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Kidney Cancer: Epidemiology and Pathogenesis
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==== Acquired ==== *'''Majority of cases are believed to be sporadic''' * '''<span style="color:#ff0000">Established risk factors (4):''' *# '''<span style="color:#ff0000">Obesity''' *#* Accounts for β30% of incident cases *#* Obese patients are more likely to develop RCC but these tumours are more likely to be low-grade, early stage tumours *# '''<span style="color:#ff0000">Smoking''' *#* Accounts for β20% of incident cases *# '''<span style="color:#ff0000">Hypertension''' *# '''<span style="color:#ff0000">Chronic renal failure''' *#* '''Controversial;''' however, patients on maintenance dialysis also are reported to have an increased risk *#** It has been suggested to delay screening for kidney cancer in patients on dialysis and without other major comorbidities until the 3rd year on dialysis. * '''Other risk factors (5):''' *# '''Family history of renal malignancy (without familial syndrome)''' *# '''Exposure to chlorinated solvents''' *# '''Retroperitoneal radiation''' *# '''Diet''' *#* '''Moderate alcohol intake, consumption of fruits and (cruciferous) vegetables, and a diet rich in fatty fish are believed to reduce the risk of RCC''' *# '''Acquired cystic renal disease''' * '''No increased risk of RCC in patients with autosomal dominant polycystic kidney disease'''
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