Abstract:

Hypernephroma, renal adenocarcinoma, and renal or kidney cancer are all terms used to describe renal cell carcinoma . It's the most frequent type of adult kidney cancer. The kidneys are organs in our body that help you eliminate waste and maintain a healthy fluid balance. Tubules are small tubes that go through the kidneys. Patient history: A 35 year female  was admitted  AVBRH hospital on a date     12/6/2021 with chief complete  abdominal pain, fever Urine with blood (hematuria) On one side, you have low back ache  A bump on the side or in the lower back. Patients pain in abdominal it last 3 to 4 months. Clinical finding: The patient had undergone with various investigations like blood tests, urine test , Physical examination  sonography etc. Medical Management: Patient was treated calcium antibiotics are given to treat infection pain management Nursing management: Administered fluid replacement i.e. DNS and RL, ,NS, maintain input and output chart  maintain vital sign and record. Conclusion: Renal cell carcinoma can only be treated by surgical excision.. The optimum means of cure for patients with localised disease appears to be early closure of the renal artery and vein, followed by radical nephrectomy with regional lymphadenectomy. Surgical extirpation should be tried even when the tumour affects the vena cava, surrounding organs, or a single kidney, as the results of more extensive surgery have been favourable. Radiotherapy has not been found to be beneficial as a postoperative adjuvant, and when used before surgery, it may reduce local recurrence but does not appear to increase five-year survival

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