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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Solid Renal Mass

Hi, I am a 55 y/o female -- I thought I was in good heath until I went to the doctor about 2 years ago (lol) to evaluate vague abdominal pain, bloating and indigestion. In all the tests, they found a precancerous colon polyp, GERD, Barretts esophagus, non-alcoholic fatty liver disease and a bad gallbladder (working on getting the surgery scheduled). Now they ve found a possible 1 cm mass on my kidney on an u/s. I m waiting on results from a CT scan of the kidney today. So my question -- what is the next step if there really is a mass --especially since it s so small? I recently moved to a small town and I m not familiar with the reputation of the medical community here. Should this be a watch and wait type of thing, or should I find a qualified urologist in a larger medical center? I did have a half sister who died of kidney cancer when she was the age I am now. I just need some guidance on the next step to take and who to see.
posted on Sat, 30 May 2015
Twitter Tue, 23 Feb 2021 Answered on
Twitter Thu, 25 Feb 2021 Last reviewed on
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General & Family Physician,  's  Response
Hello,

I would suggest you wait for your CT report
- The CT report would help define and describe the nature of the mass. This will give us a better idea of whether its a benign lesion (in which case you can wait and watch) or something more sinister.
- In case of the latter, you could let your current physician list out options. After this, you could have a video consultation with a more reputed urologist in a nearby larger town to see what he/she has to say.
- This, in my opinion, would be the best way forward.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pranav Balakrishnan, General & Family Physician
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Suggest Treatment For A Solid Renal Mass

Hello, I would suggest you wait for your CT report - The CT report would help define and describe the nature of the mass. This will give us a better idea of whether its a benign lesion (in which case you can wait and watch) or something more sinister. - In case of the latter, you could let your current physician list out options. After this, you could have a video consultation with a more reputed urologist in a nearby larger town to see what he/she has to say. - This, in my opinion, would be the best way forward. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pranav Balakrishnan, General & Family Physician