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  Friday, 28 January 2022
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Hello I am concerned. I found in some old medical documents an MR enterography that in attaching from 7 years ago when I was 26 years old that said they saw multiple subcentimeter cysts in both kidneys. Since this was sent to my gastroenterologist not my PCP he never brought this to my attention just ignored it. This seems unusual to happen to someone of that age.

I am scared. Since this was never followed through on I dont know if it was classified as benign or malignant on the report.

How can I tell?

If so what's the chance for the past 8 years may have been complex, malignant and has been growing making it too late to recover.

I have no pain symptoms of anything.

I have had abdominal and pelvic ct scans in 2016 which said my kidneys look normal and saw nothing.

My last CBC showed my creatine level was .93 mg while I am age 33, I weighed 190 lbs at 5 feet 8 inches. Which I think based on egfr puts me at an egfr of 129. And 111 if not adjusted for my weight.

I am scared.

What should I do? and what's the chance I missed my opportunity to save my self from kidney cancer?

Based on the description of the cysts, I would not have concerns that they they represent cancerous masses. Usually, if there were concerning features of the cysts (septation, vascularity, irregular calcification) they would have commented on the report and suggested a follow-up. Subcentimeter cysts without other descriptors does not sound concerning. But for added peace of mind, you could do a simple abdominal ultrasound to verify.

Please note: I can only base my opinion on the information provided and your health-care provider might arrive at different conclusions once you have provided an entire history and had a physical examination performed. As always, this forum provides general medical information only and is limited to educational use only. Please discuss the above remarks with your health-care provider.

Dr. Jordan Weinstein
2 years ago
Kidney cysts are small round sacs filled with clear fluid or air. Simple kidney cysts will be seen in any other investigations, in Ultrasound KUB, CT scan, and MRI these are not harmful until burst and bleed, or grows big, and presses other organs. These cysts range from a small pea to large grapefruit, some cysts are thickened walls, look irregular on X-rays, and may be associated with kidney cancers. Simple cysts may cause symptoms like Pain in between ribs and hip, stomach or back side, fever, increased frequency of urine, blood in the urine, hematuria, based on the location of the cyst, kidney function impacts, it cal also lead to high blood pressure, if the cyst impacting the filtration.
Treatment of simple cysts does not require and can be ignored if not impact any other function or organ, If affecting the kidney function, the cyst can be shrunk or removed.
through Aspiration and sclerotherapy, surgical removal,
simple kidney cysts can't be prevented. But is important to keep an evaluation watch over once identified without any symptoms, few characteristics of cysts are wall thickness, calcification, fluid density, and irregular borders. Bosniak Scoring System nephrologist will use and detect benign or cancerous, Higher Bozniak Score is associated with Kidney cancer.
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