Skip to main content

Epidemiology of Renal Cell Carcinoma and Its Predisposing Risk Factors

  • Living reference work entry
  • First Online:
Urologic Oncology
  • 286 Accesses

Abstract

A more complete picture of the epidemiology and risk factors for developing renal cell carcinoma (RCC) is rapidly emerging at the confluence of the seemingly disparate fields of toxicology, epidemiology, pathology, pharmacology, information technology, genomic medicine, and clinical oncology. The Cancer Genome Atlas (TCGA) of the National Cancer Institute and the National Human Genome Research Institute of the United States was launched in 2005. The primary goal for constructing the Cancer Genome Atlas was to provide researchers with comprehensive catalogs of the key genomic changes that occur in many major types and subtypes of cancer in order to accelerate advances in developing more effective ways to diagnose, treat, and prevent cancer. The collection of samples is complete for the three most common forms of RCC: clear cell, papillary, and chromophobe. Extensive amounts of data are now publicly available via the Data Portal for the Genomic Data Commons (GDC). In addition, in 2011, the International Agency for Research on Cancer (IARC), a division of the World Health Organization (WHO) of the United Nations, published an updated monograph in an extended series on human carcinogens and preventable exposures associated with human cancers. Subsequently, the IARC also published an update of the classification of renal tumors in 2016 based, in large part, on an extensive review of the literature that was conducted by the International Society of Urological Pathology (ISUP). Furthermore, multiple, large-scale epidemiologic studies and meta-analyses have helped to clarify the magnitude of the impact of certain predisposing risk factors for developing RCC including poorly understood and poorly appreciated differences in racial predisposition for the common histologic subtypes. The goal of this chapter is to present an update of these wide-ranging findings in a way that is well documented and easily understood.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  • Argani P, Lae M, Ballard ET, Amin M, Manivel C, Hutchinson B, Reuter VE, Ladanyi M. Translocation carcinomas of the kidney after chemotherapy in childhood. J Clin Oncol. 2006;24:1529–34.

    Article  CAS  PubMed  Google Scholar 

  • Bao C, Yang X, Xu W, Luo H, Xu Z, Su C, Qi X. Diabetes mellitus and incidence and mortality of kidney cancer: a meta-analysis. J Diabetes Complicat. 2013;27:357–64.

    Article  PubMed  Google Scholar 

  • Bausch B, Jilg C, Glasker S, Vortmeyer A, Lutzen N, Anton A, et al. Renal cancer in von Hippel–Lindau disease and related syndromes. Nat Rev. 2013;9:529–38.

    CAS  Google Scholar 

  • Behrens G, Leitzman MF. The association between physical activity and renal cancer: systematic review and meta-analysis. Br J Cancer. 2013;108:798–811. https://doi.org/10.1038/bjc.2013.37.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bellocco R, Pasquali E, Rota M, Bagnardi V, Tramacere I, Scotti L, et al. Alcohol drinking and risk of renal cell carcinoma: results of a meta-analysis. Ann Oncol. 2012;23:2235–44.

    Google Scholar 

  • Bissler JJ, Kingswood JC, Radzikowska E, Zonnenberg BA, Frost M, Belousova E, et al. Everolimus for angiomyolipoma associated with tuberous sclerosis complex or sporadic lymphangioleiomyomatosis (EXIST-2): a multicentre, randomised, double-blind, placebo-controlled trial. Lancet. 2013;381:817–24.

    Article  CAS  PubMed  Google Scholar 

  • Calderaro J, Masliah-Planchon J, Richer W, Maillot L, Maille P, Mansuy L, Bastien C, et al. Balanced translocations disrupting SMARCB1 are hallmark recurrent genetic alterations in renal medullary carcinomas. Eur Urol. 2016;69:1055–61.

    Article  CAS  PubMed  Google Scholar 

  • Chaturvedi AK, Engels EA, Gilbert ES, Chen BE, Storm H, Lynch CF, et al. Second cancers among 104,760 survivors of cervical cancer: evaluation of long-term risk. J Natl Cancer Inst. 2007;99:1634–43.

    Article  PubMed  Google Scholar 

  • Cheungpasitporn W, Thongprayoon C, O’Corragain OA, et al. The risk of kidney cancer in patients with kidney stones: a systematic review and meta-analysis. QJM. 2015;108:205–12.

    Article  CAS  PubMed  Google Scholar 

  • Choi Y, Park B, Jeong BC, Seo SI, Jeon SS, Choi HY, Adami H-O, Lee JE, Lee HM. Body mass index and survival in patients with renal cell carcinoma: a clinical-based cohort and meta-analysis. Int J Cancer. 2013;132:625–34.

