Kidney cancer, a disease that attacks the kidneys – an important organ in the body, still has many mysteries that scientists are trying to discover. Although this disease is common, early detection and timely treatment are not small challenges.
The symptoms of kidney cancer are often vague and easily confused with other diseases, making it difficult to detect the disease. This increases the level of danger and creates big questions in prevention and treatment.

Kidney cancer symptoms can develop without noticeable pain in early stages.
What is kidney cancer?
Kidney cancer, also known as renal cell carcinoma, arises from the cells of the kidneys – the organs responsible for filtering blood and removing waste from the body. It is one of the most common cancers, affecting mainly adults, especially men. Although kidney cancer can develop silently in its early stages, if not detected promptly, it can spread to other organs, causing serious complications.
Kidney cancer classification
There are many types of kidney cancer, but the most common is renal cell carcinoma. This type accounts for about 90% of kidney cancers. Another type is Wilms tumor, which mainly occurs in children.
Causes and risk factors
Risk factors for kidney cancer include age, family history, smoking habits, and medical conditions such as high blood pressure and chronic kidney disease. These factors increase the risk of the disease through direct or indirect effects on kidney function.
Symptoms of kidney cancer
Initially, kidney cancer may not cause obvious symptoms, but as the tumor grows, the patient may experience signs such as blood in the urine, back or side pain, weight loss, and fatigue.
Common Symptoms of Kidney Cancer
Although kidney cancer can develop silently in its early stages, as the disease progresses, symptoms become more apparent and can have a serious impact on health. These signs are important in detecting the disease early when the chances of successful treatment are higher.
Blood in the urine (Hematuria)
One of the typical symptoms of kidney cancer is the appearance of blood in the urine. The blood can be bright red or dark brown, depending on the extent of bleeding and the tumor's location. This is a warning sign of serious kidney disease.
Back or side pain
The pain usually occurs in the lumbar or side area, where the kidney is located. This pain can be dull or sharp, increasing as the tumor grows and puts pressure on surrounding tissues. Back pain is often confused with common musculoskeletal problems, making early diagnosis difficult.
Weight loss and fatigue
Systemic symptoms such as unexplained weight loss and persistent fatigue are typical signs of advanced kidney cancer. The body is weakened by the tumor disrupting metabolic processes and the immune system is weakened.
Less common symptoms of kidney cancer
While common symptoms such as blood in the urine and back pain are easy to spot, kidney cancer can also cause a range of less common but equally important symptoms. These symptoms can be a sign that kidney cancer is progressing or spreading, and recognizing them early can help improve treatment.
Swollen legs and ankles
One of the less noticeable symptoms is swelling in the legs or ankles. This happens when the kidneys can no longer filter and remove excess fluid from the body, leading to fluid retention. This is a sign that kidney function is severely impaired.
Anemia
Anemia, a condition in which the number of red blood cells drops, can occur when kidney cancer disrupts the production of erythropoietin – a hormone needed to make red blood cells. When doing light work, the patient will feel tired, pale skin, and shortness of breath.
Hypertension
Hypertension is a little-known but very common sign in kidney cancer patients. The tumor can directly affect the blood pressure control mechanisms in the body, increasing blood pressure and causing cardiovascular and kidney problems.
These symptoms are often overlooked or confused with other health problems, so close monitoring of body signs is very important to detect kidney cancer early.
Symptoms of Advanced Kidney Cancer
As kidney cancer progresses, symptoms become more obvious and severe, profoundly affecting the patient's quality of life. Early recognition of these signs can help doctors develop effective treatment plans, even if the disease has spread.
Bone pain and metastasis
Advanced kidney cancer can spread to the bones, leading to severe pain, especially in the back, pelvis, or ribs. This is a warning sign that the disease has spread, making the bones weak and prone to fracture. The pain can appear suddenly and persistently.
Shortness of breath and pulmonary edema
When kidney cancer spreads to the lungs, patients may experience symptoms of shortness of breath or shallow breathing, especially with exertion. Pulmonary edema can also occur due to fluid buildup in the lungs, reducing the ability to exchange oxygen and leading to wheezing.
Fatigue and exhaustion
Severe fatigue is a common systemic symptom of advanced kidney cancer. As cancer cells spread and organs begin to fail, the body no longer has enough energy to function normally. This can make the patient feel exhausted even without doing heavy work.
These symptoms indicate that kidney cancer has reached a dangerous level, requiring timely and drastic medical intervention to control the disease.
