Patient: before Chinese New Year: mother’s physical examination detected (ultrasound): renal cysts (cystic occupancy of the left kidney (poor internal translucency) 4.5×4.4cm) and vulvar cysts. Mother did not have any disease (bad feeling), no back pain, hematuria and other symptoms, normal urine routine After the holiday March 19: surgery to remove the vulvar cyst (has been discharged from the hospital normally), and at the same time to do a CT review of kidney cysts, the results of the shell doctor said it is a tumor, the need to remove the entire kidney Given that the removal of kidneys, is not a small operation, and tumors, so I would like to consult with the experts: 1, the first and foremost: the CT results whether it is clear that it is a kidney tumor and necessitate removal of the left kidney? 2, Does 1 kidney portend a reduction in subsequent life? 3.During the kidney tumor removal surgery, is there a possibility that the tumor will spread? I am worried that if my body seems to be fine, one surgery after another will cause my body to deteriorate rapidly; 4. After the kidney tumor is removed, what kind of adverse reactions will exist and will I have to undergo chemotherapy? Laboratory, examination results: CT renal scanning examination performance: combined with reconstruction shows that the left kidney lower level of the anterior edge of a 6.0×4.0cm size of low-density area shadow, the border is less than smooth, the center of low density, the sinusoidal compression becomes smaller, the right kidney size, shape, location can be; CT renal enhancement examination performance: enhancement and three-dimensional reconstruction: the left renal lower level of the mass shadow of the uneven reinforcement, the center of the low-density area did not see obvious enhancement, its border display can be, double ureteral travel area and the lumbar membrane after the abnormal density shadow is not seen. Impression: left renal occupation, high possibility of renal Ca, further examination if necessary; Hospital of last visit: Doctor: Although the film you provided is not too clear, renal cancer is still considered from the film, due to the fact that the tumor is larger than 4cm, radical resection of left renal carcinoma is preferred if there is no abnormality in the renal function of the contralateral side in general. If you want to preserve kidney, it is not sure that you can’t do it. The difficulty of kidney preservation surgery is obviously increased, especially the chances of postoperative bleeding and tumor recurrence are still there. If radical surgery is chosen, the damage is generally smaller with laparoscopic surgery, and tumors of this size are suitable for laparoscopic surgery. A kidney has no special effect on the body, especially in the short term (about 5 years), but of course it is more likely to lead to renal insufficiency in the long term. The surgical process will not cause tumor dissemination, and the surgery certainly has a certain impact on the patient’s body, and the recovery after laparoscopic surgery is still quite fast. Chemotherapy is usually not done after the removal of renal tumors, chemotherapy is not useful for renal tumors. Patient: Thank you for your prompt reply! As picking up just mother to the city, it was found that this disease, very reluctant and unwilling to accept such a result! Of course still have to face! So please forgive me still want to be cautious! So also want to know: 1, this kind of tumor kidney cancer, the solution is to remove a kind of? Is there no conservative treatment? Isn’t it difficult to remove the kidney in case there is another abnormality? 2. After kidney cancer is confirmed, if it is in early stage, there is no need for further treatment after resection, right? Otherwise, there is still need for further treatment and many strong drugs with side effects? 3.After confirming that my mother’s tumor is 6x4cm in size, can I do laparoscopic surgery? Is it a minimally invasive surgery? Thank you very much! Doctor： At present, the best solution is only surgical resection, unless you cannot tolerate surgery, there is no good conservative treatment. Therefore, after kidney removal, you must be more careful about the condition of the opposite side of the kidney, of course, you can also choose to save the kidney, the risk I have told you above. Early stage kidney cancer doesn’t need special treatment after surgical resection, of course, considering the side effects of drugs. This tumor can be completely treated with laparoscopic surgery, of course the doctor who treats it should know how to do laparoscopic surgery and be good at laparoscopic surgery, which is surely the most minimally invasive. Patient: Hello! Now my mother had a successful surgery to remove her left kidney! And biopsy said it was cancer! But there was no other disposition after the surgery, and I would like to confirm to you, is that all there is to this disease? We can only follow up and treat any problems! Isn’t there any other way to prevent it? Doctor: In your mother’s case, after radical surgery for kidney cancer, the general effect of the surgery is still quite good, if there is no lymph node metastasis, there is no need for other special adjuvant treatments, and if the general condition is good, interferon can also be used for about half a year, but it is not necessary. After surgery, the main thing is regular follow-up and protection of the other side of the kidney (see What to pay attention to after my kidney cancer surgery?). Patient: Thank you very much! My mother’s health is usually very rare and quite good! Do you think it is necessary to play interferon? What is the mechanism of action. How much does interferon cost? Also: the biopsy mentioned that there is a cancerous embolus in the blood vessel, does this mean that it has metastasized? How likely is it? Thank you very much! Doctor： The presence of a thrombus in the blood vessel is an indicator of a poor prognosis, but it is not metastasis, so it is also necessary to follow up more closely after surgery. Interferon is necessary in cases like this, it’s a type of immunotherapy, and imported interferon costs more than 3,000 dollars a month. Patient: see this doctor’s clinic specific time: May 2010 doctor give you to do the examination items, results and give the disposition of the program: as you say I want to give my mother to play interferon, would like to consult the specific program, such as how much the dose, etc.? For how long? I see that there are many brands of interferon and I don’t know which one to use. Can you recommend one that also has IFN-a, IFN-Y, etc.? Is it possible to use a domestic one? My family’s condition is average, and I would like to take the domestic one if it is almost as effective. My friend recommended a clinic run by a retired doctor, who said he would give me a shot, and said it would be more than$10 a shot, once every two days! Another see interferon has a lot of side effects, hit then we need to pay attention to what? How to prevent side effects, I saw that there are side effects affecting white blood cells, nerves and so on! I don’t even dare to take the injection after reading the introduction! Doctor：Generally 3 million U subcutaneous injection every other day for about six months. Playing interferon in addition to some of the side effects you mentioned, there will be fever, fatigue, gastric natriuresis and other symptoms, generally the first time with interferon first prophylactic small doses of steroidal anti-inflammatory drugs (such as anti-inflammatory pain suppositories, etc.) to prevent the use of drugs after the fever, regular blood checks to monitor the impact of the drug on white blood cells. Imported interferon quality is more guaranteed, and he is equipped with syringes patients can inject themselves.