GU Cancer Blitz Flashcards
Subtypes of Renal Ca (Adenocarcinoma)
- Clear cell
- Papillary
- Chromophobe
- MEdullary
- Translocation
Enhances equal to cortex on CM Phase
Clear Cell
Enhances less than cortex on CM Phase
Papillary
Denser than cortex on non-con CT
Translocation
Overall Most Common in Gen Pop
+ Von Hippel-Lindau
Clear cell
Hereditary Papillary Renal Carcinoma
Transplant Kidney
Papillary
Birt Hogg Dube
Chromophobe
SIckle cell trait
MEdullary
Most common in Kids
Hx of cytotoxic chemotherapy
Translocation
Common location of ureteral cancer
Think about where you get the most stasis
- Renal Pelvis - Twice as common as Ureter
- Distal Third of Ureter - Most common site
- Middle is 2nd, and Proximal is Third
Ureteral CA in Relationship to Bladder CA
- Bladder CA is way more common (like lOOx more).
- So if you have bladder CA you don’t need upper tract CA.
Since upper tract CA is not all that common, if you smoked enough Marlboro Reds to get renal pelvis CA, you probably smoked enough to get multifocal disease including the bladder. - Bottom Line: Bladder can be isolated , Ureteral CA usually also has bladder CA
“The usual one” - like 90% of the Bladder CA
TCC (Urothelial Ca)
Bladder Ca favoring the base
TCC (Urothelial Ca)
“Frond like” papillary tumors - most common type
TCC
Known to be multicentric with
synchronous and metachronous bladder and upper tract lesions — but remember the bladder is the most common site.
TCC (Urothelial Ca)
