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lüll Malignant disease of the kidney An appraisal of diagnosis and management Chisholm GDAnn R Coll Surg Engl 1974[Jul]; 55 (1): 21-30The diverse systemic effects associated with malignant renal tumours are described. It is emphasized that their recognition is essential for the early diagnosis of the tumour and that many of these effects may be overlooked unless the clinician is alert to their significance. Many of these early diagnostic clues also have a prognostic value.Although the basic management of a patient with a renal tumour continues to be a nephrectomy, the importance of tumour staging in relation to radical surgery is emphasized. Adjuvant therapy by radiotherapy, drugs, or immunotherapy is described and evaluated.|*Nephrectomy[MESH]|Adenocarcinoma/diagnosis[MESH]|Alkaline Phosphatase/blood[MESH]|Alpha-Globulins[MESH]|Amyloidosis/complications[MESH]|Anemia/complications[MESH]|Blood Sedimentation[MESH]|Cachexia/complications[MESH]|Erythropoietin/blood[MESH]|Feeding and Eating Disorders/complications[MESH]|Fever of Unknown Origin/complications[MESH]|Hematuria/complications[MESH]|Hemoglobinometry[MESH]|Humans[MESH]|Immunotherapy[MESH]|Kidney Neoplasms/*diagnosis/radiotherapy/surgery[MESH]|Liver Function Tests[MESH]|Medroxyprogesterone/therapeutic use[MESH]|Parathyroid Hormone/metabolism[MESH]|Prognosis[MESH]|Renin/metabolism[MESH]|Urography[MESH] |