Renal Cancer: Difference between revisions
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The classic triad of symptoms includes: blood in the urine, pain in the side, and a palpable mass in the abdomen.<span style="mso-spacerun: yes"> </span>However, renal cancer typically goes undetected, especially in the early stages, although nonspecific symptoms like feeling fatigued or unexplained weight loss may be present<ref name="2" / | The classic triad of symptoms includes: blood in the urine, pain in the side, and a palpable mass in the abdomen.<span style="mso-spacerun: yes"> </span>However, renal cancer typically goes undetected, especially in the early stages, although nonspecific symptoms like feeling fatigued or unexplained weight loss may be present.<ref name="2" /> Thus, it is imperative that the physical therapist take a thorough history and ask follow-up questions should a patient present with any of these symptoms.<span style="mso-spacerun: yes"> </span>It should be noted that although these are symptoms of renal cancer, they could also be symptoms of some other pathology such as an infection, bladder cancer, or a kidney cyst.<ref name="3">National Cancer Institute. What you need to know about kidney cancer. http://www.cancer.gov/cancertopics/wyntk/kidney/page5. (Accessed 30 Jan 2013).</ref><span style="mso-spacerun: yes"> </span>If a patient is experiencing these symptoms, he or she should contact their primary care physician as soon as possible for a complete examination. | ||
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About 25-30% of patients have metastatic disease at the time of diagnosis.<span style="mso-spacerun: yes"> </span>Renal cancer most often spreads to the lungs (75%), regional lymph nodes (65%), bones (40%), and liver (40%).<span style="mso-spacerun: yes"> </span>The patient may complain of a cough or bone pain secondary to metastasis to the lungs or bone, respectively.<span style="mso-spacerun: yes"> | About 25-30% of patients have metastatic disease at the time of diagnosis.<span style="mso-spacerun: yes"> </span>Renal cancer most often spreads to the lungs (75%), regional lymph nodes (65%), bones (40%), and liver (40%).<span style="mso-spacerun: yes"> </span>The patient may complain of a cough or bone pain secondary to metastasis to the lungs or bone, respectively.<span style="mso-spacerun: yes"><ref name="2" /></span> | ||
== Associated Co-morbidities == | == Associated Co-morbidities == | ||
Revision as of 03:17, 12 February 2013
Original Editors -Jason Larimore & Olivia Tefera from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
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Prevalence[edit | edit source]
The most common renal neoplasm in adults is renal cell carcinoma. RCC accounts for close to 90% of all renal neoplasms and approximately 3% of all cancers. [1]
Renal cancer occurs 1.6 times more in males than females. The incidence is on the rise, with a peak incidence occurring between 60 and 70 years of age. In 2012, 64,770 new cases of renal cell and renal pelvis cancer were reported in the United States. Due to medical management, the death rate has remained steady. In 2012, 13,570 deaths due to renal cell and renal pelvis cancer were reported in the United States.
Characteristics/Clinical Presentation[edit | edit source]
Common symptoms of kidney cancer include:
- Blood in your urine (which may make urine look rusty or darker red)
- Pain during urination
- Pain in the side that doesn’t go away
- A lump or mass in the side or abdomen
- Weight loss for no known reason
- Fever
- Feeling very tired
- Breastbone pain (renal cancer is the most common tumor to spread to the sternum)Cite error: Invalid
<ref>tag; name cannot be a simple integer. Use a descriptive title
The classic triad of symptoms includes: blood in the urine, pain in the side, and a palpable mass in the abdomen. However, renal cancer typically goes undetected, especially in the early stages, although nonspecific symptoms like feeling fatigued or unexplained weight loss may be present.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Thus, it is imperative that the physical therapist take a thorough history and ask follow-up questions should a patient present with any of these symptoms. It should be noted that although these are symptoms of renal cancer, they could also be symptoms of some other pathology such as an infection, bladder cancer, or a kidney cyst.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title If a patient is experiencing these symptoms, he or she should contact their primary care physician as soon as possible for a complete examination.
About 25-30% of patients have metastatic disease at the time of diagnosis. Renal cancer most often spreads to the lungs (75%), regional lymph nodes (65%), bones (40%), and liver (40%). The patient may complain of a cough or bone pain secondary to metastasis to the lungs or bone, respectively.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
Associated Co-morbidities[edit | edit source]
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Medications[edit | edit source]
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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
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Etiology/Causes[edit | edit source]
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Systemic Involvement[edit | edit source]
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Medical Management (current best evidence)[edit | edit source]
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Physical Therapy Management (current best evidence)[edit | edit source]
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Alternative/Holistic Management (current best evidence)[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Case Reports/ Case Studies[edit | edit source]
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Resources
[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Patel C, Ahmed A, & Ellsworth P. Renal cell carcinoma. Urol Nurs. 2012;32(4):182-190.
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