renal carcinoma Flashcards
1
Q
what is the incidence?
A
2-5/ 100 cases
2
Q
M F ratio?
A
3:1
3
Q
RF?
A
Fam history
4
Q
what is important to note?
A
check for von hippel lindau disease if present with neurological or ocular disease
5
Q
presentation?
A
asymptomatic painless haemturia groin pain flank pain visual problems hair growth in women
if bone pain-mets? Mass Costavertbral pain Fever SweAts Unilateral back pain
6
Q
investigations?
A
bloods- anaemia? urea and creatinine-renal function phosphatase- mets? CT staging!!!!! urine dipstick
elevated calcium
7
Q
treatment?
A
only curative is surgery
nephroectomy
medical used for metastic disease - interferon and interleukin
8
Q
How can you differentiate from bladders
A
More urinalysis symptoms in bladder
9
Q
What can increase someone’s risk
A
High blood pressure Family history Especially of occular disease Bon hippel Obesity Smoking. dialysis PCKD overuse of NSAIDs
10
Q
Other markers
A
Hypercalcemia
Polycyanthemia
Bilateral ankle odema
11
Q
what is a wilms tumour
A
renal cancer seen in kids
12
Q
what are the most common type
A
clear cell
75%
papillary 10%
chromophobe 5%
13
Q
survival
A
2/3 at 5 years
