Renal cell carcinoma physical examination
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Renal cell carcinoma is the most common form of kidney cancer arising from the renal tubule. It is the most common type of kidney cancer in adults. Other associated genes include TRC8, OGG1, HNF1A, HNF1B, TFE3, RCCP3, and RCC17.
Physical Examination
=Apppearance of the Patient
Vital Signs
- Hypertension (high blood pressure) resulting from secretion of renin by the tumour (30% of cases)
- Fever - Pyrexia of unknown origin
Eye
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)