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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Precaution To Avoid Kidney Cancer With A Family History

My kidney transplant was in 1995 from a related donor. My new kidney is placed in the right anterior pelvic area. Recently the gynocologist ordered a transvaginal ultrasound. On the left ovary is found a cyst. Family history indicates ovarian cancer in my mother and other maternal relatives. Paternal pancreatic cancer is in the history. I am very concerned, would consider seriously a hysterectomy to save my kidney and continue life without the constant concern from the family history and the immunosuppressent medications of developing cancer myself. Suggestions/Recommendations please
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Fri, 28 Aug 2015
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Radiologist 's  Response
Hello,

A cyst in the kidney is a benign finding. It is a thin-walled fluid containing sac-like structure which is present in most people after middle age. If the cyst in the kidney is less than three centimeters in size, then there is no concern.

It is important to note that you have ovarian cancer and pancreas cancer running in your extended family. For ovarian cancer, it is recommended that you get a CA125 test done annually. It is a tumor marker for cancer of the ovary, and before cancer starts, the CA125 levels usually go up. If there is a high CA125 level, then you should get investigated for possible ovarian tumors.

In the case of pancreatic cancer, it is suggested that you get an ultrasound scan of the abdomen done every year and also get CA19-9 levels tested. The CA19-9 is a tumor marker for pancreatic cancer and might help in predicting the possibility of the disease by doing a blood test.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Vivek Chail
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Suggest Precaution To Avoid Kidney Cancer With A Family History

Hello, A cyst in the kidney is a benign finding. It is a thin-walled fluid containing sac-like structure which is present in most people after middle age. If the cyst in the kidney is less than three centimeters in size, then there is no concern. It is important to note that you have ovarian cancer and pancreas cancer running in your extended family. For ovarian cancer, it is recommended that you get a CA125 test done annually. It is a tumor marker for cancer of the ovary, and before cancer starts, the CA125 levels usually go up. If there is a high CA125 level, then you should get investigated for possible ovarian tumors. In the case of pancreatic cancer, it is suggested that you get an ultrasound scan of the abdomen done every year and also get CA19-9 levels tested. The CA19-9 is a tumor marker for pancreatic cancer and might help in predicting the possibility of the disease by doing a blood test. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Vivek Chail