Urology/Renal 5%

Question 1

(RR)
A 70 y/o man has a solid kidney mass id’d on abd imaging performed for unrelated reasons. Radiologic features of the mass are concerning for malignancy. What is the classic triad for the most likely diagnosis?

Answer 1

abd mass
flank pain
hematuria

Question 2

(PPP 482)

95% of primary tumors originating in the kidney are _____

Answer 2

renal cell carcinoma

Question 3

(PPP 482)

what is the most common histological pattern for renal cell carcinoma?

Answer 3

CLEAR CELL

Question 4

(PPP 482)

what is usually the initial test for suspected renal cell carcinoma

Answer 4

CT scan

Question 5

(PPP 482)

what are clinical manifestations of renal cell carcinoma?

Answer 5

THE TRIAD: hematuria, flank/abd pain, palpable abd mass
LEFT-SIDED VARICOCELE (if the tumor blocks L testicular vein drainage)
HTN
hyPERcalcemia

METS: canon ball metastases to the lungs (the MC site of metastasis)

Question 6

(PPP 482)

what is the management of stage I - III of renal cell carcinoma?

Answer 6

radical nephrectomy

usually resistant to chemo and radiation therapy