A client with newly diagnosed renal cancer is questioning why detection was delayed. Which is the best response by the nurse?
A) "Squamous cell carcinomas do not present with detectable symptoms."
B) "You should have sought treatment earlier."
C) "Very few symptoms are associated with renal cancer."
D) "Painless gross hematuria is the first symptom in renal cancer."
C
Feedback:
Renal cancers rarely cause symptoms in the early stage. Tumors can become quite large before causing symptoms. Painless, gross hematuria is often the first symptom in renal cancer and does not present until later stages of the disease. Adenocarcinomas are the most common renal cancer (about 80%), whereas squamous cell renal cancers are rare. It is not therapeutic to place doubt or blame for delayed diagnosis.
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