Urinary - Part 3 (Tumours)

Question 1

RCC triad of symptoms

Answer 1

flank pain
hematuria
palpable mass

Question 2

RCC echogenicity

Answer 2

majority are isoechoic, but can be hypo/hyper

Question 3

what mimics RCC (2)

Answer 3

onccocytoma, renal adenoma

Question 4

most common type of RCC

Answer 4

clear cell

Question 5

most common malignancy of urinary system

Answer 5

transitional cell carcinoma

Question 6

most common tumour area TCC

Answer 6

bladder, trigone and posterior bladder wall

Question 7

s/s TCC (4)

Answer 7

hematuria, frequency, dysuria, suprapubic pain

Question 8

describe TCC is it solitary/multifocal?

uni/bilateral?

Answer 8

multifocal, bilateral

Question 9

t/f TCC rarely invades renal vein

Answer 9

true

Question 10

rare tumour, what’s it associated with? is it malignant or benign?

Answer 10

juxtaglomerular tumour

severe hypertension because tumour in cells that secrete renin. benign

Question 11

tumour associated with obesity/steroid therapy

Answer 11

renal sinus lipomatosis

Question 12

in which tumour is staghorn calculi present?

Answer 12

adenocarcinoma

Question 13

adenocarcinoma associated with

Answer 13

stones

Question 14

what is the most common benign renal tumour

Answer 14

renal adenoma

Question 15

which tumour has the same triad of symptoms as RCC?

Answer 15

angiomyolipoma

Question 16

t/f angiomyolipoma may hemorrhage with growth

Answer 16

true

Question 17

lymphoma sono app

Answer 17

homo anechoic nodules in parenchyma (solitary or multiple)

Question 18

most common renal parenchymal tumour

Answer 18

RCC

Question 19

RCC affects men or women more? what about TCC?

Answer 19

men for both

Question 20

watch and wait approach used for RCC if tumours are

Answer 20

<3cm

Question 21

how to characterize RCC

Answer 21

MRI or CT

Question 22

is it possible to distinguish RCC from benign renal tumours with imaging tests?

Answer 22

NO except you can with angiomyolipoma because CT/MRI can detect fat composition

Question 23

patients with ACKD may develop

Answer 23

RCC

Question 24

RCC staging

Answer 24

1-confined within capsule
2-invasion perinephric fat
3-LN involement
4-invasion adj organs

Question 25

what does renal sinus lipomatosis occur secondary to?

Answer 25

renal parenchyma atrophy or destruction of parenchyma

Question 26

D/D of TCC (3)

Answer 26

blood clots
sloughed papillae
fungus balls

Question 27

the majority of TCC in ureter are located

Answer 27

lower third

Question 28

what is TCC associated with? (2)

Answer 28

hydronephrosis and hydroureter

Question 29

t/f TCC bladder tumours are usually more invasive than superficial

Answer 29

FALSE

70% superficial

Question 30

TCC bladder tumours sonographically (3)

Answer 30

nonmobile focal mass (if you move pt to decub and it moves, probably a clot)
may calcify
vascular stalk

Question 31

bladder outlet obstruction causes (4)

Answer 31

enlarged prostate
stones
tumours
scar tissue

Question 32

what is the second most common malignant tumour

Answer 32

SCC

Question 33

SCC sono app

Answer 33

diffusely enlarged kidney, often stone often present

Question 34

history of chronic UTI causes what? what will you likely see?

Answer 34

adenocarcinoma, stone

Question 35

what tumours look like RCC (2)

Answer 35

renal adenoma

oncocytomas

Question 36

tumour containing various proportions of adipose tissue, smooth muscle, and blood vessels

Answer 36

angiomyolipoma

Question 37

tumours that can be exophytic or within parenchyma

Answer 37

angiomyolipoma

Question 38

women more often in which condition

Answer 38

lymphoma of bladder