Renal Tumours Flashcards

1
Q

Benign Renal Tumours

A

Oncoytoma or Angiomyolipoma

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2
Q

Malignant Renal Tumour

A

Renal Adenocarcinoma

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3
Q

Commonest adult renal malignancy

A

Renal Adenocarcinoma

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4
Q

A Hypernephroma or Grawitz Tumour is also known as

A

Renal Adenocarcinoma

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5
Q

Most renal adenocarcinoma arise from

A

Proximal Tubules

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6
Q

Most common renal adenocarcinoma histology

A

Clear Cell

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7
Q

Renal Adenocarcinoma risk factors

A
Family History
Autosomal dominant
Smoking
Hypertension Medication
Obesity
End Stage Renal Failure
Acquired Renal Cystic Disease
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8
Q

Renal Adenocarcinoma presentation

A
Flank Pain
Mass
Haematuria
paraneoplastic syndrome: anorexia, cachexia, pyrexia
anaemia
polycythermia
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9
Q

renal carcinoma tests

A

Abnormal LFT
Hypertension
Hypercalcaemia

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10
Q

Renal Cancer Staging Stage 1

A

Tumour < 7cm confined within renal capsule

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11
Q

Renal Cancer Staging Stage 2

A

Tumour >7cm & confined within capsule

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12
Q

Renal Cancer Staging Stage 3

A

Local extension outside capsule

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13
Q

Renal Cancer Staging Stage 3a

A

Into adrenal or peri-renal fat

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14
Q

Renal Cancer Staging Stage 3b

A

Into renal vein or IVC below diaphragm

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15
Q

Renal Cancer Staging Stage 3C

A

Tumour thrombus in IVC extends above diaphragm

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16
Q

Renal Cancer Staging Stage 4

A

Tumour invades beyond Gerota’s fascia

17
Q

Renal Adenocarcinoma speead

A

Direct through renal capsule

18
Q

Renal Adenocarcinoma spread venous

A

renal vein and vena cava

19
Q

Renal adenocarcinoma haematogenous spread to

A

lungs and bones

20
Q

renal adenocarcinoma lymphatic spread to

A

paracaval nodes

21
Q

Renal Adenocarcinoma Tests

A

CT of Abdomen and Chest

Bloods

22
Q

Renal adenocarcinoma treatment

A

Radical Nephrectomy
Laparoscopic Radical Nephectomy for T1 Tumours
Surgery is curative if

23
Q

Renal Adenocarcinoma with Mets Treatment

A

palliative cytoreductive nephrectomy