General Discussion
In reply to the discussion: This message was self-deleted by its author [View all]Hassin Bin Sober
(27,467 posts)If both kidneys are involved they leave both kidneys in tact in hopes of saving as much renal tissue as possible.
That's most likely what happened.
At this point an interoperative examination of the tissue is done ( as Tumor spillage is now a moot point). Then a chemo and radiation plan is mapped out based on the exact typing of the cancer.
I think the family, and people here, are getting hung up on doing the surgery without a biopsy. Everyone assumes every cancer gets a biopsy. That's how it's done with these types of cancer. In fact a person who has a biopsy gets automatically bumped from stage 1 to stage 3 and has to undergo abdominal radiation they may not have needed if the stage one cancer was removed in tact with the kidney.
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Here's how it goes:
Imaging and clinical examination leads to a diagnosis of a Wilms Tumor
No biopsy is done in hopes the cancer hasn't spread. (Assuming imaging doesn't show both kidneys involved)
Resection of the kidney is the best course of action.
During surgery the other kidney and abdominal wall are inspected for evidence of cancer. If eveidence of cancer shows up in the other kidney, the removal is called off as retention of any healthy renal tissue is now paramount. Now chemo and radiation is the only option.
If no other involvement is found during surgery, the affected kidney is removed and tested outside the body for malignancy.
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The best thing this kid could have hoped for would have been the removal of a non cancerous kidney and some doctors with egg on their faces.
The next best would be a removal of the kidney with a completely contained tumor not ruptured by biopsy, inadvertent surgical spillage, or naturally rupturing on it's own.
The least favorable is the surgeon finding bilateral involvement and closing her back up with now two cancerous kidneys. Now she is in for a lot of chemo and radiation.
The prognosis doesn't sound good.