Presentation
Histology of the non-neoplastic kidney showed mild parenchymal scarring with some glomerulitis and transplant glomerulopathy present. Moderate transplant arteriopathy and hyaline arteriosclerosis were also present. [jkcvhl.com]
Case presentation: A 31-year-old female presented to the hospital complaining of gross hematuria. Computed tomography (CT) revealed an intraparenchymal mass in the left kidney forming a tumour thrombus in the inferior vena cava (IVC). [ncbi.nlm.nih.gov]
The TNM staging classification in its most recently revised form is described, with discussion of the challenges this presents to cross-sectional imaging. [birpublications.org]
Entire specimen Weight (g) Size in three dimensions (mm) Kidney, in three dimensions Ureter (posterior), length Renal artery (middle), length Renal vein (anterior), length Adrenal (if present), in three dimensions Gerota’s fascia Absent Present Other, [rcpa.edu.au]
These lesions usually correspond to the actual size of residual foreign body and have characteristic presentation according to the anatomy involved. [link.springer.com]
Entire Body System
- Pain
Risk factors include smoking, having certain genetic conditions, and misusing pain medicines for a long time. You may have no symptoms at first. They may appear as the cancer grows. [icdlist.com]
Home treatment for pain includes taking over-the-counter pain medicines and applying heat or cold to the area that hurts. [northshore.org]
Lower back pain A tumor in one (or both kidneys) that’s grown to a significant size can cause pain. If you have pain that originates in your kidney, you may feel pain in your lower back and to the side, just below the rib cage. [healthline.com]
Management for tumors smaller than 3 cm with persistent symptoms, such as back pain or hematuria, remains controversial, but nephrectomy may be recommended since many of these tumors turn out to be unequivocal renal cell carcinoma. [ncbi.nlm.nih.gov]
- Fever
Fever RCC may cause you to have a fever. A fever is the natural result of your immune system fighting an infection, so having a fever may be caused by a number of illnesses. [healthline.com]
Symptoms may include pain on one side of the back, blood in the urine, high blood pressure, and fever. Diagnosis is carried out through blood tests, IVP, ultrasound, urine tests, selective renal arteriography, CT scan, kindey scan and MRI. [ugr.es]
Acquired cystic kidney disease-associated renal cell carcinoma is frequently asymptomatic (86%), but may be associated with bleeding, abrupt changes in hematocrit, fever, and flank pain or rarely with hypoglycemia, hypercalcemia, or metastases at presentation [ncbi.nlm.nih.gov]
Some of the common symptoms include: Abdominal mass Blood in urine Persistent pain in the back or loin Recurrent fever and malaise Persistent fever, anorexia or weight loss Smoking is strong risk factor for most transitional cell carcinomas and at least [news-medical.net]
- Pathologist
Hes (pathologist, Pilzen, Czech Republic) for two sections of this document: Histological diagnosis and Other renal tumours. 1.4. [uroweb.org]
Pathologists have identified as many as 20 different types of kidney cancer cells. A pathologist is a doctor who specializes in interpreting laboratory tests and evaluating cells, tissues, and organs to diagnose disease. [cancer.net]
When pathologists examine kidneys that have been removed to treat a cancerous tumour, they sometimes also find these types of non-cancerous tumours. Unfortunately, diagnostic tests can’t tell us if a non-cancerous tumour could become cancerous. [cancer.ca]
In the end, communication between the urologist and pathologist is key to arriving at the correct diagnosis.” [renalandurologynews.com]
Your care team might include a radiologist, urologist, neurologist, a pathologist and a medical oncologist. Counseling would include explanations of the risks and benefits of the treatment plan and possible clinical outcomes. [urologyhealth.org]
- Anemia
Anemia Anemia is a condition that can be caused by many different factors. It refers to having low levels of red blood cells, which carry oxygen. RCC can cause anemia, which may make you feel tired, sluggish, and run down. 5. [healthline.com]
A complete blood count ( CBC ) may show anemia. Urine cytology (microscopic examination of cells) may reveal cancer cells. [medlineplus.gov]
Familial High-Risk Assessment: Colorectal Prostate Cancer Early Detection NCCN GUIDELINES FOR SUPPORTIVE CARE Cancer-Associated Venous Thromboembolic Disease Hematopoietic Growth Factors NCCN Guidelines Management of Cancer- and Chemotherapy-Induced Anemia [nccn.org]
Kidney cancer may cause anemia, in which the body lacks healthy red blood cells, which provide oxygen to tissues. Healthy kidneys make a hormone called erythropoietin, which signals the bone marrow to make red blood cells. [nyulangone.org]
- Fatigue
Fatigue Having a tumor in your kidney may cause you to feel fatigued. One reason may be anemia caused by the cancer. Your fatigue could also be a result of the cancer cells competing with your healthy cells for nutrients. [healthline.com]
Malignant kidney neoplasia also do not usually have noticeable symptoms, but occasionally may cause weight loss, blood in the urine, a nagging pain in the back or side, fatigue or a fever. [wisegeek.com]
