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kidney cancer tumour spillage10

Posted by


my partner has just undergone a radical nephrectomy for a 10cm T3 M0 N0 tumour. i was told it was a tricky tumour and there was a tear and some spillage but they got it all, what does this mean and what implications might it have.

the worry never stops 


Linda - Macmillan
Posted by

Hi pug2411,

Thanks for getting in touch during this time. Having surgery can be a worrying time and I hope your partner's recovery goes well.

Surgeons ideally want to remove the kidney intact so they can be sure, as far they can, that they have removed all visible evidence of cancer. This will be confirmed when they receive the pathology results from all of the tissue they have removed.

It is a good idea to speak with thespecialist about the spillage as they will be best placed to advise of any potential implications. It’s never possible to give a 100% guarantee that small microscopic cancer cells have broken free from the tumour, even when removed intact. When assessing the risk of the cancer returning they take this in consideration as well as the stage and grade of the cancer and base care after surgery on this.

It is worth asking, depending where the tear was, if this could pose an increased risk. And if this is the case your partner's specialist will be able to discuss how this will be managed.

Supporting someone you love going through treatment for cancer can be rewarding but also physically an emotionally draining. It’s good to see the support you’re receiving from the groups you’ve joined. If you’d like to speak with one of our nurses why not pick up the phone and see how we can help further.

Best wishes, Linda (Cancer Information Nurse Specialist)