New Diagnosis of Kidney Cancer?

Get a second opinion from our Melbourne based Kidney Specialist; Dr. Homi Zargar

Get a second opinion on your Kidney matters with our Melbourne based expert

  • Preserve your kidney

  • Get a qualified second opinion


Second opinions are bulk billed

Discuss your case with our Kidney cancer
specialist – Dr. Zargar

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Experienced and trained in world renown centres

Dr. Homi Zargar has been trained by the world experts in the field of kidney surgery and has extensive experience with minimally invasive kidney preserving surgery

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Preserve Your Kidney

Patients with small renal masses (< 4cm) can typically expect to preserve their kidney instead of having it completely removed.

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State Of The Art Facilities

State of the art medical facilities to ensure a safe procedure and speedy recovery.

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Consults locally

Multiple locations for ease of access. Practices in Kew, North Melbourne and Port Melbourne.

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What is Kidney Cancer?

The kidneys are bean-shaped organs located below the ribcage near the middle of your back and are responsible for maintaining body fluid balance/blood pressure, filtering the blood and removing waste products (urine).

Kidney cancer is the abnormal growth of cells in the kidney. These cells form a mass called a tumour. A tumour can be benign or malignant (cancerous). Cancerous tumours can spread (metastasize) to other parts of the body.

 
 
Kidney cancer accounts for around 3% of all cancers diagnosed in Australia every year. The tumour is often discovered incidentally during abdominal imaging.

Kidney cancer accounts for around 3% of all cancers diagnosed in Australia every year. The tumour is often discovered incidentally during abdominal imaging.

 
 

 

Renal cell carcinoma (RCC) is the most common form of kidney cancer..

How is kidney cancer diagnosed?

 

The diagnosis of a kidney mass is nearly always made with abdominal imaging. Depending on the initial imaging, further imaging in the form of CT scan or MRI are required to further characterize the mass. The majority of such kidney lesions are cancerous (up to 80% depending on the size) but apart from special situations, the imaging cannot differentiate benign from malignant tumours. Depending on the appearance, size and the location of the tumour, as well as certain patient characteristics, your surgeon might advocate further assessment of the lesion through needle biopsy before discussing further treatment.

 
 
Small right sided renal tumour suitable for nephron sparing surgery

Small right sided renal tumour suitable for nephron sparing surgery

Large right sided renal tumour not suitable for kidney sparing surgery

Large right sided renal tumour not suitable for kidney sparing surgery

 
 

Why is it important to have a second opinion from an expert?

A second opinion can be very helpful if you’re already diagnosed with a renal mass (Kidney Cancer). Getting more advice from other experts can determine the best treatment for your condition. 

In many instances it may be possible to save the affected kidney and successfully remove the cancerous growth with minimal risk of complications.

 

Dr. Homi ZargarOne of Victoria's leading Kidney Specialists

  • Very Friendly
  • Extremely Knowledgeable
  • Highly Experienced
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Dr. Homayoun (Homi) Zargar
MBChB FRACS(Urol)

Get An Expert Second Opinion

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How is surgery performed ?

This video is showing how Dr. Zargar successfully performing removal of a right sided kidney tumour centrally located within the right kidney

Robotic partial nephrectomy in a challenging central tumour.

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What are the treatment options?

Treatment 

 

Treatment differs based on the type and size of tumour, as well as the clinical contexts:

 

·       Surveillance:  As a general rule small tumours typically do not grow rapidly and while small, (< 4cm) the risk of spreading is very low (<5% over the period of 3 years). It is not uncommon to simply surveil the tumour with regular scans (every 6-9 months), especially if other medical conditions are present.  Definitive treatments can be offered if during the period of surveillance, the tumour grows rapidly. As a general rule in many instances, the tumour can be observed for an extended period without any need for treatment or any harm to the patient.

 

·       Surgery:  Complete removal of the cancerous tumour is the treatment of choice for kidney tumours. For tumours less than 4 cm the standard of care is partial nephrectomy. During this process, the kidney lesion is removed but the rest of the kidney is preserved. Depending on the size and location of the lesion, 80-90% of the affected kidney can be preserved. For larger or more complex tumours, the entire kidney may need to be removed (radical nephrectomy). In the majority of instances, kidney surgery can be carried out via the laparoscopic (keyhole) route. Robotic surgery allows the surgeon to carry out more complex surgery using the keyhole approach. This will allow for less pain, less blood loss, shorter hospital stay and earlier return to daily activities. Read more about robotic kidney surgery here.

 

·       Ablation:  Depending on the size and location of the tumour, it may be possible to destroy the tumour by passing a probe through the skin into the tumour and ablating it with various forms of energy (heat or cold). This approach has an extremely low risk of complication but the risk of cancer recurrence is somewhat higher than surgery. Furthermore, this approach is not suitable for all tumour locations. 


How long will my recovery take?

Generally, after laparoscopic/robotic surgery patients will be required to stay in hospital for 1-2 nights. The pain is minimal and is typically around the incision sites and is well controlled by oral pain medications. Patients can start driving after two weeks and should refrain from strenuous activities for about 4 weeks.

 For larger lesions, where open surgery is performed, the length of hospital stay would be longer. Patients treated with ablative therapy usually are discharged the next day.

 
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What will happen during my consultation

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Book A Consult – To See Dr Zargar, you first need to book in a time to see him.

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Meet t Dr Zargar to discuss your diagnosis, options and steps moving forward.

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Proceed to the treatment option suitable for you.

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Please contact us to book a consultation with Dr. Homi Zargar .

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Send Dr. Zargar an email – admin@homizargar.com.au
Call Dr. Zargar’s office – 1300 927 427