RCC Flashcards
1
Q
What is RCC a cancer of
A
PCT epithelium
2
Q
Most common cell type
A
Clear cell 70%
3
Q
What is CCRCC associated with
A
Von-Hippel Lindau
Syndrome including phaeochromocytoma and retinal angiomas
4
Q
RFs
A
Smoking
Obesity
FH
5
Q
How do you stage RCC
A
CT with contrast
Bosniak classification
6
Q
What is bosniak classification
A
1- benign cyst
2- surveillance
3- 50% chance of RCC so remove
4- RCC so remove
7
Q
Paraneoplastic syndromes with RCC
A
Stauffers syndrome (abnormal LFTs) Hypercalcaemia - calcitriol Hypertension - renin Polycythaemia - EPO Amenorrhoea - androgens
8
Q
TNM stages
A
T1a: <4cm T1b: 4-7cm T2a: 7-10cm T2b: >10cm T3a: perinephric fat or renal vein T3b: IVC to atrium T4: adjacent structure
9
Q
At which stage do you need a open radical cystectomy
A
T2b