• 3 years ago
What Is Kidney Cancer?
Kidney cancer is a type of cancer that starts in the kidney. Cancer starts when cells in the body begin to grow out of control. To learn more about how cancers start and spread, see What Is Cancer?

To understand kidney cancer, it helps to know about the normal structure and function of the kidneys.

The kidneys
The kidneys are a pair of bean-shaped organs, each about the size of a fist. They are attached to the upper back wall of the abdomen and protected by the lower rib cage. One kidney is just to the left and the other just to the right of the backbone. The upper and lower portions of each kidney are sometimes called the superior pole and inferior pole.

A small organ called an adrenal gland sits on top of each kidney. Each kidney and adrenal gland is surrounded by fat and a thin, fibrous layer known as Gerota’s fascia.


illustration showing the kidneys in relation to the renal artery and vein, adrenal gland, ureter, bladder and urethra with a window showing greater detail including adrenal gland, gerota's fascia, renal pelvis, renal artery and vein, ureter and fat
The kidneys’ main job is to remove excess water, salt, and waste products from blood coming in from the renal arteries. These substances become urine. Urine collects in the center of each kidney in an area called the renal pelvis and then leaves the kidneys through long slender tubes called ureters. The ureters lead to the bladder, where the urine is stored until you urinate.

The kidneys also have other jobs:

They help control blood pressure by making a hormone called renin.
They help make sure the body has enough red blood cells by making a hormone called erythropoietin. This hormone tells the bone marrow to make more red blood cells.
Our kidneys are important, but we can function with only one kidney. Many people in the United States are living normal, healthy lives with just one kidney.

Some people do not have working kidneys at all, and survive with the help of a medical procedure called dialysis. The most common form of dialysis uses a specially designed machine that filters blood much like a real kidney would.

Types of kidney cancer
Renal cell carcinoma
Renal cell carcinoma (RCC), also known as renal cell cancer or renal cell adenocarcinoma, is the most common type of kidney cancer. About 9 out of 10 kidney cancers are renal cell carcinomas.

Although RCC usually grows as a single tumor within a kidney, sometimes there are 2 or more tumors in one kidney or even tumors in both kidneys at the same time.

There are several subtypes of RCC, based mainly on how the cancer cells look in the lab. Knowing the subtype of RCC can be a factor in deciding treatment and can also help your doctor determine if your cancer might be caused by an inherited genetic syndrome. See Risk Factors for Kidney Cancer for more information about inherited kidney cancer syndromes.

Clear cell renal cell carcinoma
This is the most common form of renal cell carcinoma. About 7 out

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