Is Kidney Cancer Hereditary?

Kidney cancer is usually not hereditary, but in some people it can be linked to genetic factors passed through families. Understanding whether kidney cancer runs in families helps identify those who may benefit from genetic testing and closer medical follow-up.

Most cases of kidney cancer occur sporadically, meaning they happen by chance and are not inherited. In these cases, genetic changes develop only in the kidney cells during a person’s lifetime, often due to aging, smoking, obesity, or high blood pressure. However, about 5 to 8 percent of all kidney cancers are hereditary, caused by specific mutations present from birth that can be passed from one generation to the next.

Several inherited syndromes are known to increase the risk of kidney cancer. The most well-known is von Hippel–Lindau (VHL) disease, which causes multiple tumors and cysts in different organs, including the kidneys. People with VHL often develop kidney tumors at a younger age, and these tumors may appear in both kidneys.

Another condition, hereditary papillary renal cell carcinoma (HPRCC), is caused by mutations in the MET gene and leads to multiple papillary-type kidney cancers. Similarly, Birt–Hogg–DubĂ© syndrome, caused by mutations in the FLCN gene, increases the risk of chromophobe renal cell carcinoma and other benign growths on the skin and lungs. Tuberous sclerosis complex and hereditary leiomyomatosis and renal cell cancer (HLRCC) are additional syndromes that can lead to kidney tumors, often with more aggressive behavior.

People who inherit one of these conditions have a much higher lifetime risk of developing kidney cancer, sometimes decades earlier than the general population. Because these genetic changes are present in all cells of the body, they can be identified through genetic testing, which uses a simple blood or saliva sample. Testing is especially recommended if several family members have had kidney cancer, if tumors occur at a young age, or if both kidneys are affected.

Even though hereditary kidney cancers are rare, knowing about them can save lives. Family members who carry the same mutation can be monitored regularly with imaging tests such as ultrasound or MRI so that any tumors can be detected early and treated before they spread.

In summary, most kidney cancers are not hereditary, but a small percentage are caused by inherited genetic mutations. Understanding family history and, when appropriate, seeking genetic counseling can help with early diagnosis, prevention, and peace of mind.

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