Active Surveillance for Kidney Cancer

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Although the incidence of kidney cancer has increased dramatically over the last few decades, research led by Johns Hopkins urologists is showing many of these patients can be followed safely without the need for immediate surgery. In light of these findings, The Brady Urological Institute began the Delayed Intervention and Surveillance for Small Renal Masses (DISSRM) Registry, following patients with small, localized kidney tumors (4 centimeters or smaller, and confined to the kidney), to avoid surgical intervention.

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This is an excellent resource for anyone diagnosed with a small renal mass. Patients, on finding out they have a tumor in their kidney, are frequently very frightened. This video gives them information that should give them some comfort and at least an understanding that they have time to consider all the options available to them.

DebraGottsleben
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i have 2. but im getting symptoms of pheo .. headaches / chest pains / palour / light headed/ bloodpressure spiralling out of control .

traceyhateley
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Nice video but unclear what the advantage is of AS except for costs and risk of an operation. A small chance (1%) of cancer spreading (very bad news) is still very bad news as this type of outcome is more important than the small chance. Why take the risk of leaving the small renal mass as it is?

pertammerfors
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I was diagnosed by CT scan with a 4cm Stage 3 Bosniak Complex Cortical Cyst that has a 50% chance of being cancer 6 months ago and I asked if they recommended further examination or treatment and they have elected to do what Johns Hopkins recommends and thats just 6 monthly scans. I asked if I did have cancer what would be the first symptom and the doctor said blood in my urine. From the video it appears there is no definite timeline on how worse things progress so as I am in no pain and have no bloody discharge I will just see what the followup future scan results show. My followup scan is in 2 weeks. I am also going to look into herbal medication for the condition too.

petercreagh
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I have a mass that covered my intire right kidney and also partially my left kidney. My pain is so much worse and hurting down both legs. What is the best thing for me to do for this? I'm growing weak and losing weight bad?

JayBurch-xvtr
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I have itching skin back side tried during weight lifting and testis pain

Hi_Hello
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if you know that the mass is 3cm and fuhrman grade is 2, you think that active surveillance is possible?

Tt-bfms
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In September 2023 i has a mass 10cm+ whole kidney had to be removed with part of my lung I had no clue it was there

andrewb
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I have a 6.4 cm in the kidney. I’ll be going through 2 procedures in a few weeks. This was found because of uncontrolled blood pressure.

singingismylife
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Is 3.9 cm solid mass considered to be small ?

yassmina
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Can the surveillance be done without getting contrast?

larryro
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I had a ct scan done recently and they find a 1.5×1.9 hypodense lesion in my left kidney. Enybody knows what that means ?😢

venomxx
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Mine's 10cm. No idea whats happening next.

CiderPang
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I have a 6x4x2 cm mass angiomylipoma os there any side effects or symptoms that may affect my daily life?

zahraawehbe