Urinary - Part 3 (Tumours) Flashcards

1
Q

RCC triad of symptoms

A

flank pain
hematuria
palpable mass

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2
Q

RCC echogenicity

A

majority are isoechoic, but can be hypo/hyper

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3
Q

what mimics RCC (2)

A

onccocytoma, renal adenoma

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4
Q

most common type of RCC

A

clear cell

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5
Q

most common malignancy of urinary system

A

transitional cell carcinoma

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6
Q

most common tumour area TCC

A

bladder, trigone and posterior bladder wall

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7
Q

s/s TCC (4)

A

hematuria, frequency, dysuria, suprapubic pain

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8
Q

describe TCC is it solitary/multifocal?

uni/bilateral?

A

multifocal, bilateral

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9
Q

t/f TCC rarely invades renal vein

A

true

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10
Q

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

A

juxtaglomerular tumour

severe hypertension because tumour in cells that secrete renin. benign

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11
Q

tumour associated with obesity/steroid therapy

A

renal sinus lipomatosis

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12
Q

in which tumour is staghorn calculi present?

A

adenocarcinoma

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13
Q

adenocarcinoma associated with

A

stones

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14
Q

what is the most common benign renal tumour

A

renal adenoma

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15
Q

which tumour has the same triad of symptoms as RCC?

A

angiomyolipoma

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16
Q

t/f angiomyolipoma may hemorrhage with growth

17
Q

lymphoma sono app

A

homo anechoic nodules in parenchyma (solitary or multiple)

18
Q

most common renal parenchymal tumour

19
Q

RCC affects men or women more? what about TCC?

A

men for both

20
Q

watch and wait approach used for RCC if tumours are

21
Q

how to characterize RCC

22
Q

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

A

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

23
Q

patients with ACKD may develop

24
Q

RCC staging

A

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

25
what does renal sinus lipomatosis occur secondary to?
renal parenchyma atrophy or destruction of parenchyma
26
D/D of TCC (3)
blood clots sloughed papillae fungus balls
27
the majority of TCC in ureter are located
lower third
28
what is TCC associated with? (2)
hydronephrosis and hydroureter
29
t/f TCC bladder tumours are usually more invasive than superficial
FALSE | 70% superficial
30
TCC bladder tumours sonographically (3)
nonmobile focal mass (if you move pt to decub and it moves, probably a clot) may calcify vascular stalk
31
bladder outlet obstruction causes (4)
enlarged prostate stones tumours scar tissue
32
what is the second most common malignant tumour
SCC
33
SCC sono app
diffusely enlarged kidney, often stone often present
34
history of chronic UTI causes what? what will you likely see?
adenocarcinoma, stone
35
what tumours look like RCC (2)
renal adenoma | oncocytomas
36
tumour containing various proportions of adipose tissue, smooth muscle, and blood vessels
angiomyolipoma
37
tumours that can be exophytic or within parenchyma
angiomyolipoma
38
women more often in which condition
lymphoma of bladder