renal, testicular and penile cancer Flashcards

1
Q

most common benign tumour

A

oncocytoma

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2
Q

what does an oncocytoma look like on radiograph

A

has got a central scar/spoke wheel pattern

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3
Q

symptoms of oncocytoma

A

mostly incidental

  • loin pain
  • haematuria
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4
Q

what disease is angiomyolipoma associated wtih

A

tuberous sclerosis

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5
Q

what are the three pathology components of angiomyolipoma

A
  • blood vessels
  • immature smooth muscle
  • fat
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6
Q

what is Wunderlich’s syndrome

A

angiomeolipoma presenting with a massive retroperitoneal bleed

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7
Q

treatment for angiomyopiloma

A
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8
Q

where do renal cell carcinomas arise from

A

proximal convoluted tube

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9
Q

genetic cause of a clear cell carcinoma

A

loss of Von Hippel Landau gene on short of chromosome 3

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10
Q

who gets collecting duct carcinomas

A

young people

-very rare

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11
Q

who gets medullary cell carcinomas

A

young sickle cell patients

-poor prognosis

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12
Q

treatment for small RCC tumours

A
  • surveillance
  • ablation in fit elderly
  • partial nephrectomy
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13
Q

treatment for RCC tumours 3-4cm

A
  • surveillance
  • ablative techniques
  • partial nephrectomy
  • radical nephrectomy
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14
Q

treatment for tumours over 7cm

A

radical nephrectomy

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15
Q

presentation of testicular cancer

A
  • scrotal lump

- acute pain sometimes

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16
Q

what is found on examination of a cancerous testicle

A
  • asymmetry or slight discolouration of scrotum

- hard, non-tender, irregular mass

17
Q

investigations for testicular cancer

A
  • USS
  • CT chest abdomen for staging
  • bloods
18
Q

treatment for testicular cancer

A
  • radical inguinal orchidectomy

- re check tumour markers 1 week post op

19
Q

risk factors for penile cancer

A
  • phimosis
  • asia, africa, south america
  • HPV
  • smoking
  • immunocompromised
20
Q

treatment for penile cancer

A
  • circumcision
  • glans resurfacing
  • glansectomy
  • total penile amputation with formation of perineal urethrostomy