Partial nephrectomy preserves kidney function after kidney cancer


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‘I knew where I wanted to go’

Ruth Smith and granddaughterWhen doctors at her local emergency room told Ruth Smith they detected something on her imaging studies that looked like a kidney tumor, she said, “Are you sure it’s cancer?”

“Never in a million years did I imagine my severe back pain was caused by cancer,” says Smith, who was diagnosed with renal cell carcinoma. “I felt like I’d hit a brick wall, but I knew where I wanted to go.”

Smith’s go-to medical center was Mayo Clinic — more than 200 miles from her home in Crosby, Minn. “I worked at Mayo Clinic years ago and had 100 percent faith in the doctors,” she says.

Smith recalls being frightened before she met with Bradley C. Leibovich, M.D., a urologic surgeon at Mayo Clinic in Rochester, Minn. “He was so supportive and encouraging. I felt like a different person when I walked out of his office,” says Smith. “He made me confident I could overcome this regardless of the outcome.”

After Smith and Dr. Leibovich discussed treatment options, she decided on a partial nephrectomy of her left kidney. Surgeons at Mayo Clinic prefer partial nephrectomy over kidney removal when it’s technically possible. “There is no evidence that shows an advantage to removing the entire kidney,” says Dr. Leibovich. “In terms of future complications related to kidney failure and other medical problems, we believe there may be advantages to leaving a portion of the kidney.”

“Mayo Clinic performs hundreds of partial nephrectomy procedures every year on increasingly larger and more complex tumors,” says Dr. Leibovich. “We encourage people who have been told they need to have a kidney removed due to a mass to get a second opinion. Often, we are able to save the kidney.”

Smith was discharged from a Mayo Clinic hospital six days after her surgery. Recent tests show her kidney is functioning well.

“I used to think of cancer as a disease that kills people. I now know you can fight it,” says Smith.

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4 Responses to Partial nephrectomy preserves kidney function after kidney cancer

  1. john smeur says:

    my brother in law, Eric, has a tumor on one kidney. It was discovered because of a swelling in his neck. He got 3 different therapies with chemo. After 1 1/2 yr he experienced constant coughing and hardly sleeps. The specialist decided after the first diagnosis not to remove the tumor. I am afraid the specialist did not use the most effective way, but I cannot prove it. What to do now?

    • Avatar of mayoclinic mayoclinic says:

      John, we cannot diagnose conditions, provide second opinions or make specific treatment recommendations through this correspondence. If Eric would like to seek help from Mayo Clinic, please he can call one of our appointment offices. The numbers can be found at http://www.mayoclinic.org/ under “request an appointment.”

  2. Linda says:

    Does the St. Cloud Coborns Cancer Center in St Cloud MN confer with your oncologists when a patient has metastatic kidney cancer? We talked about getting a second opinion from Mayo but they told us they work with the mayo oncology dept. already. We just need to know if this is something we should still pursue. Brother in law now has
    a very large RCC clear cell tumor mets to the head of pancreas and a very large one in the tail. Stented twice. Almost lost him to bleeding when they re-stented due to blockage of bile duct. Tumor invaded the duodenum. My brother in Law is 60 years old. Has tried 4 different chemo drugs, now on votrient. He looks very ill and in much pain. Does the mayoclinic perform the Celiac Plexsis Block? Any help appreciated.

    • Avatar of mayoclinic mayoclinic says:

      We are very sorry if you haven’t received a response before now. Yes, if and when it is in the best interest of the patient, Mayo certainly does perform the Celiac Plexsis Block. If you are still interested, please don’t hesitate to contact our Oncology Department at 507-284-4137.

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