[The most common symptoms of kidney carcinoma]

According to A. Someren (1989), R. Heicapell and R. Ackermann (1992), Ritchie A. W. S., de Kernion (1987) renal carcinoma is a condition clinically "imperceptible", lacking typical symptoms. The clinical characteristics presented by 509 patients, treated in the Department of Urology (Clinical Center of Urology at the Medical University--Sofia) over the period 1973--1994, are discussed. Symptoms typical of the urogenital system, and atypical ones as well, are separately classified. A catamnestic follow-up study of the complaints is also done. Pain is the most frequently noted (77.38 per cent), next ranking hematuria (59.92 per cent), tumor mass palpation (26.38 per cent), with the classical triad bing recorded in 11.50 per cent. Carcinoma of the kidney is considered as one of the major imitators, mimicking a diverse and atypical clinical picture.