Mr. Gu is busy with work, and he sits in the office all day to process documents, and often feels that his cervical spine and waist are sore, and he occasionally massages and pinchs. In October, I felt pain in my lower back, but due to my busy work and thinking that I was sitting in the office for a long time, the soreness was normal. So I bought a medicine patch by myself, and it was slightly relieved. Within a few days, a dull pain in his lower back persisted, and he suddenly had a painful feeling of urination, and the difficulty in urination had been maintained for a while, but Mr. Gu ignored it. Now I felt that something was wrong and went to the doctor.
Mr. Gu was diagnosed with kidney cancer. Cancer came so quietly, but in fact, even if the body gives a signal, many people can't receive it or can't understand that there is a problem with the body. It is often known when the symptoms are obvious.
Mr. Gu found our hospital, and I personally helped him, but fortunately, Mr. Gu's condition is not very serious, and it is not very difficult compared to others. At present, Mr. Gu is recovering well, and in the continuous observation, he has also quit smoking and drinking, and with healthy health conditioning, he has gradually developed for the better.
Kidney cancer is a malignant tumor with a unique pathogenesis, and the mechanism of occurrence is extremely complex. Multiple population: Those with a family history of hereditary kidney cancer;"Fat" men who are middle-aged or older and have smoking, alcoholism, and high blood pressure. Disease symptoms For many years, hematuria, pain and lumps have been called the "triad" of kidney cancer, but in fact, only about 10% of patients have all the triad when they visit the hospital, and it is rarely possible**. Therefore, it is necessary to have a comprehensive understanding of some common clinical manifestations of kidney cancer.
1. No obvious symptoms:At present, more than 40% of kidney cancers in clinical practice are found incidentally due to health examination or other reasons, with no obvious symptoms or signs, and the detection rate is increasing year by year, most of them are early lesions, and the prognosis is good.
2. Typical local symptoms:The clinical occurrence rate of the "kidney cancer triad" of hematuria, low back pain, and abdominal mass has < 15%, which often indicates that the lesion has reached an advanced stage. Most patients experience only one or two of the "triad".
1.Hematuria:About 40% of patients with kidney cancer have hematuria, which can be gross hematuria or microscopic hematuria. When there is a large amount of blood in the urine and blood clot formation, renal colic, dysuria, dysuria, and even urinary retention may occur.
2.Lumps:The kidneys are located retroperitoneum, deep and palpable on palpation of the abdomen, and can only be palpated when the tumor is large or located at the lower pole of the kidney, and can be palpated in about 10% to 40% of patients, sometimes the only symptom.
3.Pain:Low back pain occurs when the tumour grows with increased tone in the renal capsule or invasion of surrounding tissues, and is characterized by a persistent, dull ache. A subcapsular hematoma caused by tumor hemorrhage may also be dull or dull. Tumors invade nearby tissues and organs, such as the psoas major muscles or nerves, and can cause persistent and severe low back pain. The incidence of pain is 20% to 40%.
3. Systemic manifestations:10% to 40% of patients have paraneoplastic syndrome, which is manifested by hypertension, anemia, weight loss, cachexia, fever, polycythemia, abnormal liver function, hypercalcemia, hyperglycemia, increased erythrocyte sedimentation rate, neuromuscular disease, amyloidosis, galactorrhea, abnormal coagulation mechanism, etc. Varicocele or dilated abdominal wall veins occur in about 2% to 3% of cases. 4. Metastatic symptoms: About 10% of patients present with metastatic symptoms. 30% of the newly diagnosed cases have metastasized, and patients can be treated for symptoms such as bone pain, fractures, cough, and hemoptysis caused by tumor metastasis.