Thuener Jennifer E
Department of Family and Community Medicine, University of Kansas Medical Center, 850 North Hillside, Wichita, KS 67226, USA.
Prim Care. 2019 Jun;46(2):275-285. doi: 10.1016/j.pop.2019.02.009. Epub 2019 Apr 1.
The primary care physician should be familiar with renal and bladder cancer risk factors, symptoms, and workup. Bladder cancer generally presents with painless hematuria, which primary care providers may identify. Bladder cancer is treated more successfully when caught early. Patients need support and follow-up through treatment. Renal cell carcinoma is generally asymptomatic and commonly is an incidental finding on abdominal imaging. The workup of incidental renal masses is important and ensure appropriate follow-up and treatment are received. Renal cancer is easier to successfully treat when identified at an early stage, so proper identification is important for appropriate treatment.
初级保健医生应熟悉肾癌和膀胱癌的危险因素、症状及检查方法。膀胱癌通常表现为无痛性血尿，初级保健提供者可能会识别出这种症状。膀胱癌若早期发现，治疗成功率更高。患者在治疗过程中需要支持和随访。肾细胞癌通常无症状，常在腹部影像学检查时偶然发现。对偶然发现的肾肿块进行检查很重要，要确保患者得到适当的随访和治疗。肾癌若在早期被识别，更容易成功治疗，因此正确识别对于恰当治疗很重要。