    Article  CAS  PubMed  Google Scholar 

  • Choueiri TK, Je Y, Cho E. Analgesic use and the risk of kidney cancer: a meta-analysis of epidemiologic studies. Int J Cancer. 2014;134(2):384–96.

    Article  PubMed  Google Scholar 

  • Chow WH, Gridley G, Fraumeni JF Jr, Jarvholm B. Obesity, hypertension and the risk of kidney cancer in men. N Engl J Med. 2000;343:1305–11.

    Article  CAS  PubMed  Google Scholar 

  • Chow W-H, Shuch B, Linehan WM, Devesa SS. Racial disparity in renal cell carcinoma patient survival according to demographic and clinical characteristics. Cancer. 2013;119:388–94.

    Article  PubMed  Google Scholar 

  • Clague J, Lin J, Cassidy A, Matin S, Tannir NM, Tamboli P, et al. Family history and risk of renal cell carcinoma: results from a case-control study and systematic meta-analysis. Cancer Epidemiol Biomark Prev. 2009;18:801–7.

    Article  Google Scholar 

  • Cogliano VJ, Baan R, Straif K, Gross Y, Lauby-Secretan B, et al. Preventable exposures associated with human cancers. J Natl Cancer Inst. 2011;103:1827–39.

    Article  PubMed  PubMed Central  Google Scholar 

  • Corrao G, Scotti L, Bagnardi V, Sega R. Hypertension, antihypertensive therapy and renal-cell cancer: a meta-analysis. Curr Drug Saf. 2007;2:125–33.

    Article  PubMed  Google Scholar 

  • Cumberbatch MG, Rota M, Catto JWF, La Vecchia C. The role of tobacco smoke in bladder and kidney carcinogenesis: a comparison of exposures and meta-analysis of incidence and mortality risks. Eur Urol. 2016;70(3):458–66.

    Article  CAS  PubMed  Google Scholar 

  • Davis CF, Ricketts CJ, Wang M, Yang L, Cherniack AD, Shen H, et al. The somatic genomic landscape of chromophobe renal cell carcinoma. Cancer Cell. 2014;26:319.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Delahunt B. The history of renal neoplasia. uscapknowledgehub.org/site~/98th/pdf/companion09h02.pdf.

  • Ellis CL, Eble JN, Subhawong AP, Martignoni G, Zhong M, Ladanyi M, Epstein JI, Netto GJ, Argani P. Clinical heterogeneity of Xp11 translocation renal cell carcinoma: impact of fusion subtype, age, and stage. Mod Pathol. 2014;27:875–86.

    Article  CAS  PubMed  Google Scholar 

  • Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, et al. Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur J Cancer. 2013;49:1374–403.

    Article  CAS  PubMed  Google Scholar 

  • George SM, Moore SC, Chow W-H, Schatzkin A, Hollenbeck AR, Matthews CE. A prospective analysis of prolonged sitting time and risk of renal cell carcinoma among 300,000 older adults. Ann Epidemiol. 2011;21:787–90. https://doi.org/10.1016/j.annepidem.2011.04.012.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gordon SC, Moonka D, Brown KA, Rogers C, Huang MAY, Bhatt N, Lamerato L. Risk for renal cell carcinoma in chronic hepatitis C infection. Cancer Epidemiol Biomark Prev. 2010;19(4):1066–73.

    Article  CAS  Google Scholar 

  • Guan HB, QJ W, Gong TT. Parity and kidney cancer risk: evidence from epidemiologic studies. Cancer Epidemiol Biomark Prev. 2013;22(12):2345–53.

    Article  Google Scholar 

  • Guha N, Loomis D, Grosse Y, Lauby-Secretan B, El Ghissassi F, Bouvard V, et al. Carcinogenicity of trichloroethylene, tetrachloroethylene, some other chlorinated solvents, and their metabolites. Lancet Oncol. 2012;13:1192–3.

    Article  PubMed  Google Scholar 

  • Haas NB, Nathanson KL. Hereditary renal cancer syndromes. Adv Chronic Kidney Dis. 2014;21(1):1–17.

    Article  Google Scholar 

  • Hall EC, Pfeiffer RM, Segev DL, Engels EA. Cumulative incidence of cancer after solid organ transplantation. Cancer. 2013;119(12):2300–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Harris WB, Zhang C, Liu Y, Robertson DK, Akbashev MY, Lingerfelt BM, Kucuk O, Carthon BC, Gillespie TW, Master VA. Time-dependent effects of prognostic biomarkers of systemic inflammation in patients with metastatic renal cell carcinoma (mRCC). Tumor Biol. 2017;39(6):1010428317705514. https://doi.org/10.1177/1010428317705514.

