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renal - mine > renal tumours > Flashcards

renal tumours Flashcards

1
Q

what is the investigations of benign renal cysts

A

US

contrast CT

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2
Q

what is an angiomyolipoma

A

benign tumour of blood vessels, fat and muscle

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3
Q

what is the investigations of angiomyolipoma

A

CT

housfield score <10

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4
Q

what is the treatment of angiomyolipoma

A

embolism if haemorrhage

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5
Q

what is an oncocytoma

A

this is a benign tumour

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6
Q

describe an oncocytoma

A

small oval and well circumscribed

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7
Q

what is the investigations of oncocytoma

A 
CT = central stellate scar 
nephrectomy = definitive diagnosis
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8
Q

what is renal cell carcinoma

A

malignant tumour of the renal parenchyma

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9
Q

who is affected by renal cell carcinoma

A

65-75s

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10
Q

what are the symptoms of renal cell carcinoma

A

loin pain
renal mass
haematuria

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11
Q

what are the symptoms of paraneoplastic syndrome of renal cell carcinoma

A

hypertension
weight loss
anaemia
hypercalcaemia

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12
Q

what are the types of renal cell carcinoma

A

adenocarcinoma of the PCT
cell cell
papillary

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13
Q

what is the investigations of renal cell carcinoma

A

US
CT ± contrast
biopsy

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14
Q

what is the treatment of renal cell carcinoma

A

radical or partial nephrectomy
radio frequencyablation or cryoablation
adjuvant therapy

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15
Q

what are the adjuvant therapies used to treat renal cell carcinoma

A

IL-2
interferon alpha
sunitinib = VEGF/PDGF inhibitor

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16
Q

what is a chromophobe

A

malignant tumour very histologically similar to oncocytoma

17
Q

what are the specific feature of chromophobe

A

raisonoid nuclei

perinuclear halo

18
Q

what is the most common type of renal cancer

A

clear cell carcinoma

19
Q

what is the 2nd most common type of renal cancer

A

papillary carcinoma

20
Q

what is the least common type of renal cancer

A

collecting duct carcinoma

21
Q

what is the specific feature of papillary caner

A

finger-like projections

22
Q

what is the description of collecting duct carcinoma

A

high grade appearance with a very desmoplastic stroma

23
Q

what is the description of clear cell carcinoma

A

bright yellow mass

often partly cystic

24
Q

what is the investigation of clear cell carcinoma, what would you expect to see

A

microscope of biopsy = clear cells

renal - mine (8 decks)

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