Renal cell carcinoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Renal cell carcinoma Microchapters
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Differentiating Renal cell carcinoma from other Diseases
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Diagnostic Study of Choice
History and Symptoms
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Physical Examination

Apppearance of the Patient

• Malaise or anorexic

Vital Signs

• Hypertension (high blood pressure) resulting from secretion of renin by the tumour (30% of cases)
• Fever - Pyrexia of unknown origin

Eye

• Anemia

Abdomen

• Enlargement of one testicle known as varicocele (usually the left, due to blockage of the left gonadal vein by tumor invasion of the left renal vein -- the right gonadal vein drains directly into the inferior vena cava)
• Abdominal mass (25% of cases)

Skin

• Hirsutism - Excessive hair growth (females)