Should lymph nodes be biopsied if you own a retroperitoneal mass to be precise inoperable and x2 inconclusive biop?


Answers:    Tyler - No right answer can be given by anyone without further Information. The retroperitoneum in the area surrounded by back of the body's mid-section and behind the intestines. The area contains such structures as the kidneys, ureters, adrenals, and focal blood vessels. Even IF it is inoperable, then the treatment and outlook depend greatly upon first getting an accurate diagnosis. This will require at least the removal of some tissue sample(s) for the pathologist to examine lower than the microscope. The final diagnosis will determine whether it would be best to proceed with radiation or chemotherapy. Though tumor can start in lymph nodes, more often the tumor starts elsewhere and next spreads to the lymph nodes.
r, Your "Additional Details" are very important considerations. Because you are taking a blood thinner (anticoagulant Coumadin) any biopsy or surgical cutting carry an increased danger of continued bleeding after a lymph node biopsy. Further when you mention tumor wrapped around the renal vein, it suggested a primary tumor of the kidney which may have invaded the fundamental vein leaving the kidney, possibly spreading to other body parts such as the lungs. For now, stick beside your doctor's recommendation since he/she knows best your condition. My prayers are with you.


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