Rare but Serious: Kidney Cancer Symptoms in Teenagers Explained

There are several types and subtypes of kidney cancer. While uncommon, certain kinds can affect teenagers.

Kidney cancer is one of the types of cancer, but it's rare in teenagers.

It's unclear why some teenagers develop kidney cancer, but researchers think it may be related to genetics. Having genetic mutations for conditions, such as sickle cell disease, may of kidney cancer.

The outlook for a teen with kidney cancer is related to the type and stage of cancer they have. For many individuals, treatment is highly effective.

In this article, we go over the causes, symptoms, and outlook of kidney cancer in teens. We also explain which types of kidney cancer teenagers might get and why.

What is kidney cancer?

Kidney cancer is also referred to as renal cancer. Kidney cancer is cancer that starts when cells grow out of control in kidney tissues.

The kidneys are organs that cleanse and filter blood by removing excess salt, water, and waste products. These byproducts become urine.

There are two kidneys, located on each side of the spine, behind the abdomen. Kidney cancer can start in one or both kidneys.

Can teenagers get kidney cancer?

Except for certain childhood cancers, kidney cancer primarily affects older adults. The average age of onset for kidney cancer is . Even though it's rare, teenagers may also receive a diagnosis of kidney cancer.

In some instances, teens may be at the high end of the age spectrum for pediatric types of kidney cancer. Or they may be at the low end of the age spectrum for kidney cancers that typically affect adults.

What types of kidney cancer are more common in teenagers?

There are many types of kidney cancer. While rare, the kinds most likely to occur in teens include:

Renal cell carcinoma

Renal cell carcinoma (RCC) is the most common form of kidney cancer. cases of kidney cancers are RCCs. There are several RCC subtypes, which include:

• clear cell RCC
• nonclear cell RCC
• translocation RCC

RCC is in people under 45 years old. While rare in teens, RCC is types of kidney tumors found in children and teens.

Of the various RCC subtypes, translocation RCC and nonclear cell RCC are the ones most likely to be diagnosed in teenagers.

Renal medullary carcinoma

Renal medullary carcinoma (RMC) is a rare type of kidney cancer. It primarily affects young adults and adolescents of African descent who have sickle cell disease or carry the sickle cell trait.

RMC is an aggressive form of kidney cancer. It affects more males than females.

Wilms tumor (nephroblastoma)

Wilms tumor is a rare childhood kidney cancer that typically affects very young children ages 3 to 5 years. Around 650 new cases of Wilms tumor are diagnosed annually in the United States.

While very rare in older populations, this condition is sometimes diagnosed in adolescents, teenagers, and adults.

African American children have a higher risk of Wilms tumor than other ethnic groups. Certain inherited medical and genetic conditions increase risk. They include:

• aniridia
• hemihyperplasia
• Denys-Drash syndrome
• Beckwith-Wiedemann syndrome
• WAGR syndrome

What are the symptoms of kidney cancer in teenagers?

Symptoms of kidney cancer vary based on the type. They may include:

• lump or swollen mass in the abdomen
• blood in urine
• fever
• abdominal pain
• unexplained weight loss
• reduced appetite
• constipation
• fatigue
• high blood pressure
• anemia

What causes kidney cancer in teenagers?

There's no single cause of kidney cancer in teens. The reason one teen gets it and another one doesn't isn't completely understood.

Kidney cancer starts when mutations (changes) occur in the DNA of certain kidney cells. These mutations alter the way each cell behaves. When kidney cells become cancerous, they divide quickly and grow out of control. They may also spread (metastasize) to other parts of the body.

In teens, carrying inherited gene mutations for certain conditions, such as sickle cell disease, may make kidney cancer more likely to occur. Even so, kidney cancer in teens is rare.

How is kidney cancer diagnosed in teenagers?

Your teen's healthcare professional will conduct a medical history and physical exam to check for symptoms. They will also ask about your family's history of kidney cancer, sickle cell disease, and other conditions.

If kidney cancer is suspected, the healthcare professional may order these diagnostic tests:

• Blood tests: These blood tests include tests like a complete blood count and blood chemistry test.
• Urinalysis:Urinalysis is performed to check for blood in the urine.
• Imaging tests of the abdomen: Imaging tests include CT scan, MRI, or ultrasound.
• Biopsy: During a biopsy, a sample of kidney tissue is taken and examined.

What is the treatment for kidney cancer in teenagers?

Treatment for kidney cancer in teenagers is based on the stage and spread of the tumor.

Surgical removal of the tumor is a common first-line treatment. There are two types of kidney cancer surgery:

• Partial nephrectomy: The tumor and surrounding tissue are removed.
• Radical nephrectomy: The entire kidney is removed along with the tumor.

A partial nephrectomy may be done for early stage cancers that haven't spread outside of the kidney.

A radical nephrectomy may be done for later stage cancers that have spread outside of the kidney to nearby lymph nodes or other organs. It may also be used to remove larger tumors or multiple tumors.

When there's cancer in both kidneys, surgical removal of as much cancer as possible is done in each kidney. In some instances, both kidneys need to be removed. When this occurs, dialysis or a kidney transplant is needed.

Chemotherapy may be done before kidney cancer surgery to shrink the existing tumor or tumors. This makes surgery more likely to be successful. Chemotherapy may also be done after surgery to kill cancer cells that have metastasized to other areas of the body.

Other systemic treatments, such as targeted drug therapy and immunotherapy, may also be used to treat kidney cancer that has spread.

What are the risk factors for kidney cancer?

Some kidney cancer risk factors may take years to cause damage, making them less likely to affect teens. They include:

• smoking
• high blood pressure
• obesity
• long-term hepatitis C infection
• long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs)
• history of chronic kidney disease

Other risk factors may be more likely to cause kidney cancer in younger people. They include:

• family history of kidney cancer
• genetics
• ethnicity (African Americans, Native Americans, and Alaska Natives are most at risk)

What's the outlook for teenagers who have kidney cancer?

The stage and amount of spread of your teen's cancer will help determine their potential outcome. The type of kidney cancer they have is also an important factor.

Living a healthy lifestyle and staying on top of follow-up appointments and treatments will help ensure the best possible outcome. In some instances, a cure may be possible.

According to the , people with early stage, localized cancers have high survival rates. People with cancers that have spread regionally also have good survival rates. Kidney cancer that has metastasized can be more challenging to treat and presents the lowest overall survival rate.

It's important to remember that treatments for kidney cancer are constantly changing and improving. Your teen may also wish to participate in a clinical trial.

Frequently asked questions

There are many types of childhood kidney cancers. The most common pediatric kidney cancer is congenital mesoblastic nephroma. This cancer is typically diagnosed in infants younger than 1 year. It may also be diagnosed prenatally, before birth.

Most kidney cancers are not heritable or passed down from parent to child. Hereditary genetic mutations may make kidney cancer more common in some families.

Rare, inherited conditions may make some families more likely to experience multiple incidents of kidney cancer among members. These conditions include von Hippel-Lindau disease.

They can. Kidney stones may increase the risk of certain cancers, including renal cell carcinoma. However, not everyone who has kidney stones will go on to get kidney cancer. Kidney stones are uncommon in teens.

Dialysis is a manual treatment for kidney failure. It replaces healthy kidneys by filtering the blood and ridding the body of waste products, excess fluids, and toxins.

Takeaway

Kidney cancer in teenagers is rare. Having genetic mutations for conditions, such as sickle cell disease, may increase the risk of kidney cancer in some instances.

The outlook for teens with kidney cancer is determined, in part, by the type and stage of cancer they have. For many individuals, treatment is highly effective.