What to do if kidney cancer recurs?

Written by Guan Hai Fang
Urology
Updated on April 16, 2025
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Generally, if kidney cancer is detected early and treated effectively, the prognosis is usually very favorable. However, if it reaches a late stage, even with effective surgery and the correct comprehensive treatment plan, recurrence is more likely. At this time, it is generally recommended to adhere to the treatment plan prescribed by the hospital. Additionally, the concept of extending life with the disease is recommended here, suggesting that patients consume a large amount of meat, especially fish, to supplement the protein needed to offset the physical toll of cancer. Do not fear obesity; eat more fish. Of course, it is also important to ensure a balanced intake of comprehensive nutrients, including plenty of fruits and vegetables.

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Written by Li Yuan Wei
Urology
53sec home-news-image

Is nephroblastoma a type of kidney cancer?

From a broad perspective, nephroblastoma belongs to kidney cancer, but its characteristics are still different. Nephroblastoma, also known as Wilms' tumor or embryonal tumor of the kidney, is the most common malignant kidney tumor in children, generally 80% of cases occur before the age of five, with an average age of about 3.5 years. The main manifestation is an abdominal mass, most often incidentally discovered by parents or doctors. Diagnosis is generally made through renal ultrasound as an initial screening, while renal CT and MRI can clearly show the extent of the tumor and the surrounding lymph nodes and organs, and whether renal blood vessels are involved. Chest X-rays or CT scans can determine if there are any lung metastases.

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Written by Wang Jian
Urology
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Will there be metastasis after kidney cancer removal?

Currently, all malignancies tend to metastasize. Renal cancer is a common malignant tumor of the kidney in the urinary system. Generally, patients might not exhibit any symptoms in the early stages. The most common symptoms are usually back pain and hematuria, and some patients are diagnosed due to an abdominal mass. The primary treatment for renal cancer is surgical intervention, which is considered the preferred method and is believed to be potentially curative. For patients with stage I, II, III, and IV renal cancer, the survival rates decrease progressively. Patients with stage I and II renal cancer should have follow-ups every three to six months for three consecutive years after surgery, and then annually. Patients with stage III and IV renal cancer should have follow-ups every three months for two years post-treatment, then monthly in the third year, and annually thereafter. Early detection of metastasis is crucial for timely treatment. Therefore, even after nephrectomy, renal cancer might recur, and regular follow-ups are essential.

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Written by Guan Hai Fang
Urology
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What to do if kidney cancer recurs?

Generally, if kidney cancer is detected early and treated effectively, the prognosis is usually very favorable. However, if it reaches a late stage, even with effective surgery and the correct comprehensive treatment plan, recurrence is more likely. At this time, it is generally recommended to adhere to the treatment plan prescribed by the hospital. Additionally, the concept of extending life with the disease is recommended here, suggesting that patients consume a large amount of meat, especially fish, to supplement the protein needed to offset the physical toll of cancer. Do not fear obesity; eat more fish. Of course, it is also important to ensure a balanced intake of comprehensive nutrients, including plenty of fruits and vegetables.

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Written by Zou De Bo
Urology
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Post-nephrectomy care for renal cancer

Postoperative care measures for kidney cancer primarily include observing the patient's vital signs. After a radical nephrectomy for a large renal tumor, a significant amount of tissue is removed including the kidney, surrounding adrenal fat, and lymph nodes at the renal hilum, which results in larger surgical wounds and potentially more bleeding. Therefore, it is crucial to closely monitor for signs of bleeding and ensure that transfusions and fluid administrations are unobstructed. Secondly, careful observation and management of the wound drainage tubes are required. Thirdly, for radical nephrectomies, once the patient is past the anesthesia phase and the blood pressure is stable, a semi-reclined position can be adopted. Patients who have undergone partial nephrectomy should remain in bed for one to two weeks to prevent further bleeding, and kidney functions should be monitored. Additionally, attention should be paid to symptoms such as breath holding and difficulty in breathing. Postoperative feeding should commence once gastrointestinal function is restored; thereafter, nutrition should be enhanced to boost bodily resistance. Calming medications may be appropriately used to ease pain, facilitating movement, effective coughing, and expectoration.

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Written by Yan Chun
Oncology
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Does kidney cancer affect the renal calyx?

Kidney cancer lesions can sometimes affect the renal calyces. This is because kidney cancer is a malignant disease characterized by invasion and metastasis. When the lesions from kidney cancer invade the surrounding renal tissues, this can impact the function of the renal calyces. Some patients may experience toxic side effects from chemotherapy, targeted therapy, and other related antitumor treatments for kidney cancer, which can also affect the renal calyces. In summary, the lesions from kidney cancer and related antitumor treatments can potentially affect and even lead to clinical manifestations of kidney damage, including complications such as hydronephrosis. Once the kidney cancer lesions affect the renal calyces, this can result in sequelae such as renal failure.