| Kidney cancer or renal carcinoma usually occurs in | | | | ultrasound or magnetic resonance imaging (MRI). |
| older people and accounts for about 2 to 3% of | | | | Cystoscopy can rule out associated bladder |
| cancers in adults, affecting about twice as many | | | | cancer. Kidney cancer cells may also break away |
| men as women. In adults, the most common | | | | from the original tumor and spread (or |
| type of kidney tumor is renal cell carcinoma, | | | | metastasize) to other parts of the body such as |
| which begins in the cells that line the small tubes | | | | the lymph nodes, bones or lungs, with about one |
| within your kidneys. Kidney cancer rarely strikes | | | | third of cases showing metastasis at the time of |
| children and young adults; the exceptions are a | | | | diagnosis. |
| pediatric kidney cancer called Wilms tumor and | | | | Types of Kidney Cancer |
| some forms of hereditary kidney cancer | | | | Almost 85% of this tumor are renal cell |
| syndromes, such as von Hippel-Lindau disease. | | | | carcinomas. A less common type of kidney is |
| Causes of Kidney Cancer | | | | Papillary carcinoma. Other rare kidney cancers |
| The causes are not known, however external | | | | include: Renal sarcoma, Collecting Duct carcinoma, |
| factors, such as smoking and obesity, have been | | | | Medullary and Chromophobe carcinomas. |
| related to a higher incidence of kidney cancer and | | | | Treatment |
| changing environmental factors as well as | | | | Radical nephrectomy with or without the removal |
| population aging has seen an increase in the | | | | of lymph nodes offers the only cure but |
| presentation of this form of cancer. | | | | treatment of kidney cancer may include: surgery, |
| Signs and Symptoms | | | | arterial embolization, radiation therapy, biological |
| Kidney cancer symptoms are often overlooked | | | | therapy or chemotherapy depends upon the |
| because tumours are usually slow growing and | | | | stage of the disease and the patient's overall |
| not suspected until the patient begins to | | | | health. |
| experience symptoms such as blood in the urine, | | | | Nephrectomy or removal of the entire organ |
| pain, tiredness and a palpable mass. Since back | | | | including the adrenal gland, adjacent lymph nodes |
| pain is common among people over 40 years of | | | | and surrounding normal tissue has been the norm, |
| age, such pain is often ignored and the presence | | | | but recent research shows that removal of just |
| of kidney cancer can go undetected. Kidney | | | | the tumor, produces similar survival rates and |
| cancer may also cause high blood pressure. | | | | offers less chance of subsequent renal failure in |
| Risk Factors | | | | selected cases. |
| The risk of developing kidney cancer is four times | | | | Scientists have also isolated the gene responsible |
| higher if a close relative has had kidney cancer. | | | | for VHL disease, and this discovery offers |
| Being on dialysis for many years is a risk factor | | | | exciting future possibilities for improved diagnosis |
| for kidney cancer. | | | | and treatment of some kidney cancers. Various |
| People who have had bladder cancer are more | | | | combinations of interleukin-2, interferon, and other |
| likely to develop kidney cancer, and vice versa. | | | | biologic agents and even vaccines developed from |
| About three per cent of kidney cancer patients | | | | cells removed from the kidney cancer are also |
| have inherited a damaged gene that will make it | | | | being investigated. |
| likely the cancer will also be found in their second | | | | Survival Rates |
| kidney. | | | | With prompt and appropriate treatment, the |
| Prevention | | | | kidney cancer mortality rate is fairly low, |
| Not smoking is the most effective way to | | | | unfortunately kidney cancer has a tendency to |
| prevent kidney cancer and it is estimated that the | | | | spread early, especially to the lungs, sometimes |
| elimination of smoking would reduce the rate of | | | | before symptoms develop. The five year survival |
| renal pelvis cancer by one-half and the rate of | | | | rate is around 90-95% for tumors less than 4 |
| renal cell carcinoma by one-third. | | | | cm. For larger tumors confined to the kidney |
| Other factors that may decrease the risk of | | | | without venous invasion, survival is still relatively |
| developing kidney cancer include: maintaining a | | | | good at 80-85%. If it has metastasized to the |
| normal body weight, a diet that is high in fruits | | | | lymph nodes, the 5-year survival is around 5 % |
| and vegetables, especially in bananas and root | | | | to 15 %. If it has spread metastatically to other |
| vegetables such as carrots, maintaining normal | | | | organs, the 5-year survival rate is less than 5 %. |
| blood pressure and limited exposure to | | | | An important factor for those with this form of |
| environmental toxins. | | | | cancer and for that matter with all cancers is that |
| Diagnosing Kidney Cancer | | | | assertive patients who actively work to |
| Cancer of the kidney is most commonly detected | | | | overcome cancer often increase the odds of |
| with either computed tomography (CT) scan, | | | | survival, live longer, and enjoy life more. |