What should I do if I have a kidney mass?

The kidney is a very important organ in the body. Its function is irreplaceable by other organs. It plays a great role in protecting people's physical safety. Because the kidney is an organ of metabolism, it has a very good filtering effect on the blood. It can promptly process harmful substances in the blood and excrete them out of the body. However, the kidney health of modern people is getting worse and worse. Many people have kidney masses. So, what should we do if we have kidney masses?

Radical surgery is the main treatment. The affected kidney, the entire length of the ureter, and the bladder within 2 cm around its terminal opening will be removed together. This operation is relatively large and usually requires two incisions, one on the waist and the other on the lower abdomen. There have been cases of contralateral recurrence of this disease 2 years after surgery. Therefore, within 2 years after surgery, intravesical instillation of anticancer drugs is required, and immune anticancer drugs or gene therapy should be taken as appropriate to prevent recurrence, and regular follow-up examinations should be conducted.

Conservative surgery such as ureteral electrocautery or anastomosis should be performed with extreme caution and close observation.

Radiotherapy and chemotherapy are less sensitive to this disease, but they can be considered for use in individual cases after surgery or without surgery based on specific circumstances.

(1) Surgical treatment of localized renal cancer Localized renal cancer refers to renal cancer in stage I or II according to the Robson stage. Radical nephrectomy should be performed as much as possible, that is, the kidney is freed from the perinephric fascia, the renal pedicle blood vessels are ligated first, and the kidney, adrenal gland, perinephric fat, fascia, and upper ureter are removed in one piece at a time, so that the malignant tumor completely leaves the human body and achieves the goal of radical cure. Preserving "normal" renal tissue for small tumors and preserving the adrenal gland for lower pole renal tumors should be carefully considered based on specific circumstances and should not be forced.

(2) The surgical treatment of locally invasive renal cancer should still include radical nephrectomy and local lymph node dissection, followed by radiotherapy, chemotherapy, immunotherapy, gene therapy, etc.

(3) For patients with large tumors that have metastasized to distant sites, if the patient's condition permits, it is advisable to remove the entire tumor and then combine traditional Chinese and Western medicine for treatment. In some cases, this can produce good results.