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oncología > Cáncer de Riñón > Flashcards

Cáncer de Riñón Flashcards

1
Q

Tipo histologico más común del cáncer de riñon

A

Carcinoma de células claras

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2
Q

Características de cáncer de riñon

A

Tumor urogenital más letal
Representa el 3% de los tumores
20-30% de los px presentan enfermedad metástasica

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3
Q

Epidemiología del cáncer de riñon

A

> Frecuente en hombres de 60 años

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4
Q

Presentación del cáncer de riñon

A

Esporadico

Hereditario

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5
Q

Caracteristicas del cáncer hereditario de riñon

A

Tumores multifocales y bilaterales

Edad temprana

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6
Q

Tipos de carcinoma renal hereditario

A

Von Hippel Lindau
Carcinoma no papilar de celulas renales
Carcinoma papilar de celulas renales

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7
Q

5 subtipos de carcinoma renal

A 
Carcinoma de células claras (60-75%)
Carcinoma papilar (15%)
Carcinoma cromofobo (5%)
Carcinoma de conductos colectores (<1%)-Belini
Carcinomas no clasificables (5%)
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8
Q

Carcinomas renales derivados del tubulo proximal

A

Carcinoma de celulas claras

Carcinoma papilar

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9
Q

Carcinomas derivados de las celulas de los tubulos colectores

A

Carcinoma cromofobo

Carcinoma de conductos colectores-Belini

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10
Q

Carcinoma de histologia anaplasica pura y sarcomatoide agresiva con supervivencia de 4.3 meses

A

Carcinomas no clasificables

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11
Q

El 90% de los tumores solidos son

A

Carcinomas de celulas renales

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12
Q

El grado nuclear del carcinoma renal se basa en

A

Clasificación de Fuhrman

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13
Q

Factores de riesgo para el carcinoma renal

A

Estrogenos exogenos
Obesidad
Dieta alta en grasa
Falla renal: dialisis peritoneal y hemodialisis
Tabaquismo (>Riesgo 4-5 veces)
Exposición a metales pesados (plomo y cadmio)

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14
Q

Factor de riesgo más importante en el carcinoma renal

A

Tabaquismo

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15
Q

Dx del carcinoma renal

A

Clinica: triada
US renovesical
TAC
Gammagrama oseo (si fosfatasa alcalina elevada)

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16
Q

Triada caracteristica del carcinoma renal

A

Hematuria, dolor y masa palpable

17
Q

Unicas imdicaciones para biopsia

A

Tumor bilateral
Tumor irresecable
Enfermedad metastasica
Sx Von Hippel Lindau

18
Q

Factores de riesgo que se asocian a la sobrevida

A 
Criterios de Motzer:
Estado funcional <80%
LDH >1.5 veces de su VN
Ca corregido >10 = hipercalcemia 
Anemia (<10mg/dl)
19
Q

Formula para el ca corregido

A

Ca - albumina + 5

20
Q

Tx para carcinoma renal

A

Cx
Nefrectomia radical:
Nefrectomia parcial: periferico, polo superior o inferior sin invasión de hilio

oncología (10 decks)

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