- May 19, 2020
- Posted by: Prof Dr Coşkun Şahin
- Category: Kidney Diseases
What is Kidney Tumor?
The presence of a solid (non-cystic) mass in the kidney should be considered as cancer until proven otherwise. They are often detected by chance in the kidney. Its dimensions can range from a few cm to 20-30 cm.
Yellow tumor mass (radical nephrectomy) at the upper pole in the kidney that is surgically removed
What are the symptoms of kidney tumor?
In the past, these tumors were called internist, internist tumors. Because their diagnosis was made by these physicians. Since ultrasonography was not routine, the mass recovered was noticed with complaints such as flank pain and bleeding in the urine. Today, it has often been noticed by the widespread use of ultrasonography and is captured in smaller sizes.
Cancer developed on the left side of the normal kidney tissue and on the right side of the kidney
What Causes Kidney Tumor?
What Are the Risk Factors of Kidney Tumors?
There is a high risk of familial transition kidney tumors. The probability of developing cancer in the other kidney is 10% in patients with one kidney removed for cancer.
What happens if kidney tumor is not treated?
There is no cure if it is not detected early. Palliative treatments are done. Close-to-cut treatment is possible in kidney tumors that are diagnosed early, ie, not yet overgrown.
What should be done before the doctor’s appointment in kidney tumor?
If available, the examination and radiological imaging methods should be accompanied.
What are the Methods of Testing Kidney Tumors?
Ultrasonography is the most common and harmless method. It makes a diagnosis of 70-90%. The extent of the disease is determined by tomography and MR. The stage of the disease is determined by performing a lung film or tomography, bone scintigraphy when necessary. The disease is evaluated in roughly 4 stages. Stage I and II are the best treated types.
Stages of kidney tumors Stage I and II tumors, as seen in the picture, are limited to kidney, and spreads to neighboring structures in Stage III and IV tumors.
What are the treatment methods of kidney tumor?
Radical Nephrectomy: Complete removal of the kidney with the fat layer around it. Gold is the standard treatment. The surgery takes 1-2 hours. He is hospitalized for 2 days.
Kidney as seen in Radical Nephrectomy; The veins are tied together with the tumor and adipose tissue, the urinary canal is cut and taken out completely.
Partial (Only Tumor Removal) Nephrectomy (Kidney Protective Treatment): It is only to remove the tumor tissue together with some healthy kidney tissue around it. In appropriate cases, it provides survival equivalent to the operation in which the kidney is removed. Kidney is protected. This surgery takes between 1-3 hours. He is hospitalized for 2-3 days. Its surgery is more difficult. It is very comfortable in experienced hands.
Only tumor tissue in partial nephrectomy; it is removed with the healthy kidney tissue right next to it, so that the kidney remains in the patient.
Life Style Recommendations for Kidney Tumor
There is no difference from normal people after surgery. Current activities are returned after 7-15 days.
Who Should We Take the Kidney in Kidney Tumors?
If the tumor is larger than 7-10 cm, the patient is of advanced age (70 and above), the tumor is close to the large vessels in the center of the kidney, such patients should be removed with the tumor. In other cases, only the tumor can be removed by protecting the kidney.
Why Is Kidney Protection Important?
If the patient has diseases that may threaten his future intact kidney, kidney failure and dialysis risk may arise. For example, patients with high blood pressure, patients with diabetes, patients with recurrent stone disease can fall into this group.
How is Kidney Protector Cancer Surgery Performed?
The common form of this surgery is open surgery. Tumor tissue is removed from the side of the patient with an 8 cm incision and the kidney is cooled with ice, and its functions are preserved to the maximum, with very little healthy kidney tissue removed. Thus, 50 to 90% of the kidney can be preserved depending on the diameter and location of the tumor.
The same surgery can be done by laparoscopic or robotic method. However, this can put kidney function at risk.
How Is Life Comfort After Kidney-sparing Surgery?
In kidney cancer patients where the kidney is protected, the function of that kidney is not different from that of a healthy kidney. The life expectancy of these patients is the same as those in which the kidney is completely removed. Patients with early-caught tumors do not have a job in their lives for this disease.