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Clear Cell Sarcoma of the Kidney

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Posted by fatima.shakeel@opmc.co | Nov 19, 2024

What is Clear Cell Sarcoma of the Kidney?

Clear Cell Sarcoma of the Kidney is a rare and aggressive type of kidney cancer that mainly affects young children, typically between ages 1 and 4. It differs from the more common Wilms tumour due to its unique cancer cell structure.

Causes

The exact cause is unknown, but genetic changes may play a role. In rare cases, it is associated with certain birth conditions, like Beckwith-Wiedemann syndrome.

Signs and Symptoms

Symptoms often include:

  • Abdominal swelling or a palpable lump
  • Blood in the urine
  • Fever
  • Occasionally high blood pressure
    In advanced cases, the cancer may spread to bones or lungs.

Diagnosis

Diagnosis typically includes:

  • Imaging tests (ultrasound, CT scan, MRI) to locate and evaluate the tumour
  • Biopsy or examination during kidney surgery to confirm the diagnosis

Treatment

Standard treatment involves:

  • Surgical removal of the affected kidney (nephrectomy)
  • Follow-up chemotherapy to reduce recurrence or spread
  • Radiation therapy may be considered if there’s metastasis or incomplete removal

Prognosis

The outlook varies:

  • For localised cases, the five-year survival rate is about 70%
  • Prognosis worsens if the cancer has spread, underscoring the importance of early detection

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