Inclusion Criteria:
* CASE TISSUE:
* Patient has a histological diagnosis of primary clear cell RCC, papillary cell RCC, clear cell papillary RCC, chromophobe RCC, oncocytoma, or urothelial cell carcinoma
* Age \>= 18 years
* CASE BLOODS AND URINE:
* Patient has a histological diagnosis of primary clear cell RCC, papillary cell RCC, chromophobe RCC, oncocytoma, or urothelial cell carcinoma
* Age \>= 18 years
* HEALTHY CONTROL BLOODS AND URINE:
* Patients has undergone negative hematuria workups (defined as negative abdominal imaging and negative cystoscopy
* Age \>= 18 years
Exclusion Criteria:
* CASE TISSUE:
* Patient has von Hippel-Lindau disease (VHL), Hereditary leiomyomatosis and renal cell cancer (HLRCC), Hereditary papillary renal carcinoma (HPRC), or Birt-Hogg-Dube syndrome (BHD)
* The current target pathology is a recurrence
* Patient has undergone any prior radiation therapy to target lesion prior to surgery
* Patient has received chemotherapy class drugs in the 5 years prior to surgery
* Patient has had any transplants prior to surgery
* Patient has confirmation of Lynch Syndrome, is presumed to have Lynch Syndrome, or has familial cancer syndrome X
* Patient has Nephritis (Glomerulus or Interstitial), Poly Cystic Kidney Disease, Glomerulonephropathies or Acquired Renal Kidney Disease
* RENAL CONTROL TISSUE:
* Patient has von Hippel-Lindau disease (VHL), Hereditary leiomyomatosis and renal cell cancer (HLRCC), Hereditary papillary renal carcinoma (HPRC), or Birt-Hogg-Dube syndrome (BHD).
* Patient has inflammation, atypia, or hyperplasia of the parenchyma
* Patient has a current or past history of renal cancer.
* Patient has undergone any prior radiation therapy to target lesion prior to surgery
* Patient has received chemotherapy class drugs in the 5 years prior to surgery
* Patient has had any transplants prior to surgery
* Patient has confirmation of Lynch Syndrome, is presumed to have Lynch Syndrome, or has familial cancer syndrome X
* Patient has Nephritis (Glomerulus or Interstitial), Poly Cystic Kidney Disease, Glomerulonephropathies or Acquired Renal Kidney Disease
* UROTHELIAL CONTROL TISSUE:
* Patient has von Hippel-Lindau disease (VHL), Hereditary leiomyomatosis and renal cell cancer (HLRCC), Hereditary papillary renal carcinoma (HPRC), or Birt-Hogg-Dubé syndrome (BHD)
* Patient has inflammation, atypia, or hyperplasia of the urothelium
* Patient has a current or past history of urothelial cancer
* Patient has undergone any prior radiation therapy to target lesion prior to surgery
* Patient has received chemotherapy class drugs in the 5 years prior to surgery
* Patient has had any transplants prior to surgery
* Patient has confirmed or presumed lynch
* CASE BLOODS AND URINE:
* Patient has known primary cancer outside of the kidney within the last 5 years prior to plasma and urine collection (not including basal cell or squamous cell skin cancers)
* Patient has had surgery to completely or partially remove current target pathology
* Patient has undergone any prior radiation therapy to target lesion prior to plasma and urine collection
* Patient has received chemotherapy class drugs in the 5 years prior to plasma and urine collection
* Patient has had any transplants prior to plasma and urine collection
* Patient has confirmed or presumed lynch
* Patient has von Hippel-Lindau disease (VHL), Hereditary leiomyomatosis and renal cell cancer (HLRCC), Hereditary papillary renal carcinoma (HPRC), or Birt-Hogg-Dubé syndrome (BHD)
* HEALTHY CONTROL BLOODS AND URINE:
* Patient has known primary cancer outside of the urothelium within the last 5 years prior to plasma and urine collection (not including basal cell or squamous cell skin cancers)
* Current target pathology is a recurrence
* Patient has undergone prior radiation therapy in the 5 years prior to plasma and urine collection
* Patient has received chemotherapy class drugs in the 5 years prior to plasma and urine collection
* Patient has had any transplants prior to plasma and urine collection
* Patient has von Hippel-Lindau disease (VHL), Hereditary leiomyomatosis and renal cell cancer (HLRCC), Hereditary papillary renal carcinoma (HPRC), or Birt-Hogg-Dube syndrome (BHD)
* Patient has confirmed or presumed lynch
* Gross urinary incontinence
* Patient has undergone cystectomy