Causes and risk factors of kidney cancer

The causes of kidney cancer are unknown. Some factors can increase the risk of developing kidney cancer.

What are risk factors?

The causes of kidney cancer are unknown. But there are certain things that can affect the chances of developing kidney cancer. These are called risk factors.

Having a risk factor does not mean you will get kidney cancer. And not having any risk factors does not mean you will not get it.

Cancer is not infectious, and you cannot pass it on to other people.

If you are worried about kidney cancer and would like to talk to someone, we are here. You can:

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Sex

Kidney cancer is more common in men than in women.

Age

The risk of kidney cancer increases with age. Most people who get kidney cancer are over 60 years old. But it can affect people younger than this.

Smoking

Smoking increases the risk of kidney cancer. The more you smoke, the greater your risk.

The risk goes down when you stop smoking. After you have stopped smoking for 10 years, the risk returns to the same as a non-smoker.

Being overweight

Studies show that being significantly overweight (obese) increases the risk of kidney cancer.

High blood pressure

Having high blood pressure may slightly increase the risk of kidney cancer. But most people with high blood pressure do not develop kidney cancer.

Kidney disease

People with advanced kidney disease have a higher risk of kidney cancer. The risk is greatest for people who need dialysis. Dialysis is a treatment that does the work of the kidneys if they are not working properly.

Waste products from the blood can sometimes cause hard stones to form in the kidneys. Men with these kidney stones have a higher risk of kidney cancer.

Diabetes

If you have type 1 diabetes, you have a higher risk of kidney cancer – particularly if you use insulin to control the diabetes.
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Family history

Most people who get kidney cancer do not have a family history of it. But your risk may be higher than average if a close family member has had kidney cancer. Close family members are your parents, brothers, sisters or children.

Genetic risk

Some rare genetic conditions can increase the risk of developing kidney cancer. These include:

  • von Hippel-Lindau disease
  • hereditary papillary RCC (HPRCC)
  • Birt-Hogg-Dubé (BHD) syndrome
  • tuberous sclerosis
  • sickle cell disease or sickle cell trait.

Kidney cancers caused by an inherited gene change (mutation) are more likely to happen at a younger age. They may cause several tumours and can affect both kidneys.

People who have had thyroid cancer have an increased risk of kidney cancer. This may be because of genetic mutations that are linked to both cancers.

Exposure to certain materials at work

An increased risk of kidney cancer has been linked to working with blast furnaces or coke ovens in the steel and coal industries. There is also an increased risk when exposed to certain materials, such as lead and asbestos.

About our information

This information has been written, revised and edited by Macmillan Cancer Support’s Cancer Information Development team. It has been reviewed by expert medical and health professionals and people living with cancer.

Dr Lisa Pickering, Consultant Medical Oncologist in Renal and Skin Cancers and the Royal Marsden Hospital, London

Dr Lisa Pickering

Reviewer

Consultant Medical Oncologist in Renal and Skin Cancers

Royal Marsden Hospital, London

Date reviewed

Reviewed: 01 April 2025
|
Next review: 01 April 2028
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