Side effects can include fatigue, hair loss, appetite loss, nausea, mouth sores and infection. Radiation —uses high-energy light particles, such as X-rays or gamma rays, to destroy the cancer. [stjude.org]
Physical therapy can also be used to combat fatigue, which is not only a common symptom of renal cancer but it can be a side effect of treatment (e.g. chemotherapy) [13]. [physio-pedia.com]
Gastrointestinal
- Abdominal Mass
Presentation [ edit ] Kidney tumours may be discovered on medical imaging incidentally (i.e. an incidentaloma ), or may be present in patients as an abdominal mass or kidney cyst, hematuria, abdominal pain, or manifest first in a paraneoplastic syndrome [en.wikipedia.org]
Some of the common symptoms include: Abdominal mass Blood in urine Persistent pain in the back or loin Recurrent fever and malaise Persistent fever, anorexia or weight loss Smoking is strong risk factor for most transitional cell carcinomas and at least [news-medical.net]
A mass or lump in the abdomen, side, or back can also be a sign of kidney cancer. It can feel like a hard, thickening, or bulging bump under the skin. About 45 percent of people with RCC have an abdominal mass. [healthline.com]
Other signs may include flank pain and an abdominal mass that can be felt by the examining doctor. Other symptoms of renal cell carcinoma may include high blood pressure (hypertension), anemia, abnormal liver function and fever. [rarediseases.org]
See separate articles Abdominal Masses, Loin Pain and Haematuria which discuss the various causes. Investigations Urinalysis, cytology, culture and sensitivity should be performed to exclude urinary tract infection. [patient.info]
Skin
- Ulcer
Chemotherapy may cause bone marrow suppression, infection, nausea, vomiting, mouth ulcers, and hair loss. During radiation or chemotherapy, oral intake is encouraged to remove toxic metabolites. [medical-dictionary.thefreedictionary.com]
Urogenital
- Flank Pain
Acquired cystic kidney disease-associated renal cell carcinoma is frequently asymptomatic (86%), but may be associated with bleeding, abrupt changes in hematocrit, fever, and flank pain or rarely with hypoglycemia, hypercalcemia, or metastases at presentation [ncbi.nlm.nih.gov]
[…] and swelling back or flank pain weight loss swelling of the veins surrounding the testicles Kidney cancer, like other cancers, is designated by stages. [sharecare.com]
Renal abscess is usually a complication of acute pyelonephritis and patients present with urinary tract infection, flank pain and fever. [radiologyassistant.nl]
Gross hematuria and flank pain occur in High-grade oncocytomas may be intermixed with elements of RCC and can be found as coexisting lesions within the same or opposite kidney ( Licht et al, 1993 ). [accessmedicine.mhmedical.com]
Flank pain (pain in the area between the ribs and hips). [study.com]
Neurologic
- Dizziness
Anemia can also cause worsening fatigue, shortness of breath, dizziness, and pale looking skin. Make an appointment with your doctor if you’re feeling unusually tired. They can run tests to help diagnose the cause and find the right treatment. [healthline.com]
- Hyperactivity
As a result, rapamycin has potential therapeutic use in TS.26 The clinical features of TS include neurologic involvement with mental cognitive deficiency and epilepsy; psychiatric and behavioral problems such as attention deficit hyperactivity disorder [mdedge.com]
Workup
[…] incidentaloma ), or may be present in patients as an abdominal mass or kidney cyst, hematuria, abdominal pain, or manifest first in a paraneoplastic syndrome that seems unrelated to the kidney. [1] Diagnosis [ edit ] A CT scan is the first choice modality for workup [en.wikipedia.org]
Laboratory studies in the evaluation of renal cell carcinoma should include a workup for paraneoplastic syndromes. [slideshare.net]
Clinical Testing and Workup A skin biopsy, which is the surgical removal and microscopic study of a small sample of skin tissue, is necessary in order to confirm the presence of leiomyomas. [rarediseases.org]
Much of the testing performed in the workup of RCC is in an effort to determine the stage of disease which impacts treatment decisions and determines prognosis. [renalandurologynews.com]
[…] aminotransferase [AST] and alanine aminotransferase [ALT]) Serum calcium Imaging studies used to evaluate and stage renal masses may include the following: Excretory urography CT scanning PET scanning Ultrasonography Arteriography Venography MRI See Workup [emedicine.medscape.com]
Treatment
Treatments Surgery is the main treatment for non-cancerous kidney tumours. Other treatment options include: active surveillance arterial embolization (for angiomyolipomas) Find out more about treatments for kidney cancer. [cancer.ca]
INTRODUCTION Kidney transplant is the treatment of choice for end-stage chronic kidney disease as well as the only alternative to renal replacement treatment with dialysis. [revistanefrologia.com]
Counseling would include explanations of the risks and benefits of the treatment plan and possible clinical outcomes. The best treatment plan includes your own preferences, physical condition, other illnesses, outlook and lifestyle. [urologyhealth.org]
