Kidney cancer thrombus

Written by Zou De Bo
Urology
Updated on September 17, 2024
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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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Written by Wang Jian
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Is stage II kidney cancer considered early stage?

The staging of kidney cancer is primarily based on the size of the tumor, whether there is lymph node metastasis, involvement of adjacent organs or lymphatic vessels, and metastasis to distant organs. The TNM staging system is commonly used in clinical settings to stage kidney cancer, where "T" represents the depth of tumor invasion, "N" represents the status of lymph node metastasis, and "M" represents distant metastasis. Stage II refers to a tumor with a maximum diameter greater than seven centimeters but confined to the kidney. Stage II is further divided into stage IIA and stage IIB. Stage IIA refers to a tumor with a maximum diameter greater than seven centimeters but less than ten centimeters, confined to the kidney. Stage IIB refers to a tumor with a maximum diameter greater than ten centimeters, but still confined to the kidney. In the case of stage II kidney cancer, although it is an early stage, curative treatment can be achieved through surgery. Therefore, if diagnosed with stage II kidney cancer, it is vital to pursue aggressive treatment.

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Written by Xu Chun Hua
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How is kidney cancer diagnosed?

Hematuria, pain, and lumps are the main symptoms of kidney cancer. If one or two of these symptoms appear, the possibility of kidney cancer should be considered. About half of the patients are found to have incidental kidney cancers, also known as asymptomatic kidney cancers, during physical examinations through incidental findings on ultrasound or CT scans. Some may show early symptoms of metastasis making the diagnosis quite challenging. The preoperative diagnosis of kidney cancer relies on the results of medical imaging examinations such as ultrasound, X-rays, and CT scans. CT scans have a very high confirmation rate for kidney cancer and are currently the most reliable imaging method for diagnosing kidney cancer.

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Written by Zou De Bo
Urology
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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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Written by Zhou Qi
Nephrology
57sec home-news-image

Can renal cancer be detected by ultrasound?

Ultrasound is a type of imaging examination that can observe the size, shape, structure, texture, and the presence of masses in the organs being examined. It can be used to determine if a patient potentially has kidney-related masses, such as differentiating between a kidney cyst and kidney cancer based on differences in shape and blood supply that malignant tumors typically exhibit compared to other conditions. However, using ultrasound to diagnose kidney cancer can be inaccurate, particularly in the early stages of the disease when ultrasound may not provide a clear view, and some complex cases of kidney cancer may still be indeterminate. Therefore, patients might consider undergoing an enhanced CT scan, which offers a higher diagnostic accuracy. Additionally, a kidney biopsy and pathological examination might be necessary for a definitive diagnosis.

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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.