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Oncology (General Cancer)/Stage 1a clear cell kidney cancer

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I just had post-right partial nephrectomy surgery. I had a clear cell renal cell carcinoma, stage 1a - grade 3 (of 4).
 Here is the Genetic testing.
  Results: Specimen - Tissue-tumor Result 92.xxxx{8}/46.xx{22}
Interpretation: The result is abnormal. Of 30 metaphases, 22 were normal and 8 were 92.xxxx. These results exceed the normal limit for polyploidy (up to 6% cells). Tetraploid cells can be seen in a variety of solid tumors and are non-specific. Clinicopathologic correlation is indicated.
 Banding Q/G Analyzed 8 Karyotyped 3
 Banding QFQ Analyzed 22 Karyotyped 0
Band resolution 400
Reason for referral: renal cell classification, cyst adnexa

Ok, my question is at my 3 month checkup the surgeon said I would have to have ct of pelvis and abdomen every year for rest of my life. At the 1st year checkup all is well, again surgeon said check ups every year with cat scans with contrast. This last year(2012) the 2nd year all was good. But, I did not see the surgeon. I saw his assistant. Which is fine, all is good but he said that we will go with ultrasound this year (2013) and skip every other year. My question is it common to change their minds after 2 years of good scans? Will a ultrasound do a good enough job?  I am just nervous because it was grade 3 of 4. What do you think? I realize it is only stage 1, so am worrying for nothing. i am 49, perhaps saving on radiation? Thank you.

Answer
Yes it was a stage 1 and that explains it. Ultrasound scans will at least give a good enough check up. The procedure will also keep your radiation exposure down which IS a major concern here. The CT scans remain necessary though in order to also cover your bones and to give extra security. I do agree with your doctor! Good luck!



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Oncology (General Cancer)

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Claes-Gustaf Nordquist, M.D.

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Questions concerning Cancer, Oncology, radiation Therapy, Tumours, Chemotherapy, Cytotoxic Drugs, Hormonal Therapy, Radiation Protection.

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I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions in the number of questions there. I also answer questions in these other categories: General History, Military History, Brain Tumors, Breast Cancer, Colon Cancer

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