Emergency icon Important Updates
Close
Important Updates

Coming to a Cleveland Clinic location?
E. 100th Street on Cleveland Clinic main campus closed

Notice of Change Healthcare data breach
Learn more

Bilateral Kidney Cancer Survivor Appreciates Time with His Son

When John Palma was diagnosed with bilateral kidney cancer in 2010, he wrote his 10 year old son a “What If” letter the night before his surgery to remove the cancerous masses in both kidneys. He gave the letter to his wife and told her that if anything happened to him, she should let their son read the letter.

It contained advice for many of life’s challenges and was John’s attempt at guiding his son even if he couldn’t be around to do it in person.

Seven years later, John is cancer free and he and his wife decided to give the letter to their son on his 18th birthday. “I’ll leave it up to him if he wants to read it,” said John.

A Hudson native, John learned that he had kidney cancer during a routine checkup. Although he wasn’t experiencing any symptoms, his doctor had found small traces of blood in his urine, also known as hematuria, and they soon discovered that he had a tumor in each of his kidneys.

About 99 percent of patients who are diagnosed with kidney cancer typically only have it in one kidney. Only one percent of patients get the cancer in both kidneys, or bilaterally.

Luckily for John, both tumors were positioned in such a way that he wouldn’t have to lose the kidneys. He would need to undergo a bilateral partial nephrectomy – which would remove the tumors but leave the remaining kidneys.

“My only other option would have been to remove both kidneys and go on dialysis for the rest of my life,” said John. “And I didn’t want to go down that path.”

“I just consider myself very lucky to have gone through what I have gone through and still be able to be there for my son when he needs me most.”

John’s surgeon, Steven Campbell, MD, PhD, performed both of his surgeries using the ice slush technique, which involves cooling the kidney with ice in the patient’s abdomen. This allows the physician more time to complete the complex procedure and save as much kidney function as possible.

Today, John is 65 and is looking forward to retiring next year. He’s also enjoying the time he gets to accompany his son on college tours.

“I just consider myself very lucky to have gone through what I have gone through and still be able to be there for my son when he needs me most,” said John.

Looks like he didn’t need the letter after all.

Related Institutes: Cleveland Clinic Cancer Center, Glickman Urological & Kidney Institute
Patient Stories

Patient Stories

Ashley no longer has diabetes after undergoing a robot-assisted kidney and pancreas transplant.

Woman No Longer Has Diabetes After Robot-Assisted Kidney and Pancreas Transplant

Apr 24, 2025

“They decide to donate organs, so people like me have a chance to continue living.”
Read Story
Myles is able to continue playing the sport he loves after receiving treatment for a type of bone cancer.

Teen Athlete Has Leg Bone Transplanted Into Arm To Treat Bone Cancer

Apr 22, 2025

“If you'd asked me when he was 5 years old what was possible for him, I couldn’t imagine what he’s doing today.”
Read Story
Ahmad in hospital, and Ahmad with donor

Boy Meets Two-Time Living Donor Who Helped Save Him: “Organ Donors Are Heroes”

Apr 17, 2025

“Ahmad’s donor not only saved my son's life, but they saved mine as well because he is my life. Organ donors are heroes.”
Read Story
Back to Top