The commonest systemic abnormality associated with renal cell carcinoma Is -: (A) Hypeension, (B) Polycythemia, (C) Elevated ESR, (D) Pyrexia
Answer is C. The preoperative erythrocyte sedimentation rate is an independent prognostic factor in renal cell carcinoma. An elevated erythrocyte sedimentation rate (ESR) repoedly has been associated with a poor prognosis among patients with RCC, but the ESR is not incorporated into existing nomograms Ref Harrison20th edition pg 288