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Kidneys

Postby obrien » Sun Jun 05, 2016 1:31 am

Hello I was asked to provide my report and this is my pathology report from a mass being taken out of my left kidney. And now 6months later on my first 6month check up. There was two small spots when they did the surgery besides the one they took out. And as of now one of them spots are getting bigger in mm. So Dr is going to wait till my 2nd 6mt check which will be in Dec if the spot continues to grow which it is. Then they will do an biopsy. Please advise

Thank you

ANSWER: I don't seem  to have gotten the pathology report.  In any event, it is not inappropriate to wait before another biopsy or operation, if the first did not show cancer.  You do not indicate what the first pathology report showed, so I can't answer that question.  

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

Here is my pathology report.please advise and thank you very much

RANSCRIPTIONS   DIAGNOSIS

A. KIDNEY, LEFT - "BASE OF TUMOR"(BIOPSY):

- Benign renal parenchyma(0.5 cm in largest dimension)

- No carcinoma

B. KIDNEY, LEFT(PARTIAL NEPHRECTOMY):

- Multilocular cystic renal cell carcinoma, Fuhrman grade 2

- Tumor measures 3.2 cm in greatest dimension

- Tumor is focally present at inked margin

- Pathologic staging(AJCC, 7th edition): pT1a NX MX

- See synoptic report below for details

Review/Concur: This case was signed out by Dr. Kristin Olson. Dr. John Bishop has

also reviewed this case and agrees with the above interpretation.

SYNOPTIC REPORT

KIDNEY: Nephrectomy, Partial

Procedure

Partial nephrectomy

Specimen Laterality

Left

Tumor Size

Greatest dimension: 3.2 cm

Additional dimensions: 1.9 x 1.7 cm

Tumor Focality

Unifocal

Macroscopic Extent of Tumor

Tumor limited to kidney

Histologic Type

Multilocular clear cell renal cell carcinoma

Sarcomatoid Features

Not identified

Histologic Grade(Fuhrman Nuclear Grade)

G2: Nuclei slightly irregular, approximately 15 m; nucleoli evident

Microscopic Tumor Extension

Tumor limited to kidney

Margins

Margin focally involved by invasive carcinoma

Renal parenchymal margin(partial nephrectomy only)

The positive margin in Part B does not take into account the additional tissue

submitted in Part A; clinical correlation is required to determine if this

additional tissue should be considered sufficient to deem the final surgical

margin negative.

Pathologic Staging

Primary Tumor(pT)

pT1a: Tumor 4 cm or less in greatest dimension, limited to the kidney

Regional Lymph Nodes(pN)

pNX: Regional lymph nodes cannot be assessed

No nodes submitted or found

Number of Lymph Nodes Examined

Specify: 0

Number of Lymph Nodes Involved

Specify: 0

Distant Metastasis(pM)

Not applicable

Pathologic Findings in Nonneoplastic Kidney

Glomerulosclerosis immediately adjacent to tumor

CLINICAL INFORMATION

Suspected Diagnosis: renal mass

Clinical Information: Unlisted

Collected by: Dall'Era

Other/Special Requests: Unlisted

GROSS DESCRIPTION

A. Received in formalin, labeled with the patient's name and medical record number,

designated "base of tumor," is a portion of tan-yellow soft tissue, measuring 0.5 x

0.4 x 0.3 cm. The specimen is entirely submitted in cassette A1.

B. Received in formalin, labeled with the patient's name and medical record number,

and designated "renal mass," is a tan-white spherical portion of tissue, measuring

3.1 x 4.2 x 1.6 cm. The parenchymal cut surface is inked in blue and the capsular

surface is inked in black. The specimen is serially sectioned, revealing a

tan-yellow multicystic lesion measuring 3.2 x 1.9 x 1.7 cm. The lesion grossly abuts

the cut parenchymal margin and comes within 0.2 cm of the capsular surface. The

specimen is entirely submitted in cassettes B1 through B8.

EValiKhojeini:cgw

MICROSCOPIC DESCRIPTION

Slides were examined microscopically and the diagnosis for each specimen

incorporates the pathologist's interpretation.

My electronic signature below is attestation that I have personally reviewed

the submitted specimen(s) and the description and diagnosis on this report

reflects this evaluation.
obrien
 
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Joined: Thu Mar 31, 2011 12:53 am

Kidneys

Postby Eadwyn » Mon Jun 06, 2016 8:07 am

Basically, the tumor that was removed was a fairly standard renal cancer; clear cell type is the most common.  There were no features suggesting sarcomatous change; that would be a bad thing if there were.  The initial specimen showed tumor right up to the margin that was taken; the doctors then went back and removed more tissue from the kidney, and no cancer was found in that specimen. The tumor was cystic, which means there were pockets of fluid in it.  From the looks of things, the staging(pt1a) shows an early tumor; of course we don't have lymph node data, but that is common with these early tumors.  You also show signs of glomerulosclerosis(a thickening of the glomerulae, which are little knots of tissue that process urine.  Someone with hypertension, diabetes, or even old age might show a little of this.  That's a separate issue.  It is appropriate at this point to simply observe, and your chances of being cured of this tumor are very high.  We also don't have any drugs or radiation treatments that would improve those chances as of yet.  Good luck.
Eadwyn
 
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Joined: Sun Apr 13, 2014 2:22 am


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