Is surgery necessary for my husband’s kidney tumor?

Question

Hi doctor,

My husband has a tumor in his left kidney. He does not have blood in his urine, but he has had high blood pressure for a while. His BP is as high as 140 to 160/90 to 105 mmHg. The reports I have attached are roughly three months old.

Is the operation a necessity?
If so, then what needs to be done?
I want to know a little about the operational details for my knowledge. Why is he having high blood pressure?

Kindly guide.

Answer 1

Hello,

Welcome to icliniq.com.

I have seen the reports (attachment removed to protect patient identity). It clearly shows a 44 mm-sized tumour arising from the mid-pole of the left kidney. The tumor looks like a malignant tumor. He definitely requires an operation called partial nephrectomy, if possible, or total left nephrectomy.

I am surprised since three months ago, no doctor has suggested surgery. Surgery is for sure. Whether to remove the kidney half or full depends on the tumor characteristics. If the tumor is near the kidney blood vessels, then a half-kidney removal is not possible. So, the doctors will try to remove half a kidney only, but you need to be prepared that the full kidney can be removed. He also requires a CT scan of the chest to check if the tumor is spreading to the chest or not.

Hypertension can be caused by a tumor, but that does not mean removing the tumor will cure hypertension.

I hope this information helps you.

Feel free to reach out in case of further queries.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I do not know the cost and hospitals in your country. But I think any government or a charitable hospital will do it at an affordable price.