and kidney x-rays.  The CT I am sure will demonstrate your kidneys to be just fine but it is reasonable to do so to set your mind at ease.  The discomfort  you describe is most typical of a primary orthopedic type of problem such as muscle or ligament strain or disk disease.  To follow is some information I have written on varicoceles that you may find of interest.

A varicocele is a collection of varicose veins of the spermatic cord(the rope-like structure that suspends each testicle).  They occur in about 15% of the population.  More than 90% occur on the left, 5% on the right and the rest are bilateral.  Varicoceles are due to a defective valve in the vein that drains blood from the testicle.  They fill by gravity and therefore are not detectable while recumbent but apparent when upright.  On examination, the lesion feels like a bag of worms.  Small varicoceles may only be detected by imaging studies such as ultrasound.  A varicocele that does not disappear when lying down may indicate a tumor in the abdomen(but this is quite unusual).  Varicoceles are generally painless.  Often men present to the doctor with pain in the testicle and the varicocele is discovered at that time.  In my experience, the pain is very rarely due to the varicocele and usually due to prostatitis(an inflammation of the prostate gland).  In other words, the varicocele is an incidental and unrelated condition.  Varcioceles may cause an infertility problem manifest by lower sperm counts and increased numbers of immature sperm in the semen on analysis.  However, the majority of men with varicoceles do  NOT have infertility.  Of men who have abnormal semen analyses and varicoceles,  in about 70% of them, the 2 are related and fixing the varicolele often will improve their fertility.  If a teenager or young man with a varicocele has a smaller than normal testicles on that side, there is an increase risk of infertility and many urologists consider this an indication to fix the varicocele surgically.   Other than for infertility, thereare just a few indications for repairing a varicocele.  They can be fixed for cosmetic reasons or because they become too weighty.  There are several types of varicocele repair, but they all have in common ligating the vesssels supply in the varicocele rather than actually removing the veins.  This prevents blood from filling the varicocele.  

In summary, it is highly unlikely that you have a serious condition.  The back pain is probably orthopedic in nature.  Get the CT and consult with a urologist to complete your evaluation.  Good luck.

---------- FOLLOW-UP ----------

thank you for your timely response sir...

I have another question though, sorry i didn't make this more clear before... When I meant mid-upper back, i meant midway up my back.. Left side only(uni-lateral in nature) when i lean into it... I understand the Varicocele statement.. But would a person with a bilateral varicocele be more likely to have a tumor?

Also.. Would a regular X-ray show a tumor?  Assuming the tumor must be larger to feel it in your back area?  I heard that the only way you start to have pain from a tumor is in the later stages, if ever.  

I understand a varicocele is fairly common.. But having flank pain and a bilateral varicocele at the same time is what i'm losing sleep over...  

Would a stone cause that dull pain?  Would a dipstick test even be able to present evidence of blood in urine??  

Another one of the oncologists on here told me that being 21 with any type of kidney cancer is extremely rare almost unheard of.. I've read that places but i've been around long enough(even though I'm 21) to know that anything is possible..  Any insight is greatly appreciated.

Thank you again for your last answer and how fastly you responded.. I see that your status was "maxed out".. LOL you must be typing up a sweat answering all these questions dude.. thanks again.
Telford
 
Posts: 56
Joined: Sun Feb 16, 2014 2:14 am

Kidney Cancer

Postby Gaelbhan » Mon Jun 13, 2016 7:57 am

Donnie, again you should have little cause for concern regarding renal tumors.  The answers to your questions are as follows:

1.  A person with bilateral varicoceles is NOT more likely to have tumors.  A varicocele that does not disappear when lying down(which is termed a "symptomatic varicocele") may indicate a tumor in the abdomen(but this is quite unusual).  Furthermore, your varicocele did not show up on the US when you were lying down.  Hence, you do NOT have this rare type of varicocele and you should not worry about this possibility.

2.  A routine plain x-ray(KUB) of the abdomen may show the outline of a mass in the kidney but cannot differentiate benign from malignant.

3.  The 3 typical finding of kidney cancer are a mass(either palpable or on imaging studies), pain & blood in the urine.  Pain is not especially related to the size of a tumor but more often from bleeding into the mass with sudden swelling of the lesion.

4. Your back pain and varicocele are unrelated conditions.

5.  A stone is one of many causes for back pain.   It may be "dull' but much more commonly is quite severe.

6.  A dipstick is reliable in detecting blood in the urine.

Again, I think you are having undue anxiety over your symptoms.  I am sure that the CT and urologic consultation will confirm my thoughts.  Good luck.
Gaelbhan
 
Posts: 63
Joined: Fri Jan 03, 2014 1:29 pm

Kidney Cancer

Postby Erwyn » Mon Jun 13, 2016 9:40 am

How are you Mr. Goldstein?  my name is don i'm a 21 year old male college student from sayreville NJ and I work out a lot, non smoker, eat healthy for the most part, not obese 5'11 224..Around 2/23/08 I was working out and started to notice a pain in my kidney area... I was getting sick prior to this and then later that night got pretty Ill.. I had slight flu-like symptoms for about a week(i live at college and everybody was getting sick around this time) and bad back pain to the point where I couldn't lay down comfortably for about 4 days.. I thought it was an infection or a stone.. I came home and my Doc gave me muscle relaxers and Mobic for anti-Infl. thinking it was muscle related b/c i was working out when i noticed the pain.. It's now just a dull pain that I only feel when I bend backwards into the kidney area..  Recently I noticed varicocele in both Testicles although i've had discomfort there for a while, just never knew varicocele was a condition..  I also noticed this is a clear sign of RCC..  

