Urologically silent Grawitz tumor. General framework of paraneoplastic syndromes and personal experiences

: The symptomatological triad of Grawitz tumour (haematuria, renal mass, lumbar pain) is rarely observed, whereas clinical signs and symptoms indicative of an internist pathology. An account is given of the more common paraneoplastic syndromes that may be associated with renal adenocarcinoma. If correctly evaluated, these permit early diagnosis and resolutive surgery. Reference is made to personal experience in emphasising that there are extremely few diagnostic features in cases of urologically silent Grawitz tumour.