Lab report showing renal mass due to hydroureteronephrosis, renal enlargement and lymphadenopathy. Suggestive of hepatic metastasis
Patient: Hi Doctors,My dad result from his lab exams, impression/solid left renal mass suggestive of neoplastic process with secondary mild to moderate left hydroureteronephrosis, non specific right renal enlargement, right suprarenal solid mas suggestive of adrenal neoplasm presumably metastatic..paraaortic and peripancreatic lymphadenopathy.. nodal metastasis is considered, right hipatic lobe solid nodule suggestive of hepatic metastasis.. cholecystolithiasis. Here is no evidence of biliary ductal obstruction, grade 1 prostatic enlargement....my dad is in the philippines and my sister just texted me the result, what is this all about? Are these curable? Thanks from Canada Doctor: Hi and welcome to HCM. Unfortunately this sounds very serious. This is expanded malignant disease and prognosis and treatment are hard to predict, but I cant tell details without more info.  It is always possible that all these masses and changes are benign, but CT scan is usually accurate about this and this  looks like primary kindey cancer with multiple metastasis. This is hardly curable,almost impossible. First the surgical procedure should be performed and then chemo or radiotherapy or both. All in all long and difficult treatment is neccessary,but I hope that everything can still be well controled. Wish you good health.