Page 1 - Kidney Tumours
P. 1

Urological Health


                                 Kidney tumours









        Kidney growths are common. Their nature will determine whether treatment is required.





             ou have been found to have a kidney “growth”         When one kidney is lost to illness, injury or surgery, the
        Yor tumour. Such growths often are found                  other can normally take over all of its functions without
        incidentally during tests such as ultrasound, x-ray or    affecting health on the whole. Severe kidney damage
        computerized tomography (CT) scan obtained for            or loss, however, may require that its blood-cleansing
        the evaluation of other conditions. The nature of your    function be taken over by a dialysis machine.
        kidney growth will determine whether treatment is
        required and what that treatment should be.               Benign kidney tumours
        The kidneys filter your blood to eliminate excess water,   Any abnormal growth (or “mass”) is called a tumour.
        waste products and impurities that are excreted in        This tumour can be benign (non-cancerous) or
        urine. They maintain your fluid and electrolyte (sodium,   malignant (cancerous). Malignant tumours have the
        potassium) balance that is important in blood pressure    ability to grow into other tissues and spread to other
        regulation and the function of organ systems. Several     parts of the body while benign ones do not.
        hormones necessary to other bodily functions are
        produced by the kidneys.                                  An angiomyolipoma is a benign kidney tumour made
                                                                  up of abnormal blood vessels, muscle and fatty
        Normally, a person has two kidneys located on either      tissue. CT scan usually can establish its nature. An
        side of the mid-back and protected by the lower rib       angiomyolipoma most often requires no treatment
        cage. Each kidney is wrapped in an envelope of fat.       although periodic follow-up by imaging may be useful
        The adrenal glands, one found on top of each kidney,      to ensure that it is not growing. If it reaches a certain
        produce additional hormones.                              size, an angiomyolipoma may be more prone to injury
                                                                  and bleeding.

                          Urinary tract                           An oncocytoma is a rare benign kidney tumour.
                                                                  Unfortunately, it cannot be distinguished reliably from
                                                                  kidney cancer on imaging and, therefore, surgical
                                                                  removal may be required in many cases.

                                           kidney                 Kidney cancer

                                                 Roula Drossis    The most common malignant kidney tumour is called
                                                                  renal cell carcinoma (RCC). In Canada, it is the sixth-
                                                                  most common cancer in men and the tenth-most
                             ureter                               common in women. It generally occurs between
                                                                  the ages of 50 and 70 years. RCC may grow slowly
                                                                  without producing any symptoms until the tumour is
                                                                  quite large, when it may reveal itself with blood in the
                                                                  urine or pain. Most kidney cancers are now found
                                                                  unexpectedly with imaging (ultrasound or CT scan)
                                                                  obtained for other medical conditions.
                                        bladder

                                        urethra                                              Continued on next page

                           Urinary tract
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