RCC Flashcards
1
Q
risk factors? origins?
A
male, smoking, obesity, von hippel lindau, polycystic kidney
originates from proximal convoluted tubule epithelium
2
Q
symptoms?
A
usually asymptomatic so found incidentally
flank pain, flank mass, hematuria, HTN, weight loss
metastasis: bone pain, anemia, weakness, IVC obstruction and varicocele, stauffer syndrome (liver metastasis), high ACTH, ADH
3
Q
diagnosis?
A
incidental finding by imaging (US/CT with contrast. renal biopsy.
labs for metastasis (Ca, LFT)
4
Q
what is a unique route of spread?
A
tumor thrombus into IVC causing obstruction. or in renal vein
5
Q
treatment?
A
radical nephrectomy with removal of adrenal glands
6
Q
what is the concern for an adult with new onset left varicocele?
A
left RCC
