What could cause a growing lesion in the left kidney?

Question

Hi doctor,

I have Li-Fraumeni syndrome. My concern is the growing lesion in my left kidney. The lesion has been moderately growing since three years in my left kidney. Although it is suggestive of angiomyolipoma, I feel quite nervous because of my genetic condition. I have received my final MRI report of the kidney with contrast.

Could you please look at the attachment and inform me your opinion? I am currently overseas and cannot get back to my urologist for two weeks.

Thanks in advance.

Answer 1

Hi,

Welcome to icliniq.com.

I have seen the reports sent by you (attachment removed to protect patient identity).The lesion in the left kidney, which is increasing in size, is of concern and we should rule out malignancy. It is not an acute emergency, but you should consult your urologist and plan your treatment. There are two options to deal with it and the call depends on your urologist. The options are, take percutaneous biopsy and treat accordingly or directly remove the lesion by surgery.

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I have seen your reports (attachment removed to protect patient identity). its better at present to go ahead with partial nephrectomy.

Though it could be angiomyolipoma or anything else it does not matter much as size is more than 1.18 inch and with growth. It requires removal in form of partial nephrectomy. HU units usually indicate or differentiate between benign and malignant. But do not worry about hu units and all. Go ahead for partial nephrectomy that is beat for you.

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.