Several risk factors have been associated with kidney cancer, including;
high blood pressure (hypertension)
long-term dialysis treatment
genetics, including inherited syndromes such as tuberous sclerosis, familial papillary renal cell carcinoma, Hippel-Lindau disease and Birt-Hogg-Dube syndrome.
In its earliest stages, kidney cancer causes few symptoms, which is why it's important to be screened or to discuss screening with Dr. Liang if you have any risk factors for kidney cancer. As kidney cancer progresses, it can cause symptoms such as:
blood in the urine
unintended weight loss
persistent lower back pain and achiness
If you have symptoms of kidney cancer or you're at increased risk for developing the cancer, Dr. Liang will perform urine tests and blood tests to look for signs of cancer initially. Based on those results, he may also order imaging tests to look at your kidneys and the surrounding area or perform a biopsy to remove a small tissue sample from your kidneys for microscopic evaluation. If cancer is diagnosed, Dr. Liang will determine how far the cancer has advanced by staging it using CT imaging or other methods.
Treatment will depend on the type of cancer, your health, and other factors. In many cases, surgery will be performed to remove the tumor or the entire kidney when needed. Other possible treatments include cryoablation to freeze the cells or radiofrequency ablation to heat them and destroy them. When cancer has spread beyond the kidneys, radiation therapy, chemotherapy or use of special immune-boosting drugs called biologics may be ordered.
Leonard W. Liang, M.D., is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.
"Dr. Liang is extremely personable. He is always a great listener and offered many options for my problem starting with least invasive."
"Dr. Liang spent a lot of time with me. He patiently answered all my questions and carefully examined me and explained his plan for me."
"My husband got a vasectomy by Dr. Liang. He did well and recovered without any problems. Dr. Liang has excellent bedside manner."
"I was really sick at Good Samaritan Hospital with a kidney stone. Dr. Liang came in the middle of the night and relieved the blockage. "
"I feel very comfortable every visit. He is always a great listener and offered many options for my problem starting with least invasive. "
"I would highly recommend Dr. Liang as well, because I work in the medical field and I've seen some terrible doctors, but Dr. Liang is the exception."
"He understands my issues and has done everything he can to help thus far; plus, he's quite friendly and knows what he's doing."