Kidney Tumours Flashcards

1
Q

Subtypes of RCC

A

Clear cell RCC
Papillary RCC
Chromophobe RCC
non clear cell RCC

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2
Q

Risk factors

A
Elderly
Male
Obese
Hypertension
Smoking
FHx of RCC
CKD
Haemodialysis
Kidney transplant
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3
Q

Clinical features

A

Classic triad:
FLANK PAIN
HAEMATURIA
PALPABLE ABDOMINAL RENAL MASS

colicky discomfort
presence of clot
fever
hypercalcemia
cachexia
lower limb oedema
ascites
metastatic symptoms of liver, lungs, bone and brain
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4
Q

Investigation

A
RBC
-anemia
LFT
-liver metastatic
USS
CT TAP/MRI
BONE SCAN
PET/CT for detection of bone metastases
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5
Q

Management

A

Radical nephrectomy
-ligation of the renal artery and vein and the removal of the kidney, Gerota’s fascia
Partial nephrectomy

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