Kidney Cancer

Question 1

Q. Ptn presented with hematuria and solid mass on the upper pole of the kidney on CT scan. Otherwise no symptoms. What’s the next step in the management?

Answer 1

Surgical resection. as biopsy is contraindicated in solid kidney tumor because of risk of cancer spread and they are Almost always malignant

Question 2

A. If there’s a mass in the kidney pelvis or ureter, is it ok to do a biopsy there?

Answer 2

Yes , unlike a solid mass in the upper pole where biopsy is contraindicated

Question 3

A. Nests of cells with abundant clear cytoplasm is seen in……..?

Answer 3

Renal cell carcinoma

Question 4

A. Acquired renal cyst disease is a result of prolonged ……….. , after 10 years 7% of these ptn will develop renal carcinoma.

Answer 4

Dialysis

Question 5

Q. Thin walled, homogenous kidney cyst filled with fluid is found accidentally on US, what’s the next step?

Answer 5

No intervention is needed. If it was suspicious then order contrast CT or MRI.