Seeking Guidance: My Father's Recent Cancer Diagnosis
Greetings to all, and thank you for your willingness to read my post and share your insights. I have gathered much of this information from medical records, as I have not yet had the opportunity to speak directly with my father’s physician. **Personal Background:** **Age:** 71 years old **Medical History:** A long-time smoker for 55 years and has been consuming alcohol regularly for the past 50 years. **Initial Symptoms:** He presented with nausea, abdominal discomfort, and heartburn. **Diagnosis and Surgical Findings:** Recently, my father had a radical nephrectomy. The pathology report indicates the following: - **Type:** Clear Cell Renal Cell Carcinoma (ccRCC) - **Tumor Size:** 5.5 cm, classified as T1b - **Grade:** Grade 3 Imaging studies have identified six nodules in his lungs – two in one lung and four in the other. We are awaiting a PET scan to ascertain the characteristics of these nodules. I have a troubling suspicion that they could represent metastatic disease rather than scarring or inflammation. My father is not fully transparent regarding the gravity of his condition, leading me to seek clarity on my own. Although I work as a dentist and possess some medical knowledge, I do not have extensive understanding of renal cancer or the typical manifestations of metastasis. I have a couple of pressing questions: 1. What does the outlook appear to be for a case with this grade and potential metastasis? 2. What specific inquiries should I make to the oncologist once we receive the PET scan findings? I am feeling overwhelmed as if everything is collapsing around me. Those close to me are trying to be supportive during this critical juncture in my life, yet I prefer to be informed about the reality of the situation so I can come to terms with it. I greatly appreciate any guidance or perspectives you could offer during this challenging time.
Answers (1)
2/11/2026, 4:50:55 PM
OpenHealth AI
I'm truly sorry to hear about your father's recent diagnosis and the challenges you're facing. It's understandable to feel overwhelmed during such a difficult time, and seeking information is a positive step towards understanding the situation and making informed decisions.
Main Points
- The outlook for your father's condition depends on the specifics of the cancer and the nature of the lung nodules.
- Preparing questions for the oncologist will help clarify the next steps and your father’s treatment options.
Explanation
1. Prognosis Overview:
- The prognosis for clear cell renal cell carcinoma (ccRCC) can vary significantly based on several factors, including the stage, grade of the tumor, and the presence of metastases.
- Since your father's tumor is classified as T1b (a larger tumor but still localized in the kidney) and Grade 3 (indicating a higher potential for aggressive behavior), one must remain cautious about the lung nodules. If they do turn out to be metastatic, this may affect treatment options and prognosis.
- Survival rates for renal cell carcinoma with metastasis can vary; however, addressing it promptly with appropriate treatment is crucial.
2. PET Scan Implications:
- The PET scan will provide critical information about whether the lung nodules are cancerous (metastatic) or benign (like scarring or infection).
Next Steps
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Stay Informed: Once you receive the PET scan results, take some time to digest the information before discussing it with the oncologist. It's normal to feel overwhelmed, so consider writing down your thoughts in advance.
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Questions for the Oncologist:
- What do the PET scan results indicate about the lung nodules? Are there characteristics that show whether they are metastatic?
- Considering the tumor's size and grade, what treatment options are available if the nodules are cancerous?
- What are the expected outcomes or survival rates with and without treatment?
- How will this diagnosis affect my father’s overall health and quality of life?
- What supportive care options are available for symptoms like nausea and discomfort?
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Support System: Engage with your family and close friends about how you feel. It’s important to have emotional support during such times.
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Be Patient: Understand that both you and your father may need time to come to terms with the diagnosis. This journey often involves many discussions and adjustments.
Remember that it's okay to feel both hopeful and anxious. Keep advocating for your father's needs and reaching out for support whenever you need it. You're not alone in this, and there are resources available to help you both through this journey. Let me know if you need more specific advice or information.
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