Renal Cancer Flashcards
benign renal cancers
oncocytoma
angiomyolipoma
simple cysts
appearance of oncocytoma
spherical, capsulated with central stellate scar
CT scan shows spoke wheel
what is the appearance of oncocytoma similar to?
chromophobe RCC
what is angiomyolipoma made up of?
blood vessels
smooth muscle
fat
who is angiomyolipoma common in?
middle-aged women
what condition is angiomyolipoma associated with?
tuberous sclerosis (AD)
presentation of renal cancer
asymptomatic
symptomatic= loin pain, haematuria, mass, Wunderlich’s syndrome
pyrexia
varicocele
diagnosis
USS CT FBC U&Es LFTs
what does cannonballs on CXR suggest?
renal metastasis
management of benign tumours
embolisation
nephrectomy
malignant renal cell cancers
renal cell carcinoma (solid/complex cystic)
transitional cell carcinoma
lymphoma
types of renal cell carcinoma
clear cell papillary chromophobe medullary cell collecting duct
what is Wilm’s tumour
paediatric renal cell carcinoma
what is the risk in renal cell carcinoma?
risk of renal vein involvement up the vena cava and to the heart
diagnosis of transitional cell carcinoma
sea anemone on cystoscopy