Full or partial nephrectomy

FormerMember
FormerMember
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Hi

My wife has just been diagnosed with a tumour on one of her kidneys. It's 5cm long and as far as we are aware, the cancer has not spread elsewhere (final chest CT scan tomorrow, so fingers crossed).

Surgery has been recommended, either radical or partial nephrectomy. My wife asked the doctors for advice on the best option, but they were noncommittal. 

She is leaning towards full removal, to prevent recurrence and I think partial, in case she ever has a problem with the other kidney.

Is there a "right" option?

  • FormerMember
    FormerMember

    Hi, I don't know if there is a right answer to your question, I think really your consultant should advise. I had a full nephrectomy of the left kidney summer 2019.  I had a stage 2 Chromaphobe tumour, 9cm's in diameter, 3lb in weight with no sign of spread. I think it depends on how much of the kidney there is still viable.  I had nothing, just a little bit poking out the end of the tumour. For me, the signs of the other kidney were all good, and I just wanted the cancer gone. Now I eat healthily, I don't drink, I exercise regularly.  Yep veritable nun, but I am here, and last scan, end of Feb and I'm all clear. If they can get it all and leave nothing behind by doing a partial then great.  But you can live well with one, if it comes to it.  Thousands of people do. Whatever your decision, I wish you and your wife all the luck in the world on this journey. Love and light to you both x

  • FormerMember
    FormerMember

    Hi,

    I had the option to have a partial or full nephrectomy, I also had a 5 cm tumour. I eventually went with the advice of the MDT for a radical laparoscopic nephrectomy. I did get a second opinion which was time well spent in coming to my decision.

    I was told that I fell into grey area call it borderline if you like. The benefits of the partial are to retain more kidney function and have some reserve should you have a local reoccurrence. The downside it was a much bigger operation (open) and had much higher interoperative risks and a longer post-operative recovery.

    Everyone's case is unique so please only take the above as an insight to someone's story.

    Best of luck !!

  • FormerMember
    FormerMember in reply to FormerMember

    That's very kind, thank you.