Renal Tumours Flashcards
Benign Renal Tumours
Oncoytoma or Angiomyolipoma
Malignant Renal Tumour
Renal Adenocarcinoma
Commonest adult renal malignancy
Renal Adenocarcinoma
A Hypernephroma or Grawitz Tumour is also known as
Renal Adenocarcinoma
Most renal adenocarcinoma arise from
Proximal Tubules
Most common renal adenocarcinoma histology
Clear Cell
Renal Adenocarcinoma risk factors
Family History Autosomal dominant Smoking Hypertension Medication Obesity End Stage Renal Failure Acquired Renal Cystic Disease
Renal Adenocarcinoma presentation
Flank Pain Mass Haematuria paraneoplastic syndrome: anorexia, cachexia, pyrexia anaemia polycythermia
renal carcinoma tests
Abnormal LFT
Hypertension
Hypercalcaemia
Renal Cancer Staging Stage 1
Tumour < 7cm confined within renal capsule
Renal Cancer Staging Stage 2
Tumour >7cm & confined within capsule
Renal Cancer Staging Stage 3
Local extension outside capsule
Renal Cancer Staging Stage 3a
Into adrenal or peri-renal fat
Renal Cancer Staging Stage 3b
Into renal vein or IVC below diaphragm
Renal Cancer Staging Stage 3C
Tumour thrombus in IVC extends above diaphragm
Renal Cancer Staging Stage 4
Tumour invades beyond Gerota’s fascia
Renal Adenocarcinoma speead
Direct through renal capsule
Renal Adenocarcinoma spread venous
renal vein and vena cava
Renal adenocarcinoma haematogenous spread to
lungs and bones
renal adenocarcinoma lymphatic spread to
paracaval nodes
Renal Adenocarcinoma Tests
CT of Abdomen and Chest
Bloods
Renal adenocarcinoma treatment
Radical Nephrectomy
Laparoscopic Radical Nephectomy for T1 Tumours
Surgery is curative if
Renal Adenocarcinoma with Mets Treatment
palliative cytoreductive nephrectomy