Catching up – Renal Cell Carcinoma

I realized that I haven’t written here about my diagnosis. The mass on my left kidney was Chromophobe Renal Cell Carcinoma. It was at the top of my kidney and abutted my left adrenal gland. So I had laparoscopic and robotic surgery on January 26, 2024. They removed the mass and the surrounding part of my left kidney, and they also removed the left adrenal gland. That was about 2 1/2 weeks ago. I’m still recovering. The “chromophobe” part is a sub-type of RCC that’s typically associated with a better outcome.

Diagnosis

1) LYMPH NODE, LEFT RENAL HILAR, EXCISIONAL BIOPSY: – One lymph node, negative for carcinoma (0/1)

2) KIDNEY, DEEP MARGIN, BIOPSY: – Renal medulla, negative for carcinoma

3) KIDNEY AND ADRENAL GLAND, LEFT, PARTIAL EN BLOCK NEPHRECTOMY: – Chromophobe renal cell carcinoma

Copied from the surgical pathology report

It is still strange to wrap my head around the fact that I had kidney cancer. And the doctor assures me that “had” is the correct terminology. He feels certain that it had not spread. The margins and lymph nodes were clear. So I will not need chemo or radiation, for which I am grateful.

Having cancer helps with weight loss

This morning I weighed myself – 140.6. Less than a pound away from a “new decade” (as I call them). I say the following with total sarcasm – although it is true. Having cancer surgery is a great way to lose weight. I have zero appetite. Yesterday Ron and I went by Miss Daisy’s to get some quiche. I saw the table of muffins and bought one pumpkin chocolate chip and one blueberry lemon. I came home and cut < 1/4 off each one and toasted the pieces in the oven. I enjoyed every bite until I finished eating them, at which time I became so ill I actually tried to throw up so I could feel better. . . but I couldn’t throw up. I had to go to bed and sleep for about an hour to get over it. I threw out the remainder of the muffins, and I’m sure I won’t be eating any muffins from Miss Daisy’s again in the foreseeable future.

Nothing appeals to me. I haven’t had any alcohol since a week before surgery, and I don’t plan to drink any alcoholic beverages anymore. I have only part of my left kidney remaining, and what’s left is now more vulnerable to injury and disease. Alcohol is bad for kidneys. While I might enjoy a Cosmo if we go out, I kinda doubt I will.

I am certain that, as I heal further from surgery, my appetite will return. And as life gets back to normal after all the renal cell carcinoma hubbub of the past few weeks, my tendency to return to bad habits will show up again. For now, though, I feel like my body is telling me it’s past time to get serious about eating only for health.

Mid-70s and Beyond

Ron is 76 and I am 74. Unless we both die in an accident at the same time, one of us will out-live the other one. I’ve always felt that Ron will outlive me. I don’t know why except he is so much like his Granddaddy Pierce who lived just a few months this side of 100. But then I am very much like my mother who lived to 98.

There are points at which the momentum of life shifts. One of us can’t outlive the other without things changing. I wonder if this “mass” on my kidney is that shifting point. I don’t want to be dramatic, but unknowns such as this makes one naturally think of all possible outcomes.

I know that (1) it may be nothing more than an atypical cyst, or (2) it may be something easily “managed,” or (3) it may be the beginning of the end. Or anything along that continuum. It could even be something entirely different. No one knows. Nothing so far indicates that it is serious. However, it COULD be. And even if this turns out to be no big deal, eventually something will come along that is a BFD, as they say.

It is fascinating to consider because of the implications. Talk about having to put one’s faith and beliefs into action – having to live out what one professes – words versus actions. All those nebulous “what I would do in that circumstance” thoughts are suddenly put to the test. WOULD I be brave going through chemo/radiation/surgery? Would/could I face death with my faith in God intact? I’ve certainly done poorly on many lesser tests of faith.

Only time will tell, and I am fortunate that we were able to get appointments for the CT scan and urologist consult so quickly, thanks to all the folks we know at Vanderbilt. And, of course, we are so closely associated with some head honchos at Vandy because of Lily’s battles with leukemia.

And speaking of Lily . . . I can only pray and strive to be as strong and determined as she was and continues to be.

And so there’s the unknown

Life consists of many great big chunks of unknowns. My most recent is the possibility of kidney cancer. Probably not, but the possibility is there, and of course that possibility gets me thinking. What if I DO have cancer? At the worst – Am I ready to suffer and to die? Can I handle going through chemo and/or radiation? And does it matter whether or not I’m ready or whether I can handle it? If I have to do it, I have to do it. At the moment my mindset is “What will be, will be!” And I’m not worried. I have never been seriously ill – but I know that there’s always a first time. No one gets out of life unscathed. I’m 74 years old and damned lucky to live this long without any major illnesses.

I hope I hear from my pcp tomorrow. I will likely have to have a biopsy done – although maybe not. I don’t know.

The more I read the MRI report, the scarier it gets. I should stop looking up stuff on the internet. It’s 2:42 AM – and I am wide awake. This is ridiculous.

Waiting on MRI Results

As a result of some pain believed initially to be gall bladder related, I’ve been through lots of testing over the past few weeks – blood tests, a sonogram, a CT scan, a HIDA scan, and today an MRI scan. so far, there is no explanation for the five days of pain I experienced. And the pain has been gone since Christmas Day.

No worries at this point – just waiting for results.