I was Dx with RCC in Jan., 2002 and had radical Nx in January (T3a,N0,M0), grade III/IV. In June, 2002 mets to liver and lungs were found. High dose IL-2 was unsuccessful, but open surgery and RFA of liver lesions was successful. Systemic treatment for 9 months with low dose IL-2, IFN and thalidomide was successful, and in September 2003 I was NED.
Currently,I have mildly elevated serum calcium levels that have persisted for about 4 weeks, since first discovered. I may have also had some unintended weight loss. My last CT scan in May, 2004 was clear, and I just had a PET scan which was also clear. What are your suggestions for next steps. My local oncologist suggests repeating calcium levels again in two weeks and then have my next CT scan on schedule in early August.
Thanks for your input.
agree with the need for careful follow up. Your doctor appears to be following you closely, and the plan your doctor has put in place is reasonable.
Evidence for continued increase in calcium levels in 2 weeks time will likely result in your doctor ordering repeat testing sooner, and should include repeat CT scans, a bone scan and a skeletal survey.
If no evidence for cancer-related increase in calcium is seen, then other causes could be investigated, including hyperparathyroidism.