In a remarkable example of advanced urological expertise and organ-preserving cancer care, a 37-year-old woman successfully underwent removal of a massive 11×8×5 cm kidney tumor while preserving her kidney at Pune Institute of Nephro Urology.
The surgery was performed by Dr Sunil Mhaske, a specialist in advanced kidney and urological cancer surgeries in Pimpri Chinchwad and Pune.
The Symptom That Should Never Be Ignored: Blood in Urine
The patient had been experiencing blood in her urine (hematuria) for nearly four months. She had no pain, no fever, and no major discomfort — a situation that often leads patients to delay proper evaluation.
Hematuria is one of the most important warning signs of kidney cancer. While infections and stones can cause similar symptoms, persistent blood in urine always requires detailed investigation.
Upon evaluation at Pune Institute of Nephro Urology, advanced imaging including ultrasound and CT scan revealed a large left kidney mass measuring 11×8×5 cm, highly suspicious for renal cell carcinoma.
A whole-body staging scan confirmed that the cancer had not spread to other organs, making surgical treatment the best curative option.
The Initial Recommendation: Remove the Entire Kidney
Due to the large size of the tumor, the patient was advised radical nephrectomy (complete kidney removal) elsewhere.
For a 37-year-old woman, losing an entire kidney can have lifelong implications, including:
Reduced kidney reserve
Increased risk of future kidney dysfunction
Higher long-term health risks
Seeking a second opinion proved to be a life-changing decision.
Strategic Surgical Planning: Cancer Clearance First, Kidney Preservation Next
At Pune Institute of Nephro Urology, a detailed surgical plan was developed based on three core priorities:
Complete removal of the tumor with negative margins
Preserve maximum healthy kidney tissue
Select the safest surgical approach
Given the tumor’s size and complexity, an open surgical approach was selected to ensure optimal visibility, precision, and oncological safety.
The Surgery: A Complex Kidney-Sparing Procedure
Large kidney tumors often requires radical removal. However, in selected cases where the tumor is localized and technically respectable, partial nephrectomy can be attempted.
During surgery:
The tumor was carefully dissected
Blood supply was controlled precisely
The entire mass was removed
Healthy kidney tissue was preserved
The procedure was successfully completed without complications.
Post-Operative Recovery and Final Report
The patient’s recovery was smooth and uneventful. She was discharged on Day 5.
The final histopathology report confirmed:
✔ Renal cancer
✔ All surgical margins negative
✔ Complete tumor removal
Negative margins indicate that no cancer cells were left behind — the gold standard in oncological surgery.
Why This Case Is Important for Patients in Pimpri Chinchwad & Pune
This case highlights several critical messages:
- Blood in urine is never “normal.”
Even painless hematuria requires immediate evaluation.
- Large tumors do not always mean kidney removal.
Advanced expertise can allow organ preservation in selected patients.
- Early diagnosis improves outcomes.
When cancer is detected before spreading, cure rates are significantly higher.
Advanced Kidney Cancer Treatment in Pimple Saudagar
Kidney cancer treatment requires:
Accurate diagnosis
Advanced imaging
Surgical precision
Long-term follow-up
At Pune Institute of Nephro Urology, patients receive comprehensive evaluation and individualized treatment planning.
Under the leadership of Dr Sunil Mhaske, the focus remains on:
Cancer safety
Organ preservation
Minimally invasive options when feasible
Long-term kidney health
Who Should Get Evaluated for Kidney Cancer?
You should consult a urologist immediately if you experience:
Blood in urine
Persistent flank pain
Unexplained weight loss
Recurrent urinary symptoms
Incidental kidney mass on scan
Early intervention can be life-saving.
Final Message to Patients
Kidney cancer treatment today is not just about removing disease — it is about preserving quality of life.
This successful removal of an 11×8×5 cm kidney tumor while saving the kidney demonstrates that with proper expertise, even complex cases can have excellent outcomes.
If you or your family member notices blood in urine, do not delay consultation.
📍 Pune Institute of Nephro Urology, Pimple Saudagar
👨⚕️ Dr Sunil Mhaske – Urology Specialist
Early diagnosis saves kidneys. Early treatment saves lives
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