But risk factors don't tell us everything. Having a risk factor, or even several risk factors, does not mean that you will get the disease. And some people who get the disease may not have had any known risk factors. Even if a person with kidney cancer has a risk factor, it is often very hard to know how much that risk factor may have contributed to the cancer.

Scientists have found several risk factors that may make you more likely to develop kidney cancer.

Lifestyle-Related and Job-Related Risk Factors

Smoking

Smoking increases the risk of developing renal cell carcinoma. The increased risk seems to be related to the amount you smoke. The risk drops if you stop smoking, but it takes many years to approach the level of someone who never smoked.

Obesity

People who are very overweight have a higher risk of developing renal cell cancer. Some doctors think obesity is a factor in about 2 out of 10 people who get this cancer. Obesity may cause changes in certain hormones that can lead to renal cell carcinoma.

Workplace Exposures

Many studies have suggested that workplace exposure to certain substances increases the risk for renal cell carcinoma. Some of these are asbestos, cadmium (a type of metal), some herbicides, benzene, and organic solvents, particularly trichloroethylene.

Genetic and Hereditary Risk Factors

Some people inherit a tendency to develop certain types of cancer. The DNA that you inherit from your parents may have certain changes that account for this tendency to develop cancer. Kidney cancer can be caused by some rare inherited conditions. People who have these conditions have a much higher risk for getting kidney cancer, although they account for only a small portion of cases overall.

von Hippel-Lindau Disease

People with this condition often develop several kinds of tumors and cysts (fluid-filled sacs) in different parts of the body. They are at increased risk for developing clear cell renal cell carcinoma, especially at a younger age. They may also have benign tumors in their eyes, brain, spinal cord, pancreas and other organs; and a type of adrenal gland tumor called pheochromocytoma. This condition is caused by mutations (changes) in the VHL gene.

Hereditary Papillary Renal Cell Carcinoma

People with this condition have an inherited tendency to develop one or more papillary renal cell carcinomas, but they do not have tumors in other parts of the body, as is the case with the other inherited conditions listed here. This disorder is thought to be caused by changes in the MET gene.

Hereditary Leiomyomatosis and Renal Cell Carcinoma

People with this syndrome develop smooth muscle tumors called leiomyomas or fibroids of the skin and uterus (in women) and have a higher risk for developing papillary renal cell cancers. It has been linked to changes in the fumarate hydratase (FH) gene.

Birt-Hogg-Dube Syndrome

People with this syndrome, which is characterized by the development of small benign skin tumors, have an increased risk of developing different kinds of renal cell cancers. They may also have benign or malignant tumors of several other tissues. The gene linked to this condition is known as BHD.

Hereditary Renal Oncocytoma

Some people inherit the tendency to develop a kidney tumor called oncocytoma, which has a very low potential for being malignant.

It is important that people who have hereditary causes of renal cell cancer see their doctors frequently, particularly if they have already had a renal cell cancer diagnosed. Some doctors recommend regular imaging tests (such as CT scans) for these people.

Other Risk Factors

Family History of Kidney Cancer

People with a strong family history of renal cell cancer (without one of the known inherited conditions listed above) also have a higher chance of developing this cancer. This risk is even higher in siblings (brothers or sisters) of those affected. It's not clear if this is due to genetics, a shared environmental exposure, or some combination of these.

High Blood Pressure

The risk of kidney cancer is higher in people with high blood pressure. Some studies have suggested that certain medicines used to treat high blood pressure may raise the risk of kidney cancer, but it is hard to tell whether the condition or the medication (or both) may be the cause of the increased risk.

Certain Medicines

Phenacetin, once a popular non-prescription pain reliever, has been linked to renal cell cancer in the past. Because this medicine has not been available in the United States for over 20 years, this no longer appears to be a major risk factor.

Some studies have suggested that diuretics (medicines that treat high blood pressure by causing the kidneys to remove salt and fluid from the body) may be linked to renal cell carcinoma. It is not clear whether the cause is the drugs or the high blood pressure itself. If you need diuretics, you should take them. You shouldn't avoid them to try to reduce the risk of kidney cancer.

Advanced Kidney Disease

People with advanced kidney disease, especially those needing dialysis, have a higher risk of renal cell carcinoma. Dialysis is a treatment used to remove toxins from your body if the kidneys do not work properly.

Gender

Renal cell carcinoma is about twice as common in men as in women. Men are more likely to be smokers and are more likely to be exposed to cancer-causing chemicals at work, which may account for some of the difference.

Race

Blacks have a slightly higher rate of renal cell cancer than whites. The reasons for this are not clear.

Last Revised: 10/22/2007