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Forum Name: Renal Cell Cancer

Question: Possible Kidney Cancer and Prominent Lymph Nodes


 pbanxious - Wed Aug 18, 2010 3:40 pm

My 38 year old husband went to the ER last week due to vomiting, diarrhea and abdominal pain. They did a CT scan and incidentally found a mass on his kidney that was 3.8 cm. The mass was confirmed through a renal US. After testing on his stool he was found to have Salmonella. In the Ct scan he had done in the ER it stated "prominent lymh nodes". The urologist wants to wait about 6 weeks before getting a CT scan with contrast in order for the inflammation from the Salmonella to be gone. I am very concerned that prominent lymph nodes means the cancer has already spread, but the urologist says it could be from the Salmonella poisoning and it is best to wait so the results of the CT and eventual surgery are predictable and without complication. Could it be possible that the lymph nodes around his kidney were prominent from a Salmonella infection, or do you think the cancer could have spread already?
 Dr.M.Aroon kamath - Sat Aug 28, 2010 11:45 am

User avatar Hi,
Thank you for the post.

You say that the CT scan report said there was 'lymphadenopathy', but there is no mention of which group/groups of lymph nodes were seen to be enlarged.

In salmonella enteritis, apart from the diffuse wall thickening typically seen in the ileum(salmonella ileitis), there are frequently, enlarged "regional" lymph nodes-usually the mesenteric nodes, and at times, the periportal lymph nodes.It is very unusual to have enlarged lymph nodes near the kidneys due to a salmonella enteritis.

Your urologist naturally, would prefer to wait and see if the nodes would subside with the treatment for salmonella enteritis (they are likely to), before attributing the nodes to the renal 'mass'.
Good luck!

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