INDEX clinical presentation

Renal carcinoma continues to be a major cause of morbidity and mortality worldwide (Table 16.12). Last year, approximately 54,000 new renal tumor patients were diagnosed and 13,000 deaths were ascribed to renal cancer in the United States. Renal cell carcinoma (RCC) is the seventh most common neoplasm in American males and the ninth most common neoplasm in females. There is a twofold to threefold male predominance of RCC incidence but no obvious racial predilection. Recognized risk factors include tobacco smoking, obesity (body mass index >29 may double the risk of RCC) and acquired or hereditary polycystic diseases. The classic clinical presentation symptom triad of flank pain, hematuria, and palpable mass is no longer the... 

The Concise Guides address topics of special concern to psychiatrists in clinical practice. The books in this series contain a detailed table of contents, along with an index, tables, figures, and other charts for easy access. The books are designed to fit into a laboratory coat pocket or jacket pocket, which makes them a convenient source of information. References have been limited to those most relevant to the material presented. 

It is not common practice to screen routinely for this disorder as the milder variants are not clinically hazardous, and screening for the rarer variants is impractical. In high-prevalence populations (Africans, Mediterranean) however, there should be a high index of suspicion in patients presenting with appropriate clinical symptoms. 

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