The commonest systemic abnormality associated with renal cell carcinoma Is -
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
Hypeension
Polycythemia
Elevated ESR
Pyrexia
Kidney