Renal Cancer Flashcards

1
Q

benign renal cancers

A

oncocytoma
angiomyolipoma
simple cysts

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2
Q

appearance of oncocytoma

A

spherical, capsulated with central stellate scar

CT scan shows spoke wheel

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3
Q

what is the appearance of oncocytoma similar to?

A

chromophobe RCC

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4
Q

what is angiomyolipoma made up of?

A

blood vessels
smooth muscle
fat

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5
Q

who is angiomyolipoma common in?

A

middle-aged women

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6
Q

what condition is angiomyolipoma associated with?

A

tuberous sclerosis (AD)

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7
Q

presentation of renal cancer

A

asymptomatic
symptomatic= loin pain, haematuria, mass, Wunderlich’s syndrome
pyrexia
varicocele

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8
Q

diagnosis

A
USS
CT
FBC
U&Es
LFTs
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9
Q

what does cannonballs on CXR suggest?

A

renal metastasis

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10
Q

management of benign tumours

A

embolisation

nephrectomy

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11
Q

malignant renal cell cancers

A

renal cell carcinoma (solid/complex cystic)
transitional cell carcinoma
lymphoma

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12
Q

types of renal cell carcinoma

A
clear cell
papillary
chromophobe
medullary cell
collecting duct
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13
Q

what is Wilm’s tumour

A

paediatric renal cell carcinoma

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14
Q

what is the risk in renal cell carcinoma?

A

risk of renal vein involvement up the vena cava and to the heart

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15
Q

diagnosis of transitional cell carcinoma

A

sea anemone on cystoscopy

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16
Q

classic triad in malignant renal cell carcinoma

A

haematuria
loin pain
mass

17
Q

paraneoplastic syndrome presentation

A

anaemia
weight loss
hypercalcaemia (PTH)

18
Q

management of malignant

A

less than 3cm= surveillance and ablation
more than 3cm= partial nephrectomy (robotic) or total
large= nephrectomy laparoscopic