Columbus Circle Urology is part of the Faculty Practice at St. Luke’s and Roosevelt Hospitals on the Upper West Side of Manhattan. We serve as a satellite center for the Academic Urology Department at Columbia University and are part of the teaching rotations for Medical Residents and Students at Columbia. In addition, St. Luke’s and Roosevelt are part of the …
It’s Just a Speck of Cancer!
Do I still have cancer? This is a question one of my favorite patients has begun asking me, five years after I diagnosed him with prostate cancer. In the intervening time, he hasn’t had his prostate removed. He hasn’t had external beam radiation, radioactive “seeds,” or cryotherapy. Since his prostate cancer was not aggressive looking under the microscope (it was …
What Body Fat Can Tell Us About Kidney Cancer
A new tool to predict the aggressiveness of kidney tumors has been recently described by Doctors in Shanghai: the amount of visceral fat in the abdomen. You can’t see visceral fat when you look at a person – it’s all on the inside, surrounding the internal organs. Some people carry more fat on the outside, some on the inside. This is determined …
Small Kidney Tumors: Can Biopsy Guide Treatment?
A group from Michigan has published a paper in the January 2013 edition of The Journal of Urology describing a strategy for using biopsy and size to help assort patients into treatment (surgery) or “active surveillance” groups. Biopsy was used to group tumors into Favorable, Intermediate, and Unfavorable risk groups. The algorithm below shows how this information was combined with …