Renal cell carcinoma - a local experience

Abstract

A review of 23 cases of renal cell carcinoma was undertaken. The sex distribution was 3.6 males to 1 female, the male preponderance being higher than in most reported series. The tumour was most common in the 6th and 7th decades of life. Hematuria was the commonest presenting symptom (52.2%); however, all the features of the classical triad of hematuria, loin pain and swelling, were not present in any of our patients; 26% of patients presented with non-urological symptoms. At the time of diagnosis, 4 patients (17.3%) had evidence of metastasis. Another 4 developed secondaries after nephrectomy. Our approach to renal cell carcinoma has been aggressive and all 23 patients including those with metastasis were treated by nephrectomy.