  • Hu J, Mao Y, White K, et al. Renal cell carcinoma and occupational exposure to chemicals in Canada. Occup Med. 2002;52(3):157–64.

    Article  CAS  Google Scholar 

  • Hu J, Mao Y, DesMeules M, Csizmadi I, Friedenreich C, Mery L, The Canadian Cancer Registries Epidemiology Research Group. Total fluid and specific beverage intake and risk of renal cell carcinoma in Canada. Cancer Epidemiol. 2009;33:355–62.

    Google Scholar 

  • Karami S, Daugherty SE, Purdue MP. Hysterectomy and kidney cancer risk: a meta-analysis. Int J Cancer. 2014;134(2):405–10.

    Article  PubMed  Google Scholar 

  • Kolonel LN. Association of cadmium with renal cancer. Cancer. 1976;37:1782–7.

    Article  CAS  PubMed  Google Scholar 

  • Krishnan B, Rose TL, Kardos J, et al. Intrinsic genomic differences between African American and white patients with clear cell renal cell carcinoma. JAMA Oncol. 2016;2(5):664–7.

    Article  Google Scholar 

  • Latif F, Tory K, Gnarra J, Yao M, Duh FM, Orcutt ML, Stackhouse T, et al. Identification of the von Hippel-Lindau disease tumor suppressor gene. Science. 1993;260:1317–20.

    Article  CAS  PubMed  Google Scholar 

  • Lauby-Secretan B, Scoccianti C, Loomis D, Grosse Y, Bianchini F, Straif K. Body fatness and cancer – viewpoint of the IARC Working Group. N Engl J Med. 2016;375(8):794–8.

    Article  PubMed  Google Scholar 

  • Liu H, Sundquist J, Hemminki K. Familial renal cell carcinoma from the Swedish Family-Center Database. Eur Urol. 2011;60:987–93.

    Article  PubMed  Google Scholar 

  • Liu X, Ji J, Forsti A, Sundquist K, Sundquist J, Hemminki K. Autoimmune disease and subsequent urological cancer. J Urol. 2013;189:2262–8.

    Article  PubMed  Google Scholar 

  • Lowrance WT, Ordoñez J, Udaltsova N, Russo P, Go AS. CKD and the risk of incident cancer. J Am Soc Nephrol. 2014;25:2327–34.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Moch H, Cubilla AL, Humphrey PA, Reuter VE, Ulbright TM. The 2016 WHO classification of tumors of the urinary system and male genital organs – part A: renal, penile, and testicular tumors. Eur Urol. 2016;70:93–105.

    Article  PubMed  Google Scholar 

  • Moore LE, Boffetta P, Karami S, Brennan P, Stewart PS, Hung R, et al. Occupational trichloroethylene exposure and renal carcinoma risk: evidence of genetic susceptibility by reductive metabolism gene variants. Cancer Res. 2010;70:6527–36.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • National Cancer Institute: SEER stat fact sheets: kidney and renal pelvis cancer. Bethesda: National Cancer Institute; 2014. Available online. Last accessed 30 June 2016. https://seer.cancer.gov/statfacts/html/kidrp.html

  • Olshan AF, Kuo T-M, Meyer A-M, et al. Racial difference in histologic subtype of renal cell carcinoma. Cancer Med. 2013;2:744–9.

    PubMed  PubMed Central  Google Scholar 

  • Ozasa K, Shimizu Y, Suyama A, et al. Studies of the mortality of atomic bomb survivors, report 14, 1950–2003: an overview of cancer and noncancer diseases. Radiat Res. 2012;177(3):229–43.

    Article  CAS  PubMed  Google Scholar 

  • Pal SK, Choueiri TK, Wang K, Khaira D, Karam JA, van Allen E, et al. Characterization of clinical cases of collecting duct carcinoma of the kidney assessed by comprehensive genomic profiling. Eur Urol. 2016;70:516–21.

    Article  PubMed  Google Scholar 

  • Parker AS, Cerhan JR, Lynch CF, Leibovich BC, Cantor KP. History of urinary tract infection and risk of renal cell carcinoma. Am J Epidemiol. 2004;159:42–8.

