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Kidney Cancer

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Overview

Kidney cancer, also known as renal cell carcinoma (RCC), originates in the kidneys—two vital bean-shaped organs nestled behind your abdominal organs. These remarkable filters play a crucial role in removing waste and excess fluids from your blood. When cancerous cells begin to grow uncontrollably within the kidney tissue, they form a mass known as a tumor. Understanding kidney cancer is essential for early detection and effective management.

Types of Kidney Cancer

  1. Renal Cell Carcinoma (RCC): This is the most common type of kidney cancer in adults. It typically arises from the cells lining the small tubes (tubules) within the kidney.
  2. Transitional Cell Carcinoma: Less common, this type affects the renal pelvis and ureter—the tubes connecting the kidney to the bladder.
  3. Wilms’ Tumor: Primarily seen in children, Wilms’ tumor is a rare but treatable form of kidney cancer.
  4. Other Rare Types: These include renal medullary carcinoma, mesoblastic nephroma, clear-cell sarcoma, collecting duct tumors, and malignant rhabdoid tumor of the kidney.

Causes of Kidney Cancer

While the exact cause of kidney cancer remains unclear.

Risk Factors of Kidney Cancer

several risk factors increase susceptibility:

  • Smoking: Heavy smokers face a higher risk of RCC.
  • Obesity: Excess weight contributes to hormonal changes that may lead to kidney cancer.
  • High Blood Pressure: Hypertension elevates the risk.
  • Family History: A strong family history of renal cell cancer raises the likelihood.
  • Workplace Exposures: Certain chemicals, such as trichloroethylene, may increase the risk.
  • Advanced Kidney Disease: Long-term dialysis patients are more susceptible.
  • Genetic Syndromes: Inherited conditions like von Hippel-Lindau disease or Birt-Hogg-Dube syndrome play a role.

Symptoms of Kidney Cancer

Early-stage kidney cancer often presents no symptoms. As the disease progresses, watch out for:
1. Blood in Urine: Pink, red, or cola-colored urine.
2. Persistent Back Pain: Unrelenting pain in the lower back or side.
3. Unexplained Weight Loss: Sudden and unintentional weight reduction.
4. Fatigue: Profound tiredness.
5. Fever: Unexplained fever.

Preventions of Kidney Cancer

  • Dietary Changes: Opt for calorie-dense foods to manage weight loss. Avoid oxalate-rich foods like rhubarb, nuts, and wheat bran.
  • Quit Smoking: Smoking cessation significantly reduces risk.
  • Blood Pressure Control: Manage hypertension effectively.
  • Regular Medical Screening: Early detection is crucial.
  • Treatment Options: Nivolumab (immunotherapy) and targeted therapies like sunitinib and cabozantinib.
  • Surgical Procedures: Nephrectomy (partial or complete kidney removal) and cryoablation (freezing cancer cells).
  • Radiation Therapy: To target cancerous cells.

Diagnosis of Kidney Cancer

Accurate diagnosis is crucial for effective treatment. Here’s how kidney cancer is diagnosed:

  • Imaging Tests: CT scans, MRIs, and ultrasounds provide detailed images of the kidneys and tumors.
  • Biopsy: A tissue sample is obtained from the tumor for examination under a microscope.
  • Blood and Urine Tests: These help assess kidney function and detect abnormalities.
  • Staging: Determining the extent of cancer spread (staging) guides treatment decisions.

Treatment for Kidney Cancer

  1. Surgical Procedures:
    • Nephrectomy: Partial or complete kidney removal.
    • Cryoablation: Freezing cancer cells.
    • Laparoscopic Surgery: Minimally invasive techniques.
  2. Targeted Therapies:
    • Sunitinib and Cabozantinib: Block cancer cell growth.
    • Immunotherapy (Nivolumab): Enhances the immune response.
  3. Radiation Therapy: Precisely targets cancer cells.
  4. Clinical Trials: Investigational treatments for advanced cases.
  5. Follow-Up Care: Regular check-ups to monitor progress and address any recurrence.

When to seek medical attention ?

If you experience any persistent symptoms or suspect kidney cancer, consult a healthcare professional promptly.