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CH 41 KIDNEY CA > TUMOR STAGING & GRADING > Flashcards

TUMOR STAGING & GRADING Flashcards

1
Q

T1-T4 is classified based on?

A

• EXTENT
• SIZE

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2
Q

limited to the kidney and are 7 cm or smaller

A

T1

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3
Q

larger, more than 7 cm, but are also in the kidney

A

T2

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4
Q

extend beyond the kidney but are within Gerota fascia and may involve neighboring veins (renal vein or inferior vena cava)

A

T3

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5
Q

invade Gerota fascia or extend to the ipsilateral adrenal gland

A

T4

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6
Q

T1 and T2 are further subdivided according to?

A

RENAL MASS SIZE

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7
Q

T3 is subdivided depending on?

A

venous involvement

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8
Q

Involvement of this structure is associated with lower survival

A

RENAL SINUS FAT

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9
Q

What tumor stage have kidney-limited lesions only?

A

stage 1 or 2

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10
Q

What stage when there is any nodal involvement, regardless of kidney size or T staging?

A

STAGE 3

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11
Q

What tumor stage when Gerota fascia invasion, adrenal gland, or distant metastasis occurs?

A

STAGE 4

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12
Q

What summarizes the TNM findings?

A

STAGING

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13
Q

What determines prognosis based on nuclear features?

A

GRADING

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14
Q

How many T categories?

A

• 5
• T0, T1, T2, T3, T4

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15
Q

How many T1 subcategories?

A

• 2
• T1a, T1b

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16
Q

How many T2 subcategories?

A

• 2
• T2a, T2b

17
Q

How many T3 subcategories?

A

• 3
• T3a, T3b, T3c

18
Q

What T category if tumor size <7?

A

T1

19
Q

What T category if tumor size <4?

A

T1a

20
Q

What T category if tumor size 4-7?

A

T1b

21
Q

What T category if tumor size >7?

A

T2

22
Q

What T category if tumor size 7-10?

A

T2a

23
Q

What T category if tumor size >10?

A

T2b

24
Q

What T category if involvement of major veins or perinephric tissues but no ipsilateral adrenal gland?

A

T3

25
Q

What T category if with involvement of renal vein and branches or Renal pelvis and calyces or Perirenal ± renal sinus fat?

A

T3a

26
Q

What T category if with involvement of Vena cava below the diaphragm?

A

T3b

27
Q

What T category if with involvement vena cava above the diaphragm or vena cava wall?

A

T3c

28
Q

What T category if with involvement of Ipsilateral adrenal gland?

A

T4

29
Q

Fuhrman grading is based on what 3 parameters?

A
  1. Nuclear size
  2. Irregularity
  3. Nucleoli prominence
30
Q

What Fuhrman grade if tumors have small nuclei and no nucleoli?

A

Fuhrman Grade 1

31
Q

What Fuhrman grade have larger irregular nuclei and the presence of nucleoli?

A

Fuhrman Grade 2

32
Q

What Fuhrman grade have large irregular nuclei and with more visible nucleoli?

A

Fuhrman Grade 3

33
Q

What Fuhrman grade have extremely abnormal nuclei and highly prominent nucleoli apparent at low power?

A

Fuhrman Grade 4

34
Q

Fuhrman grading has been used in what type of RCC?

A

ccRCC

CH 41 KIDNEY CA (9 decks)

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