    Article  PubMed  Google Scholar 

  • Rohan S, JJ T, Kao J, Mukherjee P, Campagne F, Zhou XK, et al. Gene expression profiling separates chromophobe renal cell carcinoma from oncocytoma and identifies vesicular transport and cell junction proteins as differentially expressed genes. Clin Cancer Res. 2006;12:6937–45.

    Article  CAS  PubMed  Google Scholar 

  • Schmidt LS, Warren MB, Nickerson ML, Weirich G, Matrosova V, Toro JR, et al. Birt-Hogg-Dube´ syndrome, a genodermatosis associated with spontaneous pneumothorax and kidney neoplasia, maps to chromosome 17p11.2. Am J Hum Genet. 2001;69:876–82.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Scott CS, Jinot J. Trichloroethylene and cancer: systematic and quantitative review of epidemiologic evidence for identifying hazards. Int J Environ Res Public Health. 2011;8:4238–72.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Serie DJ, Joseph RW, Cheville JC, Ho TH, Parasramka M, Hilton T, Eckel-Passow JE. Clear cell type A and B molecular subtypes in metastatic clear cell renal cell carcinoma: tumor heterogeneity and aggressiveness. Eur Urol. 2017;71(6):979–85. https://doi.org/10.1016/j.eururo.2016.11.018.

    Article  CAS  PubMed  Google Scholar 

  • Siegel RL, Miller KD, Jernal A. Cancer statistics, 2017. CA Cancer J Clin. 2017;67:7–30.

    Article  PubMed  Google Scholar 

  • Sukov WR, Hodge JC, Lohse CM, et al. ALK alterations in adult renal cell carcinoma: frequency, clinicopathologic features and outcome in a large series of consecutively treated patients. Mod Pathol. 2012;25:1516–25.

    Article  CAS  PubMed  Google Scholar 

  • Tavani A, Rosato V, Di Palma F, et al. History of cholelithiasis and cancer risk in a network of case-control studies. Ann Oncol. 2012;23(8):2173–8.

    Article  CAS  PubMed  Google Scholar 

  • The Cancer Genome Atlas Research Network. Comprehensive molecular characterization of clear cell renal cell carcinoma. Nature. 2013;499:43–9.

    Article  PubMed Central  Google Scholar 

  • The Cancer Genome Atlas Research Network. Comprehensive molecular characterization of papillary renal-cell carcinoma. N Engl J Med. 2016;374(2):135–45.

    Article  Google Scholar 

  • Travis LB, Fossa SD, Schonfeld SJ, McMaster ML, Lynch CF, Storm H, et al. Second cancers among 40,576 testicular cancer patients: focus on long-term survivors. J Natl Cancer Inst. 2005;97:1354–65.

    Article  PubMed  Google Scholar 

  • Waldert M, Klatte T, Haitel A, Ozsoy M, Schmidbauer J, Marberger M, et al. Hybrid renal cell carcinomas containing histopathologic features of chromophobe renal cell carcinomas and oncocytomas have excellent oncologic outcomes. Eur Urol. 2010;57:661–6.

    Article  PubMed  Google Scholar 

  • White MC, Espey DK, Swan J, Wiggins CL, Eheman C, Kaur JS. Disparities in cancer mortality and incidence among American Indians and Alaska natives in the United States. Am J Public Health. 2014;104(suppl 3):S377–87.

    Article  PubMed  PubMed Central  Google Scholar 

  • Yanik EL, Clarke CA, Synder JJ, Pfeiffer RM, Engels EA. Variation in cancer incidence among patients with ESRD during kidney function and nonfunction intervals. J Am Soc Nephrol. 2016;27:1495–504.

    Article  CAS  PubMed  Google Scholar 

  • Yu TM, Chuang YW, MC Y, et al. Risk of cancer in patients with polycystic kidney disease: a propensity-score matched analysis of a nationwide, population-based cohort study. Lancet Oncol. 2016;17:1419–25.

    Article  PubMed  Google Scholar 

  • Znaor A, Lortet-Tieulent J, Laversanne M, et al. International variations and trends in renal cell carcinoma incidence and mortality. Eur Urol. 2015;67:519–30.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wayne B. Harris .

Editor information

Editors and Affiliations

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG (outside the USA)

About this entry

Cite this entry

Harris, W.B. (2017). Epidemiology of Renal Cell Carcinoma and Its Predisposing Risk Factors. In: Merseburger, A., Burger, M. (eds) Urologic Oncology. Springer, Cham. https://doi.org/10.1007/978-3-319-42603-7_55-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-42603-7_55-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42603-7

  • Online ISBN: 978-3-319-42603-7

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics