Tumours Flashcards
what is an oncocytoma morphology
well circumscribed mahogany brown with a central stellate scar
ix of choice for oncocytoma
biopsy
angiomyoplipoma aetiology?
tuberous sclerosis
what is the cut off for angiomyolipoma tx?
4cm is the cut off
Rena cell carcinoma is…
adenocarcinoma of renal cortex
morphology of renal cell cracinoma
some are cystic, tan coloured
types of RCC
clear cell carcinoma, papillary, chromophobe, collecting duct, medullary cell
general s/s of renal cancer
haematuria, loin pain
what is the staging for RCC like
T1: >7cm
T4: beyond gerotas fascia into surrounding structure
mx of RCC
<3cm- survey and ablate in fit pts
>3cm- partial nephrectomy
large- total nephrectomy
what is clear cell carcinoma
cancer of the renal pelvis- bright yellow appearance
aetiology of clear cell renal carcinoma
von hipple Lindau mutation
papillary cancer is the __ most common renal cancer
2nd
which of the renal cancers has the worst prognosis
collecting duct carcinoma
what is a paediatric renal tumour
Wilm’s tumour- nephroblastoma
T/F: prostate cancer is the most common cancer in the UK for men
T
where do prostate cancers most commonly occur
peripheral zone
Ix for prostate cancer
blood & biopsy- PSA
what is the main presentation for bladder cancer
haematuria
what is the most common bladder cancer
transitional cell carcinoma
tx for bladder cancer
transurethral resection, consider radio/ chemo for mets
testicular cancer is the most common solid cancer in men of ___ to ___
20-45
what are some risk factors for testicular cancer
HIV, previous testicular cancer, cryptorchidism
what are the types of testicular cancer
seminoma*, non-semexnomatous, mixed germ cell tumour
which out of the tsticular cancer types is the most aggressive
non-semexnomatous
s/s of testicular cancer
lump, systemic symptoms, scrotal discolouration
ix for testciualr cancer
imaging- USS, CT
bloods- Sr tumour markers (alpha feto protein, B-HCG)
mx for testicular cancer
semenoma: radio
non-semexnomatous: chemo
penile cancer risk factors
phimosis, HPV (T16, 18)
types of penile cancer
squamous cell carcinoma*, Kaposi’s sarcoma, basal cell carcinoma, malignant melanoma
most common site for penile cancer
Glans
mx of penile cancer
circumcision, glans resurfacing/ glansectomy, total penile amputation