Renal cell carcinoma

The classic presentation of renal cell carcinoma (hypernephroma) is the triad of
  • flank pain
  • haematuria
  • flank mass
However, just 10% of patients with RCC present with these symptoms and 40% have none of them at all!

Other presentations include:
  • weight loss (30%)
  • fever (20%)
  • hypertension (20%)
  • hypercalcaemia (5%) 

Occasionally they may be associated with a left varicocele.
Renal cell carcinomas may also produce erythropoeitin, resulting in secondary polycythaemia.

Most RCC are sporadic; a minority are familial, for example associated with Von Hippel Lindau.

Treatment is surgical.

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Secret collector of interesting anonymised ECGs. Fan of the Bath Photomarathon. Lover of cream teas. [Sarah Hudson] (Your Picture)