Risk factors for kidney cancer
Kidney cancer is a complex disease that many different risk factors can cause. These factors increase the likelihood of developing kidney tumors, especially when combined with unhealthy lifestyle habits or other medical conditions. Awareness of these factors helps people be more proactive in preventing and detecting the disease.
Age and gender
Age is the leading factor in increasing the risk of kidney cancer. The disease often occurs in people over 50 years old, especially men, due to increased cell damage over time. This gender difference may be related to physiological and hormonal factors affecting the kidneys.
Smoking and obesity
Smoking hurts kidney health, increasing the risk of cancer by creating carcinogens in the body. Obesity, especially excess fat around the abdomen, puts pressure on the kidneys and increases the risk of kidney cancer. The link between being overweight and kidney cancer has been demonstrated in many studies.
Chronic kidney disease and high blood pressure
People with chronic kidney disease or long-term high blood pressure are at increased risk of kidney cancer. Chronic damage to kidney function from these factors can facilitate the growth of cancer cells. At the same time, the use of drugs to treat high blood pressure can also increase the risk.
Identifying and minimizing these risk factors can help reduce the incidence of kidney cancer and improve the quality of life for people at high risk.
How is kidney cancer diagnosed?
Diagnosing kidney cancer is a multifaceted process that involves a variety of tests to determine the presence of a tumor, its extent, and the state of kidney function. Early detection is key to improving survival rates and treatment outcomes.
Physical examination and medical history
The first step in diagnosing kidney cancer is a physical examination and medical history. Your doctor will ask about your current symptoms, family history, and risk factors such as high blood pressure or chronic kidney disease. A physical examination can also help detect external signs such as swelling or pain in the kidney.
Imaging tests
Imaging tests play an important role in determining a tumor's size, location, and extent. Methods such as ultrasound, CT (computed tomography) scan, and MRI help doctors observe the kidney structure in detail and detect lesions. These images provide important information about the spread of the disease.
Biopsy and tissue testing
In some cases, the doctor may request a biopsy to determine whether the tumor is cancerous or not. Here, a sample of kidney tissue will be taken and analyzed under a microscope to determine the presence of cancer cells. In addition, blood and urine tests may also be performed to check for signs of cancer.
Diagnosing kidney cancer requires a combination of modern methods and clinical experience to ensure accurate diagnosis and timely treatment.
Kidney Cancer Treatment Options
Kidney cancer treatment depends on many factors, including the stage of the disease, the type of cancer, the patient's overall health, and how well they respond to treatment. From surgical removal of the kidney to targeted therapy, today's treatments have made great strides, helping to improve survival rates for patients.
Nephrectomy
Nephrectomy is the main treatment for kidney cancer, especially in the early stages. Depending on the size and location of the tumor, the doctor may perform a radical nephrectomy or a partial nephrectomy. This is the most effective method of removing the tumor and preventing recurrence.
Targeted and immunotherapy
Targeted therapy uses specific drugs to interfere with cancer-causing mechanisms, reducing the ability of cancer cells to grow and spread. Immunotherapy stimulates the body's immune system to recognize and attack cancer cells. Both have proven effective in treating advanced or metastatic kidney cancer.
Chemotherapy and radiation therapy
Chemotherapy may be used in cases where kidney cancer has spread and cannot be treated with surgery. However, chemotherapy is less effective for kidney cancer than for other types of cancer. Radiation therapy, although not the main treatment, may be used to relieve pain and control symptoms if the cancer has spread to the bones or other organs.
Kidney cancer treatment options are becoming more diverse, allowing patients to prolong life and improve their quality of life. Doctors will develop an optimal treatment plan depending on the patient's specific condition.
Prognosis and Survival Rates for Kidney Cancer
The prognosis for kidney cancer depends on many factors, including the stage at which the disease is diagnosed, the size and location of the tumor, whether it has spread, and the patient's overall health. Each of these factors profoundly impacts the likelihood of successful treatment and quality of life after treatment.
Prognosis by Stage
In the early stages, when kidney cancer is still confined to the kidney, the prognosis is very positive, with a 5-year survival rate of up to 90% if treated with nephrectomy. However, the prognosis becomes poorer once the disease has spread to other organs, such as the lungs, bones, or liver. Currently, treatments such as targeted and immunotherapy can help improve outcomes, but survival rates drop significantly.
