Renal Cancer

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

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]

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
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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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