Renal Cancer Flashcards Preview

Nephrology & Urology > Renal Cancer > Flashcards

Flashcards in Renal Cancer Deck (4)
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1
Q

Presentation of renal cancer

A
  • RCC is most common kidney tumour
  • Staged using TNM system
  • Cannonball metastases are typical of RCC
  • Presentation
    • Often asymptomatic
    • Haematuria
    • Vague loin pain
    • Non-specific symptoms of cancer (i.e. weight loss, fatigue, anorexia, night sweats)
  • Risk factors
    • Smoking
    • Obesity
    • HTN
    • Long-term dialysis
    • Von Hippel-Lindau Disease
2
Q

Types of renal cancer

A
  • Clear cell (75-90%)
  • Papillary (10%)
  • Chromophobe (5%)
  • Collecting duct carcinoma (1%)
  • Wilms Tumour (in children < 5 years old)
3
Q

Management of renal cancer

A
  • Surgical (partial nephrectomy) +/- radiotherapy and chemotherapy depending on disease stage
4
Q

Paraneoplastic features of renal cancer

A
  • Polycythaemia (RCC secretes unregulated erythropoietin)
  • Hypercalcaemia (RCC secretes a hormone that mimics the action of PTH)
  • Stauffer Syndrome (abnormal liver function tests demonstrating an obstructive jaundice – without any localised liver or biliary metastasis!)