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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For 4 Stage Kidney Cancer

Hello. My name is Shelly. My husband has recurrent stage 4 kidney cancer. He had had one open partial nephrectomy in 2007, a laparoscopic parial nephrectomy (w/ 1% chance of success) in 2010, and another partial nephrectomy in July 2011 with no success necessitating surgeon to close opening. He has only the one kidney due to malformed left one @ birth. It has been determined the kidney massess are too large for cryotherapy. There are multiple new masses in his lungs but are at a stage the doctor says are "too small for biopsy." The oncologist has scheduled my husband to come back on December 21st to take a catscan and see if the nodules in the lungs are at a conducive size for biopsy. I am falling apart. The choices we have been given are to a) remove kidney, necessitating dialysis, and follow up with Interleukin II; or, b) start with the Interleukin II, and follow up with the nephrectomy, which by the way, may be tricky to do via laparoscopic surgery relegating the surgeon to do open surgery. My questions are as to the Oncologists waiting, is this a smokescreen for "no hope - be happy for a few months w/ no treatment?" Secondly, with metastasis in his lungs most likely the case, as had been noted by the surgeon, what course of action would you go with; and finally, what sort of prognosis/timespan would you give? Thank you very much...
Thu, 12 Nov 2015
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Urologist 's  Response
Hello Shelly and welcome to HCM.
As an Urologist, i can fully understand your concern.
Your husband should have a CT /MRI scan of the abdomen, and chest, to look for metastasis, without delay.Once that's done,a proper advice regarding options can be given. As of now,he has the best options, of taking a course of Targeted therapy with Sunitinib(Sutent),and interferon alpha or interleukins, probably the most widely prescribed. Oncologists with Urologists, decide best course of action. "Prayer is the greatest healer".
If you want my expert opinion,send his reports,as a direct question.
Dr.Matthew J. Mangat.
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Suggest Treatment For 4 Stage Kidney Cancer

Hello Shelly and welcome to HCM. As an Urologist, i can fully understand your concern. Your husband should have a CT /MRI scan of the abdomen, and chest, to look for metastasis, without delay.Once that s done,a proper advice regarding options can be given. As of now,he has the best options, of taking a course of Targeted therapy with Sunitinib(Sutent),and interferon alpha or interleukins, probably the most widely prescribed. Oncologists with Urologists, decide best course of action. Prayer is the greatest healer . If you want my expert opinion,send his reports,as a direct question. Dr.Matthew J. Mangat.