When I came home.. I had my BP done 3 times Doc said it was great, Blood taken, Doc said it was great, X ray's of the kidney(doc said they were great),Testicular Sonogram(although I was laying down, as to where a varicocele won't show up) came back normal ,Chest X rays that came back good, and have had two Urine Dipstick tests that both came back good.. The dull ache isn't really in my lower back(where everybody explains the pain radiates from) but rather in my mid-upper back....Tuesday I'm seeing a Urologist and   I'm going Wednesday for a CT Scan(it's been put off 3 times already due to Insurance issues) I've had really bad anxiety throughout the past 2 1/2 weeks I've been home from school that's also not helping trying to figure out what's wrong.. Nobody's been able to give me any advice.

I guess what I'm asking is would all of those tests come back normal if I had RCC or any other kind of Kidney Cancer?

Thank you so much for your insight....

ANSWER: Donnie, your main complaint seems to be a dull only when bending backwards in the area of the kidney.  Later in your note, you describe the pain as being in the mid upper back.  Kidney pain is typically unilateral, in the flank(not midline of the back), and it often radiates on the same side from the back forward into the lower abdomen, groin, and scrotal area.  The discomfort you describe does not sound characteristic of renal pain.  It is highly unlikely that you have a renal cancer of any type given the atypical pain and normal urinalyses and kidney x-rays.  The CT I am sure will demonstrate your kidneys to be just fine but it is reasonable to do so to set your mind at ease.  The discomfort  you describe is most typical of a primary orthopedic type of problem such as muscle or ligament strain or disk disease.  To follow is some information I have written on varicoceles that you may find of interest.

A varicocele is a collection of varicose veins of the spermatic cord(the rope-like structure that suspends each testicle).  They occur in about 15% of the population.  More than 90% occur on the left, 5% on the right and the rest are bilateral.  Varicoceles are due to a defective valve in the vein that drains blood from the testicle.  They fill by gravity and therefore are not detectable while recumbent but apparent when upright.  On examination, the lesion feels like a bag of worms.  Small varicoceles may only be detected by imaging studies such as ultrasound.  A varicocele that does not disappear when lying down may indicate a tumor in the abdomen(but this is quite unusual).  Varicoceles are generally painless.  Often men present to the doctor with pain in the testicle and the varicocele is discovered at that time.  In my experience, the pain is very rarely due to the varicocele and usually due to prostatitis(an inflammation of the prostate gland).  In other words, the varicocele is an incidental and unrelated condition.  Varcioceles may cause an infertility problem manifest by lower sperm counts and increased numbers of immature sperm in the semen on analysis.  However, the majority of men with varicoceles do  NOT have infertility.  Of men who have abnormal semen analyses and varicoceles,  in about 70% of them, the 2 are related and fixing the varicolele often will improve their fertility.  If a teenager or young man with a varicocele has a smaller than normal testicles on that side, there is an increase risk of infertility and many urologists consider this an indication to fix the varicocele surgically.   Other than for infertility, thereare just a few indications for repairing a varicocele.  They can be fixed for cosmetic reasons or because they become too weighty.  There are several types of varicocele repair, but they all have in common ligating the vesssels supply in the varicocele rather than actually removing the veins.  This prevents blood from filling the varicocele.  

In summary, it is highly unlikely that you have a serious condition.  The back pain is probably orthopedic in nature.  Get the CT and consult with a urologist to complete your evaluation.  Good luck.

---------- FOLLOW-UP ----------

thank you for your timely response sir...

I have another question though, sorry i didn't make this more clear before... When I meant mid-upper back, i meant midway up my back.. Left side only(uni-lateral in nature) when i lean into it... I understand the Varicocele statement.. But would a person with a bilateral varicocele be more likely to have a tumor?

Also.. Would a regular X-ray show a tumor?  Assuming the tumor must be larger to feel it in your back area?  I heard that the only way you start to have pain from a tumor is in the later stages, if ever.  

I understand a varicocele is fairly common.. But having flank pain and a bilateral varicocele at the same time is what i'm losing sleep over...  

Would a stone cause that dull pain?  Would a dipstick test even be able to present evidence of blood in urine??  

Another one of the oncologists on here told me that being 21 with any type of kidney cancer is extremely rare almost unheard of.. I've read that places but i've been around long enough(even though I'm 21) to know that anything is possible..  Any insight is greatly appreciated.

Thank you again for your last answer and how fastly you responded.. I see that your status was "maxed out".. LOL you must be typing up a sweat answering all these questions dude.. thanks again.
Erwyn
 
Posts: 60
Joined: Fri Jan 03, 2014 8:46 am


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