Does kidney cancer cause fever?

Written by Zhou Qi
Nephrology
Updated on April 26, 2025
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Kidney cancer itself generally does not cause fever. Kidney cancer is a malignant tumor, and the most common clinical manifestation in patients is hematuria. As this malignant tumor grows larger, it may eventually rupture and bleed, leading patients to notice the formation of blood in the urine. Some patients may also be able to feel a mass in the abdomen. In severe cases of kidney cancer, it may lead to reduced urine output due to kidney failure. These symptoms are common manifestations of kidney cancer. Kidney cancer itself is unlikely to cause a fever, but due to the presence of kidney cancer, changes in the tissue structure of the kidney can occur, making infections more likely. When an infection occurs, it may also cause a fever, but this fever is not directly caused by the kidney cancer itself.

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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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How long can someone with kidney cancer and hematuria survive?

A common symptom of kidney cancer is painless visible blood in urine, which is also the primary initial symptom. It is intermittent and sometimes accompanied by blood clots. However, after exhibiting this symptom, how long a patient can live depends on individual constitution and the severity of the condition. Once discovered, early surgical treatment is recommended, followed by immunotherapy, such as using interferons and interleukins.

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How is kidney cancer diagnosed?

Hematuria, pain, and lumps are the main symptoms of kidney cancer. If one or two of these symptoms appear, the possibility of kidney cancer should be considered. About half of the patients are found to have incidental kidney cancers, also known as asymptomatic kidney cancers, during physical examinations through incidental findings on ultrasound or CT scans. Some may show early symptoms of metastasis making the diagnosis quite challenging. The preoperative diagnosis of kidney cancer relies on the results of medical imaging examinations such as ultrasound, X-rays, and CT scans. CT scans have a very high confirmation rate for kidney cancer and are currently the most reliable imaging method for diagnosing kidney cancer.

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Kidney cancer thrombus

Tumor thrombus is one of the common complications of tumors, and refers to cancer cells in blood vessels or lymphatic vessels similar to blood clots, i.e., cancer cells clustering together, invading the vessels, and causing abnormalities in blood coagulation function, leading to disorders in blood circulation and abnormal coagulation with clustered cancer cells. Generally, the risk of tumor thrombus formation is very high, and patients with tumor thrombus have much worse treatment outcomes than those without. Renal cancer is also a tumor commonly associated with tumor thrombus. Once a tumor thrombus occurs, it indicates that the surgery might be staged quite late, and thus, its treatment results are also relatively poor.

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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.