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Kidney Cancer

Kidney Cancer
In brief

Kidney cancer is a malignant tumour that starts in the kidney tissue, most often in the kidney's small tubular structures. It is diagnosed with blood and urine tests and imaging such as ultrasound, CT and MRI. Depending on the stage, treatment is planned with surgery, radiotherapy, chemotherapy, targeted medicines and immunotherapy.

When it is caught at an early stage and treated appropriately, kidney cancer can usually be managed successfully.

Symptoms

  • Blood in the urine
  • Pain in the back or side
  • Unexplained weight loss and loss of appetite
  • Tiredness and weakness
  • High blood pressure
  • Anaemia

Diagnosis

Blood and urine tests are used together with ultrasound, computed tomography and magnetic resonance imaging. A biopsy is rarely needed.

Treatment

Treatment depends on the stage, the size of the tumour, how far it has spread and the patient's general health. The options are surgery, radiotherapy, chemotherapy, targeted drug therapy and immunotherapy. In suitable patients, surgery can remove only the part containing the tumour and preserve the rest of the kidney; you can read more about this in the article Is the Kidney Removed in Kidney Tumour Surgery?

Frequently asked questions

Is the whole kidney removed in kidney cancer?
Not always. If the size and position of the tumour allow, only the part containing the tumour can be removed; if the tumour is large or takes up a significant part of the kidney, the whole kidney may need to be removed.
Is a biopsy needed to diagnose kidney cancer?
In most patients it is not; the diagnosis is made with imaging. A biopsy is done only in selected cases.
When can I go back to work after kidney cancer surgery?
This depends on the type of operation (open, keyhole or robotic) and how quickly you recover. You may need to wait longer before returning to heavy physical work.
Can kidney cancer come back after surgery?
In some patients the disease can return after treatment. For this reason, regular imaging check-ups are planned according to the pathology result and your level of risk.
Which doctor should I see if a mass is found in my kidney?
If a mass is seen in the kidney, it is advisable to see a urologist. The nature of the mass is assessed with imaging and the treatment plan is made accordingly.

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