HPRCCHigh Plains Regional Climate Center (University of Nebraska - Lincoln)
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Renal cell carcinoma (RCC) is the sixth most common cancer in men and the eighth most common in women.[sup.1] In Canada there were 5900 new diagnoses and 1740 deaths from RCC in 2013.[sup.2] Most are sporadic; however between 4% and 8% can be classified as hereditary.[sup.3,4] Some authors suggest that the true incidence of hereditary RCC (HRCC) may be much higher, but current estimates suffer from under diagnosis and underreporting.[sup.5,6] Several hereditary syndromes have been identified, the most common of which are Von Hippel-Lindau (VHL), hereditary papillary RCC (HPRCC), hereditary leiomyomatosis and RCC (HLRCC), Birt-Hogg-Dube syndrome (BHD), and tuberous sclerosis complex (TSC).
The long-term (1960-2000) average annual precipitation is 65 cm, and about 75% of this falls during the growing season (April through September) (HPRCC, 2004).