Kidney cancer detected after two months of loss of appetite and weight loss

Ho Chi Minh City A 54-year-old man suffered from loss of appetite and weight loss for two months. He went to the doctor and was diagnosed with kidney cancer. Doctors at Cho Ray Hospital performed laparoscopic surgery to remove the tumor from his kidney.

On June 25, Associate Professor, Dr. Thai Minh Sam, Head of the Department of Urology, Cho Ray Hospital, said that the patient had a large tumor measuring 7 cm in size in the right kidney. The tumor bud entered the renal vein and vena cava. The patient had many underlying diseases including high blood pressure, diabetes, and hepatitis B.

Kidney cancer accounts for 2-3% of all cancers. In its natural course, kidney cancer can develop into a tumor in the vein. Without treatment, the average survival time of a patient is 5 months. When a patient undergoes surgery to remove the kidney and tumor in the vein, the average 5-year survival rate is 64%, according to reports from medical literature.

To date, Cho Ray Hospital has performed more than 50 surgeries for kidney tumors with tumor buds in the vein. All of them were performed by open surgery to remove the buds. This time, the doctors decided to perform a laparoscopic surgery to remove the kidney and tumor buds in the vena cava. This is the first case in Vietnam to apply this technique.

The surgery lasted more than 5 hours, with no complications recorded. After surgery, the patient recovered quickly, had less pain, and was able to move normally sooner than with open surgery, and was discharged after 5 days. The patient recently had a follow-up examination three months after surgery, and his health is stable.

Doctors perform endoscopic surgery on a patient. Photo: Provided by the hospital — Doctors perform endoscopic surgery on a patient. Photo: *Provided by the hospital*

Dr. Chau Quy Thuan, Deputy Head of the Department of Urology, Cho Ray Hospital, said that radical nephrectomy and vena cava resection are among the most complex surgeries in the field of urology. Laparoscopic surgery with the advantage of minimal invasiveness helps patients recover quickly after surgery. However, this is a complex surgery that requires high technical skills and expertise of the surgical team.

In most cases, kidney cancer has no symptoms. Blood in the urine, pain or a mass in the flank, weight loss, fatigue, loss of appetite, fever... are warning signs of kidney cancer. Smoking and obesity are factors that increase the risk of kidney cancer. Doctors recommend regular health screenings, especially kidney function tests, for early detection and treatment.

Le Phuong

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