renal tumours Flashcards
(24 cards)
what is the investigations of benign renal cysts
US
contrast CT
what is an angiomyolipoma
benign tumour of blood vessels, fat and muscle
what is the investigations of angiomyolipoma
CT
housfield score <10
what is the treatment of angiomyolipoma
embolism if haemorrhage
what is an oncocytoma
this is a benign tumour
describe an oncocytoma
small oval and well circumscribed
what is the investigations of oncocytoma
CT = central stellate scar nephrectomy = definitive diagnosis
what is renal cell carcinoma
malignant tumour of the renal parenchyma
who is affected by renal cell carcinoma
65-75s
what are the symptoms of renal cell carcinoma
loin pain
renal mass
haematuria
what are the symptoms of paraneoplastic syndrome of renal cell carcinoma
hypertension
weight loss
anaemia
hypercalcaemia
what are the types of renal cell carcinoma
adenocarcinoma of the PCT
cell cell
papillary
what is the investigations of renal cell carcinoma
US
CT ± contrast
biopsy
what is the treatment of renal cell carcinoma
radical or partial nephrectomy
radio frequencyablation or cryoablation
adjuvant therapy
what are the adjuvant therapies used to treat renal cell carcinoma
IL-2
interferon alpha
sunitinib = VEGF/PDGF inhibitor
what is a chromophobe
malignant tumour very histologically similar to oncocytoma
what are the specific feature of chromophobe
raisonoid nuclei
perinuclear halo
what is the most common type of renal cancer
clear cell carcinoma
what is the 2nd most common type of renal cancer
papillary carcinoma
what is the least common type of renal cancer
collecting duct carcinoma
what is the specific feature of papillary caner
finger-like projections
what is the description of collecting duct carcinoma
high grade appearance with a very desmoplastic stroma
what is the description of clear cell carcinoma
bright yellow mass
often partly cystic
what is the investigation of clear cell carcinoma, what would you expect to see
microscope of biopsy = clear cells
