How to treat renal cell carcinoma in a 70-year-old?

Question

Hello doctor,

My father, aged 70 years, lost 11.02 pounds of weight in two to three months. USG and CECT confirm a right renal mid-lower polar well-defined large 11.310.612.0 cm soft tissue density homogeneously enhancing mass with internal regions of non-enhancement is observed with no obvious calcification or fat content.

The lesion appears to be containing renal fascia with increased peripheral vessels, likely a mitotic mass lesion of the right kidney (RCC). The right renal vein and IVC are patent. The mass is seen to indent the right psoas muscle, but a flat plane with the adjacent structures is nearly maintained. The urine test and renal functions are normal, and there is no evidence of metastasis. Kindly tell me if it is benign or malignant, and what are the possible lines of treatment?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

As per the report, it is renal cell carcinoma (RCC), and it requires further evaluation. In the treatment of RCC, first of all, surgery is needed to remove the tumor, and if required, the kidney too. Then, after confirming the diagnosis on histopathology, chemotherapy or radiation is required. Please consult an oncologist immediately.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.