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Kidney Nodule???

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Subject: Kidney Nodule???
Date: 04/30/2008

I am 43 year old male. Had a MRI of my back for a back pain issue. They find a 3cm cyst with a 1cm nodule. Sent me for a CT with and without contrast. Family Doctor gets the report and tells me I need to see a specialist. I asked if it was anything to worry about and he says No but there is a lesion and we don't know what it is. After a CT scan and an MRI... I thought the reason for the CT scan was to find out what it was?!

Can someone please tell me if I should be concerned!

Subject: RE: Kidney Nodule???
Date: 05/01/2008

 

On 4/30/2008 Rob58185 wrote:

I am 43 year old male. Had a MRI of my back for a back pain issue. They find a 3cm cyst with a 1cm nodule. Sent me for a CT with and without contrast. Family Doctor gets the report and tells me I need to see a specialist. I asked if it was anything to worry about and he says No but there is a lesion and we don't know what it is. After a CT scan and an MRI... I thought the reason for the CT scan was to find out what it was?!

Can someone please tell me if I should be concerned!

Unfortunately, a one cm nodule is probably too small to tell with certainty if it is cystic (and probably benign) or solid (and probably malignant).   I have this problem, and have been having repeat CT scans once a year to monitor it.  Mine has not changed in size, so we are continuing to watch and wait.  Get copies of your CT and MRI reports; you may learn more from them. 

The CT scan and MRI can tell that there's a lesion there, and if it's larger than about 2 cm, they can tell if it is cystic or solid, and if it's done with contrast,if it is a different character than the tissue around it.  But until a pathologist examines the lesion, no one can be absolutely sure just what it is.  A needle biopsy is not usually done on a solid kidney mass because the biopsy itself can cause other problems, and since solid kidney masses are malignant, they are usually removed without a biopsy.

 Is it a urologist that your doctor wants you to see?

 

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