Need Help Translating Impressions From Scan

My mother was a smoker for over 25 years and for a long time I hounded her to get a scan. When I explain my concern over her smoking history with her doctor. I was told bold face that her lung x-ray that came back negative was a good as any. Could you believe it, the nerve!!! Needless to say with out going into detail, I definitely made my self clear of my wishes. The doctor put in for a referral only to be blocked by GHI 8 TIMES before they would approve a ct scan. Lungs came back good but obviously kidneys did not. Was told it was a complex cyst after the doctors appt I ran to the nearest computer and started my research. Was referred to a inexperienced urologist by her general part. As you know by now I am fit to be tied. We have an appt with supposedly the fourth best urology dept in america here in NYC, I use the word supposedly because only if my mother is cured will they be the best in my eyes. As I bang away on my computer researching this cancer which should be obsolete. I need help trying to decipher what is going on for my mom. So if anyone with knowledge of these impressions can help interpet them before our appt. I will be forever grateful. Here they are 1) 2.8 cm markedly ehancing lobular mass at the upper pole of the left kidney suspect for renal cell carcinoma. 2) Findings suspect for a hypervascular metastasis to the right hepatic lobe. 3) Complex left adrenal mass with cystic and solid components and minimal punctate enhancement, most compatible with a myelolipoma though its nature as a metastastic focus cannot be excluded. I wish you all the best Thank You.

It appears your mother has a tumor in her kidney with mets to her liver and possibly adrenal gland. This is consistant with stage 4 renal cell carcinoma. Surgery may be an option to remove the kidney and the mets, if there arent too many and she is in good health. Otherwise her best bet is a clinical trial.

My God...This hurts really bad...I just finishing seeing my mother and I know this turn out bad but I can not tell her that...I have to stay positive...I love her so much..........Can you please tell me of any clinical trials under way that may be helpful... Please let me know...Thank You for your time...

Have you talked with her doc yet about options? Is she seeing an oncologist? Here is a link that lists clinical trials that are accepting patients. Look under kidney cancer. http://www.centerwatch.com/patient/studies/area12.html

There is an email support list specific to kidney cancer. See http://cancerguide.org/kofaq/. In NYC, Dr. Janice Dutcher, at Our Lady of Mercy in the Bronx, is one of the country's top oncologists for RCC; she has a lot of experience in treating metastatic RCC, expecially the rarer types.

Went to dept of urology @ columbia Presy.Doctor does not believe it has met to her liver, since this cancer normally does not stop their first after kidneys, but is worried about the adenoma...I am actually waiting for his phone call right now to talk about her films...He sent them to their radiologist for a second reading...I just think the wait time right now is too long..I just want this out of my mother and start taking the next step... I have Dr.Dutchers # and a kidney cancer specialist Dr. Russo @ Memorial Sloan. I am sick of waiting.Hopefully I will know more tmrw and will definitely keep you posted...

If your mother does not have a met, she will not need an oncologist. MSK is a wonderful facility for many cancers, but they do not offer all treatments for RCC; you will get more choices from Dr. Dutcher.