Complementary treatment People sometimes use complementary treatment along with medical treatment to help relieve symptoms and side effects of cancer treatments. Some treatments that may be helpful include: Acupuncture to relieve pain. [northshore.org]
Circumstances unique to each patient’s situation influence which treatment or treatments are utilized. [texasoncology.com]
Prognosis
1 or 2 factors are considered intermediate prognosis, and 3 or more of these factors are considered to have a poor prognosis and may be less likely to benefit from certain treatments. [cancer.org]
Metastatic renal cell carcinoma has a poor prognosis with a median overall survival rate of approximately 2 years. [infona.pl]
Prognosis for kidney cancer It is not possible for a doctor to predict the exact course of a disease, as it will depend on each person's individual circumstances. [cancer.org.au]
The recommendations are based on prognosis and prior treatment. [renalandurologynews.com]
Etiology
Subheadings: analysis anatomy and histology blood blood supply chemically induced chemistry classification complications congenital cytology diagnosis diagnostic imaging diet therapy drug therapy economics embryology enzymology epidemiology ethnology etiology [ncbi.nlm.nih.gov]
“It is conceivable that the two malignancies share some etiologic factors,” the authors of the Italian study wrote. “Asbestos is the most likely candidate. [asbestos.com]
Most common benign renal parenchymal tumor.Discovered occasionaly at postmortem or incidentally during radiological imaging .Asymptomatic .Despite the classification of adenoma as a benign tumor, difficult to differentiate from renal carcinoma.Unknown etiology [slideshare.net]
Etiology A specific factor in the etiology of RCC is not known at the moment, although a number of dietary, environmental factors, hormonal, celllular and genetic factors associated with increased risk. [atlasgeneticsoncology.org]
The large geographic variation in renal cell cancer rates suggests that westernization may contribute to its etiology. [care.diabetesjournals.org]
Epidemiology
These updated ESMO guidelines cover incidence and epidemiology, diagnosis and pathology/molecular biology, staging and risk assessment, management of local and metastatic disease, response evaluation and follow-up, long-term implications and survivorship [esmo.org]
[…] search builder options Subheadings: analysis anatomy and histology blood blood supply chemically induced chemistry classification complications congenital cytology diagnosis diagnostic imaging diet therapy drug therapy economics embryology enzymology epidemiology [ncbi.nlm.nih.gov]
The epidemiology, presentation and relevance of the various surgical options will be reviewed. The imaging modalities applied to staging will be discussed, with an emphasis on multidetector CT. [birpublications.org]
[…] malignant potential from cystic renal cell carcinomas which have some overlapping morphologic features Use of "multilocular cystic renal cell carcinoma" is considered obsolete (WHO 2016); some literature references in this topic use the older terminology Epidemiology [pathologyoutlines.com]
Epidemiology Renal tumors make up about 3–4 % of all malignant tumors of the adults, and approximately 80–90 % of all malignant tumors of the kidney are renal cell carcinomas. [infona.pl]
Pathophysiology
[…] are being investigated. [6] Some studies have linked regular use of NSAIDs such as ibuprofen and naproxen to increases of kidney cancer risk by up to 51%, [7] but other research shows no such connection at least with regards to renal cell cancers. [8] Pathophysiology [en.wikipedia.org]
All these conditions are the components of metabolic syndrome, and insulin resistance is underlying pathophysiology ( 20 ). [care.diabetesjournals.org]
Pathophysiology The tissue of origin for renal cell carcinoma (RCC) is the proximal renal tubular epithelium. [emedicine.medscape.com]
Jacobson HR: Chronic renal failure: pathophysiology. Lancet 1991; 338 : 419. Nagata M, Kriz W: Glomerular damage after uninephrectomy in young rats. II. Mechanical stress on podocytes as a pathway to sclerosis. Kidney Int 1992; 42 : 148. [auanet.org]
Prevention
[…] and early detection of cervical cancer: American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. [nccn.org]
Causes, Risk Factors, and Prevention Learn about the causes, risk factors, and prevention of kidney cancer and what you might be able to do to help lower your risk from the American Cancer Society. [cancer.org]
Return to top How can I prevent kidney cancer? It is not always possible to prevent kidney cancer, but you can take these steps to lower your chances of getting it: Do not smoke or use tobacco. If you smoke, quit now. Keep a healthy weight. [kidneyfund.org]
[…] imaging diet therapy drug therapy economics embryology enzymology epidemiology ethnology etiology genetics history immunology metabolism microbiology mortality nursing organization and administration parasitology pathology physiology physiopathology prevention [ncbi.nlm.nih.gov]
Prevention Taking steps to improve your health may help reduce your risk of kidney cancer. To reduce your risk, try to: Quit smoking. If you smoke, quit. [mayoclinic.org]