Survival Rates by Stage
The 5-year survival rate for stage I kidney cancer typically ranges from 80% to 90%, while for stage IV, when the disease has spread widely, this rate drops sharply to only about 10%. However, advances in treatment, particularly in immunotherapy and targeted therapy, have helped prolong survival and improve the quality of life for patients with metastatic kidney cancer.
Although kidney cancer can have a fairly good prognosis if detected early, treating the disease in its advanced stages remains challenging. Maintaining a personalized treatment plan that combines surgery and supportive therapy can help patients overcome these challenges.
When to see a doctor
Early detection of kidney cancer is crucial to the success of treatment and the patient's prognosis. Because the symptoms of kidney cancer can be vague and easily confused with other conditions, it is important to recognize the warning signs and seek medical advice promptly.
When you have unusual symptoms
If you experience symptoms such as blood in your urine, unexplained back or hip pain, or a mass in your abdomen, these are important signs that should not be ignored. Although these symptoms may be caused by less serious problems, seeing a doctor early can help rule out the risk of kidney cancer.
When you have high-risk factors
If you have a family history of kidney cancer, smoke, are obese, or have conditions such as high blood pressure or chronic kidney disease, your risk of kidney cancer is higher. People with these risk factors should undergo regular check-ups to detect the disease early.
When you feel tired and lose weight without a clear cause
Persistent fatigue, sudden weight loss, and a constant feeling of unwellness can be signs of advanced kidney cancer. If there is no explanation for these symptoms, it is necessary to see a doctor immediately to determine the cause and promptly proceed with treatment.
If you notice any unusual symptoms or have risk factors, do not hesitate to see a doctor for a check-up. Early diagnosis will open up the opportunity for effective treatment and prolong life.
Preventing and Reducing the Risk of Kidney Cancer
Although kidney cancer has a genetic component and cannot be completely prevented, changes in lifestyle and habits can significantly reduce the risk of developing the disease. Proactively preventing and minimizing risk factors can help protect kidney health and limit the possibility of developing cancer.
Maintain a healthy weight
Obesity is a major risk factor for kidney cancer, especially when excess fat is concentrated in the abdominal area. Maintaining a healthy weight through a healthy diet and regular exercise can help reduce the risk of developing the disease. A diet rich in vegetables, fruits, and fiber, along with minimizing processed foods and foods high in fat, will bring significant results.
Stop smoking and control your blood pressure
Smoking is one of the leading risk factors for kidney cancer. Quitting smoking not only reduces the risk of kidney cancer but also improves overall health. In addition, controlling high blood pressure is important in protecting kidney function. People with chronic kidney disease or high blood pressure should follow their doctor's instructions and maintain a routine of regular health check-ups.
Regular health check-ups
For people with high-risk factors, such as a family history of kidney cancer or chronic kidney disease, regular screening tests are very important. Early diagnosis can help detect kidney cancer at an early stage when the possibility of successful treatment is highest.
By maintaining a healthy lifestyle and taking proactive preventive measures, each person can reduce the risk of kidney cancer and protect their long-term health.
Conclusion
Kidney cancer is a serious disease that can have a profound impact on health and quality of life. Early recognition of symptoms and timely treatment intervention play a decisive role in improving survival rates.
Prevention of kidney cancer through lifestyle changes, maintaining a healthy weight, and quitting smoking are important measures to reduce the risk of developing the disease.
Early diagnosis and advanced treatment methods can help control and improve patient outcomes, bringing hope to those affected by this disease.
Frequently Asked Questions (FAQs)
- What are the symptoms of kidney cancer? – Common symptoms include blood in the urine, back or hip pain, unexplained weight loss, and fatigue. However, symptoms can be vague, so a check-up is needed to determine the exact cause.
- Is kidney cancer treatable? – If detected early, kidney cancer can be effectively treated with kidney removal surgery. Other treatments, such as targeted and immunotherapy, can help prolong life for advanced-stage patients.
- What risk factors increase the likelihood of kidney cancer? – Risk factors include age, gender, smoking, obesity, chronic kidney disease, and high blood pressure. People with a family history of the disease are also at higher risk.
- Are there ways to reduce the risk of kidney cancer? – You can reduce your risk of kidney cancer by maintaining a healthy weight, quitting smoking, controlling your blood pressure, and eating a healthy diet rich in fruits and vegetables and low in processed foods.
- When to see a doctor? – If you have unusual symptoms such as blood in your urine, unexplained back pain, or other high-risk factors, see your doctor. Early diagnosis improves treatment and prognosis.