Urological Cancers

Question 1

risk fx for renal cell carcinoma (85% kidney cancers)

Answer 1

• rare
• SMOKING, obese, age inc, men, genetics

Question 2

What is prognosis based on for renal cell carcinoma?

Answer 2

metastasis to bone or lungs (cough or bone pain often)- usually dx is after with low 5Y survival - late CM

Question 3

CM of renal cell carcinoma

Answer 3

• none early
• late - CVA tenderness, hematuria (cola color), palpable ab mass

Question 4

renal cell carcinoma dx

Answer 4

often from accidental CT

Question 5

renal cell carcinoma tx

Answer 5

resists chemo - often surgery to remove kidney

Question 6

Most common type of bladder cancer

Answer 6

urothelial carcinoma - cancer in lining of bladder

Question 7

urothelial carcinoma risk fx

Answer 7

SMOKING, male, dec fluid intake, occupational exposure to toxins w/o being flushed out from fluid intake

Question 8

CM of urothelial carcinoma

Answer 8

hematuria (pink or red), may be uroscopic (seen with UA)
- LATER - frequency, dysuria, urgency

Question 9

urothelial carcinoma tx

Answer 9

chemo (depending on stage)
- stage 1 - intravesical chemo
- advanced - systemic chemo
- BCG vax (matrix)