urologic cancers (W3)

Question 1

kidney cancer

Answer 1

AKA renal cell carcinoma- 85%

Question 2

RF of kidney cancer

Answer 2

smoking
obese
age
male
genetics

Question 3

kidney cancer- prognosis if metastasized

Answer 3

not diagnosed until metastasized

Question 4

renal cell carcinoma clinical manifestations and treatment

Answer 4

no early s/s
late: CVA tenderness, hematuria, palpable abdominal mass
metastasized to lung/bone? s/s related to lung/bone
resistant to traditional chemo- requires surgery
required to remove kidney “-ectomy”

Question 5

bladder cancer

Answer 5

4th most common cancer in men
AKA urothelial carcinoma

Question 6

RF of bladder cancer

Answer 6

smoking
male
occupations with exposure to toxins
low fluid intake

Question 7

clinical manifestations of bladder cancer

Answer 7

pink/red- hematuria (early)
frequency/urgency/dysuria (later)

Question 8

chemotherapy for bladder cancer depends on the stage

Answer 8

stage 1- intravesical chemo
advanced stages- systemic chemo

Question 9

intravesical therapy- BCG vaccine

Answer 9

time: 6-12 weeks
moa: stimulates a local inflammation response
AE: bladder irritation, risk of systemic infection
PT instructions:
1. empty bladder
2. dwell time 2 hours
3. change positions Q15 minutes
safety: disinfect urine with bleach 6 hours after treatment, don’t give to AI compromised patients, patient should avoid AI compromised during therapy