Renal Carcinomas Flashcards Preview

Renal > Renal Carcinomas > Flashcards

Flashcards in Renal Carcinomas Deck (23):
1

What are some benign tumours on the kidney which can be misdiagnosed as cancer?

Renal cysts
Oncocytoma
Angiomyolipoma

2

What is the main imaging form of kidneys?

USS

3

What significance do renal cysts have?

70% benign and asymptomatic.

4

What is an angiomyolipoma?

Benign tumour of vessels, fat and muscles

5

What is angiomyolipoma associated with?

Tuberose sclerosis

6

Why can angiomyolipoma be an issue?

Vessels are fragile so haemorrhage can occur

7

How are angiomyolipomas treated?

Embolisation

8

True or False
Oncocytoma metastasises to the liver

False.
Oncocytoma does not metastasise.

9

How is an oncocytoma diagnosed?

At nephrectomy so may or may not be a renal cell cancer

10

What does an oncocytoma look like?

Radial scarring from central spindle.
Stellate scar

11

What is the classic presentation for a renal cell carcinoma?

Classic triad of
loin pain
Renal mass
Frank haematuria

12

True or False
Renal cell carcinoma never causes weight loss

False.
Paraneoplastic syndrome is very common

13

At what age range is renal cell carcinoma common?

65-75

14

What kind of cell is a renal cell carcioma?

Adenocarcinoma

15

Where is the RCC commonly found?

PCT

16

What does a multifocal or bilateral RCC point towards?

Von Hippel-Lindau syndrome

17

What is von Hippel Lindau syndrome?

?

18

What imaging is good for a RCC?

Triple phase CT
No contrast
Contrast
Then collecting duct

19

Where does RCC metastasise to?

Lungs
Liver
Bone
Brain

20

Describe the spread of a RCC

Within capsule (S1)
Perinephric Fat (S2)
Regional lymph nodes/renal vein (S3)
Adjacent organs (S4)

21

What is the treatment for RCC?

Radical nephrectomy. Removal of whole kidney and perinephric fat

22

True or False
The adrenal gland is usually taken with a nephrectomy

False.
Only take if involved

23

What treatment can be given to patients with metastatic RCC?

Il2
Interferon alpha