Grade 1v bosnaik cyst

Morning Gina,

Thanks for reaching out to Macmillan Cancer Support and welcome to our online community. My name is Amy, and I am one of the nurses on the support line.

It sounds like you’ve had an incredibly difficult month Gina, with the ITU admission for DKA and now the incidental finding of a renal cyst. It’s only natural to feel dazed by it all. 

I appreciate your confusion in being told this is urgent and then getting discharged home. This can feel like a contradiction. These two health issues are different and although, yes cancer needs to be treated with a level of urgency, it’s important to remember most people are still living at home and attending appointments, going for scans and treatment from home. We wouldn’t expect a cancer to change significantly within a few short weeks or even months. And the waiting times from referral for suspected cancer to starting treatment is 62 days.

It would be unlikely, even if beds were available, for you to stay in hospital and wait for a urology review. The only time you may be kept in hospital is if you remain medically unfit for discharge, whether that be from your initial presenting complaint (DKA) or any new complication or diagnosis (Renal Cyst).

This doesn’t make the waiting any easier, but hopefully knowing it would be normal practice to discharge and refer as an outpatient helps.

We also have up to date information about cancer waiting times. This includes support available to help you cope while waiting, tips for looking after your physical health and wellbeing and what you can do if you are concerned about the quality of your care (raising your voice toolkit).

If you notice any new, changing or worsening symptoms before your appointment on the 8^th February you can get in touch with your GP or the urology secretary to let them know of your concerns.

I hope this helps and please do get back in touch if you need any more information or support.

Best wishes,

Amy C, Cancer Information Nurse Specialist                                                                                   

You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email.

Ref:AC/SMc

Hi Thankyou for the reply you misunderstood me I was wondering with the description of the stage 1v is it cancer 

Hi Gina ,

Thanks for getting back in touch and please accept my apologies in misunderstanding your question. I will answer your question here rather than posting on the new post.

The urology team you have been referred to will give you a greater explanation about whether this is a cancer or not. Unfortunately, we cannot access medical records or diagnosis on this platform.

Radiopaedia.org is a website which helps to explain some of the common terminology radiographers use to help diagnose conditions.  

The following information would suggest that it likely is a cancer.  .

Bosniak IV

• clearly malignant cystic mass

• Bosniak III criteria + enhancing soft tissue components adjacent to but independent of wall or septum
• treatment: partial or total nephrectomy
• percentage malignant: ~100% ^ref

I hope this helps answer your question.

You know where we are if you need any further information and support

Best wishes,

Amy C, Cancer Information Nurse Specialist

You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email.

Ref:AC/SMc