early symptoms of kidney cancer

Written by Zou De Bo
Urology
Updated on September 09, 2024
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Early symptoms may include hematuria, which is often painless, intermittent, and visible throughout. Hematuria caused by renal cancer is often due to blood clots blocking the fallopian tubes, and the clots can form stripes through the ureter. Secondly, back pain may occur, which is another common symptom of kidney cancer. It is mostly dull pain felt in the back and may be caused by the growth of the tumor. Thirdly, a mass may appear, which can be felt in the abdomen during a medical examination. Generally, feeling a mass in the abdomen is possibly a symptom of the advanced stage.

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kidney cancer immunotherapy drugs

The immunotherapy for kidney cancer often involves the use of interferons or interleukins, and the results are generally satisfactory. The effects of radiotherapy and chemotherapy for kidney cancer are not very certain. Typically, after kidney cancer is diagnosed, radical nephrectomy is performed. During the surgery, adequate exposure is essential. The renal hilum should be ligated first to prevent cancer cells from being squeezed into the bloodstream during surgery. It is also necessary to remove the fascia and fat around the kidney, along with the lymph nodes at the renal hilum. Combining these surgical measures with immunotherapy usually yields very ideal results.

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Kidney cancer thrombus

Tumor thrombus is one of the common complications of tumors, and refers to cancer cells in blood vessels or lymphatic vessels similar to blood clots, i.e., cancer cells clustering together, invading the vessels, and causing abnormalities in blood coagulation function, leading to disorders in blood circulation and abnormal coagulation with clustered cancer cells. Generally, the risk of tumor thrombus formation is very high, and patients with tumor thrombus have much worse treatment outcomes than those without. Renal cancer is also a tumor commonly associated with tumor thrombus. Once a tumor thrombus occurs, it indicates that the surgery might be staged quite late, and thus, its treatment results are also relatively poor.

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What are the early symptoms of kidney cancer?

Many cases of kidney cancer often have no obvious symptoms in their early stages and are not discovered until the tumor progresses. After the tumor progresses, symptoms may include hematuria, which can be intermittent, painless, and visible throughout its course. There may also be back pain and a lump in the abdomen, which is evident in about twenty percent of cases. Slim individuals might find it easier to detect such lumps. There are also some extrarenal manifestations including fever, weight loss, accelerated erythrocyte sedimentation rate, anemia, hypertension, polycythemia, hypercalcemia, liver function impairment, etc. These symptoms might appear in the early stages. However, symptoms can vary from person to person.

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Written by Zou De Bo
Urology
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Difference between Renal Cancer and Renal Pelvis Cancer

First, the sites of the disease are different; renal pelvis cancer usually occurs in the epithelium of the renal pelvis or calyces, while renal cancer typically originates from the epithelial cells of the renal tubules. Second, the presentations are different; hematuria is a common symptom of both renal pelvis cancer and renal cancer. However, in renal pelvis cancer, hematuria can occur early, while in renal cancer, hematuria may not be seen until the tumor has invaded the renal pelvis or calyces. Third, the diagnostic tests are different; the clinical diagnosis of renal cancer heavily relies on CT scans, whereas renal pelvis cancer primarily depends on excretory or retrograde urography, that is, CT urography. Fourth, the CT appearances are different; on CT scans, renal cancer typically shows as a multicystic lesion with more pronounced enhancement during contrast than that seen in renal pelvis cancer. Fifth, the results of cytological examinations are different; cytology of renal pelvis cancer may show positive tumor cells, but renal cancer might test negative.

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What is good to eat after kidney cancer surgery?

If kidney cancer is detected early, it can be cured through surgery. Unlike some malignant tumors, kidney cancer has good treatment outcomes. If the cancer is less than four centimeters in diameter, the five-year survival rate after surgery can exceed 90%. If it is less than seven centimeters, the five-year survival rate after surgery can also reach 80%. Even if the cancer has metastasized to distant sites, removing the kidney can still help the patient's survival. Therefore, the earlier the tumor is detected, the better the treatment outcomes. Kidney cancer surgery is generally done through laparoscopy or open surgery. Postoperative diet should be high in protein, fiber, and nutrients, as the healing of the kidney cancer incision also requires a solid nutritional foundation. It is necessary to eat less spicy and stimulating food, and to maintain a low-salt, low-fat diet. The most important thing for kidney cancer is to have regular follow-ups to understand the recovery situation and check for any recurrence or metastasis of the tumor.