Patient's question:
At first, there was blood in the urine, confirmed by ultrasound.Doctor's answer:
Before treatment, a thorough understanding of the specificity and prognostic factors of the tumor is essential. Appropriate treatment plans should be developed based on specific cases to enhance the effectiveness of the treatment. During the treatment process, it is crucial to prevent harmful and ineffective over-treatment. Regular follow-up is very important after the main treatment is completed.The comprehensive therapy combining surgery with chemotherapy and radiotherapy has been widely recognized as an effective treatment method. However, how to combine and apply the dosage and duration to achieve the goal of minimizing harm while maximizing efficacy is worth in-depth research.
Nephrectomy is the primary treatment method, and there is usually a small amount of blood loss during the surgery. For large tumors, especially those encircling the inferior vena cava, the risk of severe bleeding may occur. Therefore, preoperative preparation should include central venous catheterization and monitoring, with the possibility of rapid blood volume replenishment if necessary. Radial artery catheterization and monitoring can facilitate timely blood gas analysis. Additionally, the placement of a urinary catheter during surgery and postoperative monitoring of urine output are essential.