How is kidney cancer diagnosed?

Written by Xu Chun Hua
Urology
Updated on September 08, 2024
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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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What is good to eat for kidney cancer?

What is good to eat for kidney cancer, the diet of kidney cancer patients should pay attention to ensuring balanced nutrition intake, you can eat more fruits and vegetables, such as spinach, rape, apples, pears, persimmons, cherries and other common fruits, as well as oranges and tangerines are all fine. It is important to avoid eating fried foods, barbecues, quit smoking, stop drinking, do not eat seafood, do not eat overnight meals, avoid smoky environments, and the cooking of food should focus on being finely made and soft. You can try to minimize cooking steps such as frying and grilling, and primarily use slow stewing and steaming.

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Clinical manifestations of renal cancer

The clinical manifestations and staging of kidney cancer are related to the most common early-stage kidney cancer, late-stage kidney cancer, or metastatic kidney cancer. Generally, early-stage kidney cancer exhibits few clinical symptoms and is often detected during physical examinations, through ultrasonography of the urinary tract, or kidney ultrasonography, where tumors are the most commonly found. Additionally, later stages of kidney cancer often present as swelling pain in the waist area or occasional hematuria. More serious conditions involve feeling a mass in the upper abdomen upon palpation, which is a clinical manifestation. Nowadays, with heightened awareness for health checks, such conditions are generally discovered through these examinations. When major clinical manifestations like hematuria and abdominal masses occur, it indicates that the kidney tumor has already progressed to the mid or late stages.

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Does kidney cancer cause fever?

Kidney cancer itself generally does not cause fever. Kidney cancer is a malignant tumor, and the most common clinical manifestation in patients is hematuria. As this malignant tumor grows larger, it may eventually rupture and bleed, leading patients to notice the formation of blood in the urine. Some patients may also be able to feel a mass in the abdomen. In severe cases of kidney cancer, it may lead to reduced urine output due to kidney failure. These symptoms are common manifestations of kidney cancer. Kidney cancer itself is unlikely to cause a fever, but due to the presence of kidney cancer, changes in the tissue structure of the kidney can occur, making infections more likely. When an infection occurs, it may also cause a fever, but this fever is not directly caused by the kidney cancer itself.

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Can kidney cancer that has spread to the lungs be cured?

Kidney cancer usually reaches an advanced stage by the time it metastasizes to the lungs, leading to a generally low survival rate. For early and intermediate-stage kidney cancer patients, surgical treatment is typically employed. However, in advanced stages, especially when there are lung metastases, surgical methods are often not suitable. However, if the metastatic foci are small, it is still recommended to remove them surgically. Immunotherapy can be used for lung metastases, such as using interferon or targeted therapy. Targeted therapy tends to be effective, commonly using drugs like sorafenib and sunitinib for first-line or second-line treatment of metastatic kidney cancer. Although a complete cure is not possible, these treatments can significantly prolong the patient's lifespan, improve survival rates, and alleviate symptoms.

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What are the characteristics of hematuria in renal cancer?

What we commonly refer to as kidney cancer actually includes two aspects. One is renal cell carcinoma, and the other is renal pelvis cancer or ureteral cancer. The characteristics of hematuria are different in these two types. Renal cell carcinoma, simply understood, grows inside the kidney and is not connected with urine. Only when the kidney tumor grows large enough to breach the kidney or renal pelvis will the tumor rupture and bleed, causing hematuria. This generally occurs in the middle to late stages of kidney cancer. On the other hand, renal pelvis cancer or ureteral cancer exhibits intermittent hematuria in the early stages without significant symptoms, but as it progresses to the middle and late stages, symptoms like kidney hydronephrosis and hematuria slowly appear. When diagnosing these conditions, any occurrence of hematuria must be investigated to determine the cause. Initial screening can be done using urinary system ultrasound, urinalysis, or routine urine tests. More precise methods include enhanced CT or MRI of the urinary system, which facilitate easier diagnosis.