Last reviewed 01/2018
The most common features at presentation are:
- abdominal mass - palpable in 80% of patients, the mass is lateral and nodular and may be visible on inspection
- abdominal pain in 30% of patients - usually vague and poorly defined
- haematuria in 25% of patients, usually microscopic
Metastases are present in 20%. They mostly affect the liver and lungs, and occasionally, bone.
General symptoms are commonly anorexia, weight loss, fever and anaemia.
Paraneoplastic syndromes are rare. They may cause hypertension or erythrocytosis.