<s>[INST] Hello,I had renal cell carcinoma and had a partial nephrectomy om 05/29/2013. After 4 weeks I noticed a swelling which has subsequently got to the size of my hand and gets bigger by night. It throbs intermittently a few times an hour. My incision itself looks good. I have a lot of pressure (new) on my bladder. It feels like when I was pregnant and the baby's head was going down into the birth canal. I have backache like pyelonephritis on and off, and I have heat running through my body, sweating on the back of my neck yest cold and clammy on my forehead. Yet no high temp on the thermometer.  I am so uncomfortable that I can only manage to be out and about for a couple of hours at a time. I'm normally a workaholic but can't bear the thought of going to work as a nurse.  I have had 5 previous abdominal surgeries prior to this.  What can all this mean? [/INST] Hello, Thanks for the query to H.C.M. Forum. Swelling is there about the size of hand ,but  where it is ? 2nd swelling is there at the hand ? So please exact the site where swelling developed. Also write down the type  of cancer ( benign or malignant ) in kidney ( squamous or columnar or other type). Pain  behind neck and in pelvic region may be due to metastasis (  from renal carcinoma). Also mention the type  of surgery performed five times for evaluation of diagnosis.Cold ,clammy forehead is not  due to any particular disease ,but due to tension ( stress ) through which going. Still I will advise you please consult an Oncologist and C T scan as well M R I are very important for you. Good luck. Dr. HET </s>