### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
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 babys 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. Im normally a workaholic but cant 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?

### output:

Hello, Thanks for the query to Chat Doctor. 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. 