Renal carcinoma

Question 1

Define

Answer 1

Malignancy of kidneys

Question 2

Where does the cancer usually arise?

Answer 2

Proximal tubule epithelial cells

Question 3

Most common type of renal carcinoma and the 2nd most common type?

Answer 3

Renal cell carcinoma

transitional cell carcinoma

Question 4

Most common type of renal cell carcinoma>

Answer 4

Clear cell carcinoma

Question 5

what type of renal carcinoma is rare and occurs mainly in infants?

Answer 5

Wilm’s

Question 6

give 4 risk factors for development for renal cancer (5)

Answer 6

Smoking
obesity
CKD (dialysis)» because kidneys have been messed up for a long time
Hypertension» damaged arteries supplying the kidneys
FHx» especially VHL syndrome

Question 7

what are 5 year survival rates for renal cancer?

a) 5%
b) 25%
c) 50%
d) 70%

Answer 7

d) 70%

Question 8

Presentation? TRIAD

Answer 8

Haematuria
LUQ mass
Flank Pain

Question 9

Signs of malignancy?

Answer 9

FLAWS

Question 10

Why can left kidney cancer cause left varicocele?

Answer 10

The tumour can obstruct the left testicular vein causing varicocele

Question 11

App ix? (6)

Answer 11

urinalysis>>cytology
Bloods>> u&e, fbc
AUSS (best 1st line)>> will see mass on kidney
CXR= cannonball mets
CTKUB= will see mass on kidneys
MRI/CT= staging>> robson staging

Question 12

what is robson staging?

Answer 12

1= confined to kidneys
2=
3=spread to renal vein
4=spread to adjacent/distant organs