Renal Cell Carcinoma RCC

Question 1

how does it present?

Answer 1

haematuria
loin pain
loin mass
all 3 together in less than 10% of cases

pyrexia of unknown origin
varicocele
paraneoplastic syndrome

Question 2

how is it investigated?

Answer 2

USS
CT chest, abdomen, pelvis for staging
FBC
RFT & LFT

Question 3

how is it managed?

Answer 3

small tumour < 3cm 
- surveillance in elderly unfit patients 
- ablation techniques in fit elderly patients 
- selected younger patients 
large tumour > 3cm 
- partial nephrectomy 
- radical nephrectomy 
large tumours 
- radical nephrectomy - laproscopic

Question 4

follow up

Answer 4

bloods: FBC, RFT, LFT
imaging: CT, USS, CXR
5-10 years