Kevin Kiernan was experiencing a twinge in his side and pain. He went to urgent care and learned he had a massive tumor on his kidney that had grown out of the kidney, up the Vena Cava and into his heart. Kevin was told his cancer was life threatening and an extremely aggressive cancer. Kevin reached out to The Johns Hopkins Brady Urological Institute and within 24 hours he had an appointment with Dr. Phil Pierorazio. Dr. Pierorazio worked together with specialists from the Johns Hopkins Kimmel Cancer Center, cardiac surgeons and vascular surgeons to provide Mr. Kiernan with personalized kidney cancer care that ended up saving his life.
Advancements in minimally invasive surgery at Johns Hopkins Medicine brought Eduardo Estima and his family from Brazil to Baltimore to treat his kidney tumor. Dr. Mohamad E. Allaf, director of Minimally Invasive and Robotic Urologic Surgery at the Johns Hopkins Hospital, helped Eduardo recover in record time.
Although the incidence of kidney cancer has increased dramatically over the last few decades, research led by Johns Hopkins urologists is showing many of these
patients can be followed safely without the need for immediate surgery. In light of these findings, The Brady Urological Institute began the Delayed Intervention
and Surveillance for Small Renal Masses (DISSRM) Registry, following patients with small, localized kidney tumors (4 centimeters or smaller, and confined to the
kidney), to avoid surgical intervention.
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Percutaneous cryoablation is a procedure where a needle is placed in the kidney tumor. The tumor is then destroyed by freezing it. The patient is usually discharged from the hospital the same day.
Laparoscopic Removal of Kidney Tumor Extending into the Renal Vein
Johns Hopkins surgeons are experienced in the minimally invasive removal of large kidney tumors even when there is invasion into the renal vein.
Removal of Kidney Cancer Extending to the Heart
This patient required cardiopulmonary bypass surgery to remove the large kidney tumor that was extending into the heart. These procedures are routinely performed by the Johns Hopkins Kidney Cancer Team.
Robotic Removal of Kidney Tumor Extending into the Vena Cava
Involvement of the vena cava by kidney cancer typically requires open surgery. For select patients at Johns Hopkins, a robotic approach can be employed sparing the patient a large incision and prolonged recovery. This patient presented with a 10cm tumor and vena cava involvement. He was discharged home in 2 days.