Kidney tumors: diagnosis and treatment in Moscow

Worried about pain in the lumbar region and weakness? Make an appointment with a urologist at a multidisciplinary clinic "K + 31" in Moscow. Comprehensive diagnostics will allow to exclude a kidney tumor or to identify a pathological formation on the early stage of development.

Kidney tumors are a group of neoplasms that form as a result of the proliferation of kidney tissue cells.

Types of tumors and their causes

Benign tumors grow slowly and almost do not reduce the functional activity of the organ. They appear in renal pelvis or parenchymal tissue. Benign tumors include papillomas, fibromas, hemangiomas, fibroids, lipomas, adenomas, etc.

Renal cancer is a malignant tumor that poses a clear threat to the life of the patient. They are fast the rate of increase and the ability to germinate into surrounding tissues (invasiveness). Regenerated cells can spread throughout the body with the formation of secondary foci-metastases.

Statistics: Kidney cancer in men is detected 2 times more often than in women. Most patients are over 60 years of age and older.

According to the origin of the tumor (histology), there are neuroendocrine, mesenchymal, nephroblastic, renal cell and germ cell types of cancer.

The exact causes of tumor growths have not yet been identified, but factors that increase the risk of their development are known.

Predisposing factors:

  • genetic predisposition (burdened heredity);
  • immune system disorders;
  • chronic pathologies of the urinary system (renal stones, pyelonephritis, etc.);
  • Acute and chronic intoxications (including nicotine addiction, alcoholism and work with toxic substances);
  • metabolic disorders (obesity, diabetes);
  • History of kidney injury
  • uncontrolled intake of certain pharmacological drugs.

Important: Over 70% of cancer patients are long-term smokers.

Oncological diseases can be provoked by gamma radiation (radiation). Malignant neoplasms are more common develop under the combined influence of several factors.

Symptoms of kidney cancer and benign tumors

The clinical manifestations of these pathologies are divided into two large groups - renal and extrarenal. The kidneys are hematuria (admixture of blood in the urine) and intense pain in the lumbar region.

Extrarenal symptoms:

  1. subfebrile condition (prolonged temperature increase within 37.1-38.0 °C);
  2. worse or lack of appetite (anorexia);
  3. weight loss not associated with restrictive diets;
  4. hypercalcemia (increased blood calcium levels relative to reference values);
  5. anemia (anemia) in the absence of other pathologies;
  6. arthralgia (joint pain);
  7. high blood pressure;
  8. increased erythrocyte sedimentation rate, leukocytosis, erythrocytosis (detected during general clinical analysis blood).

Symptoms and signs of kidney cancer in women and men appear with germination or compression of surrounding tissues. First The most common symptom is hematuria, which indicates damage to the blood vessels.

If a blood clot blocks the urethral canal, colic develops - cramping pain in the lumbar region.

Patients feel heaviness and discomfort in the lower back. There is swelling of the facial area, arms and legs. In the region of the kidney a mass neoplasm may be palpable.

Symptoms of kidney cancer in men and women in the later stages:

  • general weakness;
  • increased fatigue;
  • bloating;
  • acute urinary retention;
  • prolonged pain in the side;
  • persistent arterial hypertension;
  • cachexia (rapid wasting with metabolic disorders).

Please note: Men often develop a symptom such as the expansion of the veins of the spermatic cord (varicocele).

In 25% of cases, secondary lesions are detected in the brain, liver, lungs and bones. The appearance of metastases may be accompanied by respectively, neurological symptoms, yellowness of the skin and sclera, pulmonary bleeding (hemoptysis) and pathological fractures.

Symptoms are mostly non-specific, and early oncology can be asymptomatic. Complaints may appear when the tumor extends beyond the membranes of the kidney and affects the regional lymphatic vessels.

If any deviations appear, it is necessary to seek help from a specialist as soon as possible (in this case, urologist), who will give a referral for a comprehensive examination.

