- Patients
- Exploring cancer care
- Conditions we treat
- Genitourinary cancer
- Kidney cancer
What is kidney cancer?
Chapter 01
What is kidney cancer?
Kidney cancer, also known as renal cancer or renal cell carcinoma, develops in the cells of the kidney.
Your kidneys are essential organs, and most people have two. They are located just below the rib cage, on each side of the spine, behind your abdominal organs. Each kidney is bean-shaped and about the size of your fist.
Types of kidney cancer
There are several types of kidney cancer, which usually affect one kidney.
- Renal cell carcinoma (RCC) This is the most common type of kidney cancer, accounting for about 90% of cases.1
- Wilms tumour This usually occurs in children but is very rare.
- Urothelial carcinoma, also called transitional cell carcinoma This usually begins where the kidney and ureter (the tube that carries urine to the kidney) meet.
Make an enquiry
Contact us today to find out how GenesisCare can help you.
Symptoms of kidney cancer
Kidney cancer may not cause symptoms in the early stages. Later stage symptoms may include:
- blood in the urine
- dark or rusty brown urine
- frequent urinating during the night
- unexplained fatigue
- unexplained rapid weight loss
- a lump in the abdomen
- unexplained fever
- pain in the flank or back
Having any of these symptoms doesn’t necessarily mean you have kidney cancer, but you should see your doctor for a check-up.
What causes kidney cancer?
There is no clear reason for kidney cancer developing. However, some factors appear to increase the risk. These include:
- smoking1
- family history of kidney cancer2
- being overweight3
- high blood pressure4
- exposure to workplace chemicals, including arsenic and benzene5
Having any of these risk factors doesn’t mean you will develop kidney cancer, but you should see your GP if you are worried.
Diagnosis
Chapter 02
Diagnosing kidney cancer
Your GP will probably refer you to a specialist if they are concerned about your symptoms and risk factors for kidney cancer. Tests to diagnose kidney cancer may include:
- Blood and urine tests – Although these can’t diagnose kidney cancer on their own, they are often the first step in telling doctors what is going on in your body.
- Biopsy – A small amount of tissue is removed from a kidney so it can be examined under a microscope. The biopsy is taken through the skin with an ultrasound-guided needle or during open surgery.
- Imaging tests – These might include a PET-CT scan to see the kidneys from the inside or to see if cancer has spread anywhere else in the body.
If you are found to have kidney cancer, your doctor will give you details about how far your cancer has progressed. Kidney cancer is commonly staged with the TNM system, which is used to show how advanced the cancer is. These letters stand for:
- Tumour: Your doctors will measure the size of the tumour and how much it has grown
- Nodes: Refers to whether cancer has spread to lymph nodes
- Metastasis: Refers to whether cancer has spread to other parts of the body
Treatments
Chapter 03
Treatments for kidney cancer
Treatments for kidney cancer
Treatment for kidney cancer will depend on how advanced it is. Your doctor may recommend a watch-and-wait approach if you have a small tumour that isn’t aggressive. This involves monitoring your kidneys with regular ultrasounds or scans, but no treatment is given unless necessary. If the tumours are larger or more aggressive, recommended treatments may include:
- immunotherapy
- radiation therapy
- surgery
- targeted therapy
Kidney cancer doesn’t usually respond well to chemotherapy, so it isn’t a standard treatment.
Immunotherapy helps your body’s own immune system kill cancer cells. It may be used in cases of advanced kidney cancer and given either orally or intravenously.
Radiation therapy uses X-rays to kill cancer cells and is directed at specific areas of the body. Radiation in the form of microwaves may also in some circumstances be delivered directly into the tumour with a needle.
Surgery is a standard treatment for kidney cancer. The most common form of surgery for renal cell carcinoma is removing part or all of the affected kidney (nephrectomy). A partial nephrectomy, where only part of the kidney is removed, may be done if the tumour is small though it does depend on the location of the tumour within the kidney. These operations can be done either through open or keyhole surgery.
Targeted drug treatments attack specific features of cancer cells. They don’t harm the useful cells in your body, meaning there are often fewer side effects than with chemotherapy. They may be used in advanced stages of kidney cancer or if it is aggressive and growing fast.
Your treatment with GenesisCare
Chapter 04
Your treatment with GenesisCare
We understand that a cancer diagnosis can be emotional and life-changing. It’s natural to feel disbelief, anxiety, sadness, anger and loneliness. At GenesisCare, we strive to strengthen your confidence, settle your emotions and create care experiences that give you the best possible outcomes.
Our care team will know your name and get to know who you are as a person. We don’t want you to feel alone when you’re with GenesisCare. Your nursing team and oncology team are here to support you before, during and after your cancer treatment. We are here to guide you and help you access support from experts such as psychologists, exercise physiologists, physiotherapists and dietitians.
Please contact your local GenesisCare centre for more details on the services available. View a list of our centres here.
Side effects
Chapter 05
Side effects
Side effects of immunotherapy for kidney cancer
General side effects include:
- fatigue
- nausea
- coughing
- skin rashes or itching
- diarrhoea
- low blood pressure
- high fevers
Side effects of radiation therapy for kidney cancer
Side effects may include:
- discomfort or swelling around the treatment area
- tiredness and lethargy for a few weeks after you finish
- nausea
- diarrhoea
Most of these side effects will ease soon after treatment is finished. However, your team will discuss any long-term considerations with you, depending on the tumour type.
Side effects of surgery for kidney cancer
If you have part of or a whole kidney removed, your remaining kidney usually does the work of both. Your surgeon will talk to you about any risks before surgery. General side effects of kidney surgery include:
- pain and swelling
- wound infection
- kidney failure
Side effects of targeted therapy for kidney cancer
General side effects include:
- nausea
- fatigue
- mouth sores
- loss of appetite
- cough
- changes in your voice.
Helpful services
Chapter 06
Helpful services
Other information, resources and support services are available to assist you during your cancer journey. These include:
Cancer Council Australia
13 11 20
Australian Cancer Research Foundation
02 9223 7833
References
- Tobacco smoking, body mass index, hypertension, and kidney cancer risk in central and eastern Europe. https://www.nature.com/articles/6604761
- Family history of cancer and renal cell cancer risk in Caucasians and African Americans. British Journal of Cancer volume 102, pages1676–1680 (2010). https://www.nature.com/articles/6605680
- Obesity and Kidney Cancer. https://pubmed.ncbi.nlm.nih.gov/27909903/
- Hypertension and risk of renal cell carcinoma among white and black americans. Epidemiology. 2011 Nov; 22(6): 797–804. doi: 10.1097/EDE.0b013e3182300720. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3188386/
- Renal cell carcinoma and occupational exposure to chemicals in Canada. https://pubmed.ncbi.nlm.nih.gov/12063361/
Read next

Treatment
Radiation therapy
Radiation therapy may be offered in the early stages of cancer treatment, or after it has started to spread.

Page
Our doctors
GenesisCare attracts and retains some of the most experienced doctors in the country.