What are the early symptoms of kidney cancer?

Written by Yan Chun
Oncology
Updated on December 16, 2024
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Kidney cancer is a common malignant tumor in the urinary system. Many patients with early-stage kidney cancer do not show any symptoms clinically and are incidentally discovered during medical examinations. Many patients in the early stages may also present with painless hematuria, sometimes as gross hematuria and sometimes as microscopic hematuria. Some patients may experience pain in the kidney area due to blood clots formed after hematuria, mainly presenting as intermittent episodes of mild back pain. Additionally, some patients in the early stages might show symptoms of paraneoplastic syndrome, such as hypertension and fever, but these clinical symptoms generally occur at a very low frequency. When patients present with obvious clinical symptoms, it often indicates that the kidney cancer has metastasized, leading to a clinical presentation of mid-to-late stage kidney cancer.

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Written by Yan Chun
Oncology
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Kidney cancer most commonly metastasizes to which locations?

Kidney cancer clinically tends to metastasize through direct spread, the lymphatic pathway, and the hematogenous pathway. The lymphatic route often involves enlargement of the perirenal lymph nodes or the lymph nodes in the groin or retroperitoneum. Kidney cancer is also prone to metastasize to the lungs, liver, bones, and other parts via the bloodstream. Similarly, kidney cancer can spread to the perirenal area, ureters, bladder, and other parts through direct extension. Once kidney cancer metastasizes to other organs, it is considered to be in the advanced stages clinically, and treatment primarily involves targeted therapy, chemotherapy, and other comprehensive treatment measures, with surgical treatment not being used as the primary anti-tumor treatment. Once kidney cancer has metastasized, the clinical staging is late, and the prognosis for the patients is poor.

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Written by Zhou Qi
Nephrology
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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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Written by Zeng Zhong
Urology
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Renal cancer interventional treatment efficacy.

Interventional treatment for kidney cancer is a relatively effective treatment method. Kidney cancer is a common malignant tumor in the urinary system. Tumors in the kidneys can cause dysfunction in the body's endocrine system, usually resulting in symptoms such as polycythemia, hypercalcemia, and changes in kidney function. Interventional treatment is a major method for treating kidney cancer. Its advantages are that it is patient-oriented and addresses both the root and symptoms. The treatment drugs can directly target the affected area, not only increasing the concentration of drugs at the lesion site but also reducing the dosage of drugs and their toxic side effects.

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Written by Zou De Bo
Urology
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How many centimeters is kidney cancer in the early stage?

Generally speaking, kidney cancers smaller than 4 centimeters are usually considered early stage, but it still depends on individual circumstances, such as whether the tumor has spread or metastasized, and the malignancy level of the tumor cells. Thus, assessing whether it is early or advanced stage requires consideration of these specific factors, and it cannot be simply determined by size alone.

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Written by Xu Chun Hua
Urology
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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.