Diagnosis

First of all, the doctor collects an anamnesis (including family history) and directs the patient for blood and urine tests. Laboratory studies help to identify the inflammatory process, assess the level of electrolytes, blood cells, etc. d.

Please note: If kidney cancer is diagnosed early, the 5-year survival rate is over 80%. In a number cases, complex treatment helps to achieve a complete clinical recovery.

Sonography (ultrasound scanning) is used to detect pathological structures. Ultrasound helps to detect hypodense formation in the kidney (area with reduced density) and compaction, as well as determine their exact localization and size.

In the course of differential diagnosis, X-ray examination is also carried out - renal angiography and excretory urography. It is necessary to detect diffuse changes in the kidneys, blockage of blood vessels by a tumor thrombus. and the presence of metastases in neighboring organs.

Magnetic resonance and computed tomography (MRI and CT) make it possible to determine the type of tumor and assess the condition nearby tissues.

Additionally, radionuclide scanning and biopsy of pathological structures are required, followed by histological and cytological examination of the obtained material. To detect secondary foci in bone tissue, it is shown bone scintigraphy.

A person with identified pathological formations may need to consult specialists in related fields medicine - endocrinologist, cardiologist, hematologist, phlebologist, etc.

Treatment

The doctor chooses the tactics of treatment based on the results of clinical, laboratory and hardware diagnostics.

Surgical treatment is required for cancerous tumors. The type of operation depends on the size of the neoplasm, stage of the process (prevalence), clinical picture (general condition) and age of the patient.

Preference is given to minimally invasive (laparoscopic) interventions, in which the tumor is removed through small incisions. Since tissue damage is minimal, recovery and rehabilitation are faster.

The main types of operations are resection and nephrectomy. In the first case, excision of the neoplasm is performed, and in the second - the organ is removed along with the tumor.

Techniques such as radiofrequency ablation, cryodestruction (destruction by freezing with liquid nitrogen), chemoembolization, as well as microwave or Ultrasound thermocoagulation.

Organ-preserving techniques are used in the early stages of the disease. If it is not possible to perform endoscopic Operations surgeons use traditional (open) access.

Radical nephrectomy involves the excision of nearby tissues (in particular, lymph nodes), and with extended all involved structures are removed, including deleted ones. The indications for such interventions are locally advanced and generalized forms of oncology.

To prevent recurrence and suppress the growth of metastases, chemotherapy or radiotherapy is performed after surgery. Wide targeted therapy is used (a type of chemotherapy that does not affect healthy tissue).

If atypical cellular elements are not found in the regional lymph nodes, the prognosis is considered favorable.

FAQ

How many kidneys does a person have?

Normally, a person has two kidneys, although he can live almost normally with one. With pathologies of embryogenesis anomalies such as the development of 3 or 4 kidneys are possible.

Neoplastic process - what is it?

This is a violation of the mechanisms of normal growth and proliferation of cells, that is, their uncontrolled division and growth. In other words, it is a tumor.

Anechoic formation in the kidney - what is it?

If an anechoic formation is detected during ultrasound diagnostics, then we are talking about a cyst - a cavity with liquid contents, which does not reflect sound waves.

Hyperechoic inclusions in the kidneys - what is it?

These are areas with increased acoustic density - calculi (stones) or tumors.

Tumor decay - what does it mean?

This is a syndrome that develops when a large number of degenerated cells are destroyed. It is accompanied by acute renal insufficiency, therefore requires urgent medical attention.

What tests should be done to check the kidneys?

The patient needs to pass a general blood test (general clinical and biochemical) and urine (general, samples according to Zimnitsky and Nechiporenko).

If you have back pain or you notice an admixture of blood in the urine, do not postpone a visit to the doctor. Sign up for appointment with the urologist of the medical center "K + 31". We use the most informative diagnostic techniques and the most effective way to treat tumors.

Our doctors work in full accordance with the standards of modern evidence-based medicine. The clinic has affordable prices for procedures, promotions are regularly held and a flexible system of discounts.

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Specialists

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Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist