Hi Doctor, My father is having a kidney tumor of size approx 6 cm in one kidney and also prostate is enlarged, using catheter now for urination. Tumor is in there from last 3 years. Size was decreased from 5 cm to 3 cm before last year as was doing homoeopathic medication. But after that since last 1 year due to discontinuation, tumor size is increased to 6 cm. Now urologist has told to do the surgery. In want to take a second opinion keeping in mind about kidney tumor and prostate. Not metastasized to lymph node. Father is having acne problem and aged above 65 years.

Dr. Nikhilesh BorkarOncologist14yrs exp

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Kidney cancer is known to be a slow growing cancer with protracted course and also spontaneous regression is known. So whether the homeopathy controlled the tumor or was it the inherent tumor biology, is difficult to tell. I would go with the later. Biopsy is not done to confirm the kidney mass as all are presumed to be cancer. I do imaging with a CECT scan and metastatic work up with a CT thorax + bone scan or a PET CT scan. If non metastatic we proceed with surgery. (even oligomets can be respected) If tumor size is less than 4 cms, I prefer to do a partial nephrectomy. If the size is more than that then a radical nephrectomy with paraaortic nodal clearance. These usually donot require adjuvant therapy. If metastatic and Patient, tumor is resectable and Patient is not poor prognostic as per IMDC criteria, then I prefer to do a cytoreductive nephrectomy to reduce the tumor burden and then start on targeted therapy like Sunitinib (poor prognostic may start on immunotherapy with Nivolumab, but it is a very costly affair) I hope I was able to solve your query. Do not hesitate to call me directly if you want to share reports or discuss further.  

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