Urinary - Part 3 (Tumours) Flashcards
RCC triad of symptoms
flank pain
hematuria
palpable mass
RCC echogenicity
majority are isoechoic, but can be hypo/hyper
what mimics RCC (2)
onccocytoma, renal adenoma
most common type of RCC
clear cell
most common malignancy of urinary system
transitional cell carcinoma
most common tumour area TCC
bladder, trigone and posterior bladder wall
s/s TCC (4)
hematuria, frequency, dysuria, suprapubic pain
describe TCC is it solitary/multifocal?
uni/bilateral?
multifocal, bilateral
t/f TCC rarely invades renal vein
true
rare tumour, what’s it associated with? is it malignant or benign?
juxtaglomerular tumour
severe hypertension because tumour in cells that secrete renin. benign
tumour associated with obesity/steroid therapy
renal sinus lipomatosis
in which tumour is staghorn calculi present?
adenocarcinoma
adenocarcinoma associated with
stones
what is the most common benign renal tumour
renal adenoma
which tumour has the same triad of symptoms as RCC?
angiomyolipoma
t/f angiomyolipoma may hemorrhage with growth
true
lymphoma sono app
homo anechoic nodules in parenchyma (solitary or multiple)
most common renal parenchymal tumour
RCC
RCC affects men or women more? what about TCC?
men for both
watch and wait approach used for RCC if tumours are
<3cm
how to characterize RCC
MRI or CT
is it possible to distinguish RCC from benign renal tumours with imaging tests?
NO except you can with angiomyolipoma because CT/MRI can detect fat composition
patients with ACKD may develop
RCC
RCC staging
1-confined within capsule
2-invasion perinephric fat
3-LN involement
4-invasion adj organs