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16 Cards in this Set

  • Front
  • Back
What kidn of a benign tumor has pale, yellow granules found in the CORTEX?

Do they stay benign or become malignant?
renal papillary adenoma

Considered pre-cancerous until proven otherwise
What kind of benign tumor will have cartilage, immature collecting ducts and poorly differentiated mesenchyme?

do they stay benign or become malignant?
renal hamartoma (or fibroma)

no propensity for malignancy
25-50% of patients with tuberous sclerosis have what kind of benign renal tumor?

what is tuberous sclerosis?
angiomyolipoma

- a lesion of the brain causing epilepsy, mental retardation and skin lesions
A renal epithelial cell tumor composed of large eosinic cells with numerous mitochrondria
oncocytoma
Renal cell carcinomas
- 3 types

-Which is associated with risk of VHL disease?
- pale eosinophilic cytplasm with a halo around the nucleus
- associated with mutations of MET and PRCC
- clear cell carcinoma

- chromophobe renal cell carcinoma

- papillary renall cell carcinoma
renal cell carcinomas
- associated with trisomies of chromosome 7,16,and 17
- multiple foci
- single focus at the upper pole
- deletion of short arm of chromosome 3
- papillary
- papillary
- clear cell
- clear cell
Dialysis patients are at risk for developing what two bad things?
calcium oxalate crystals

papillary renal cell carcinoma
Why do urotheial carcinomas of the pelvis cause obstruction and hematuria?

- patients with what tend toward urothelial carcinomas of the pelvis
They tend to fragment causing hematuria and lead to obstruction --> hydronephrosis

ANALGESIC NEPHROPATHY PATIENTS
benign tumor with well circumscribed yellow to mahogany color cells
oncocytoma

- recall this has the eosinic cytoplasm and large nucleoli and numerous mitochndria
benign tumor associated with tuberous sclerosis
angiomylipoma
aniridia, genital malformations, and mental retaration. What is the syndrome?

What gene is responsible?

What's the mutation?
this is WAGR syndrome

WT-1 gene

It's a frameshift or nonesense mutation
gonadal dysgenesis (male pseudohermaphriditism), diffuse mesangial sclerosis. What syndrome is this?

What gene is responsible?

What kind of mutation?
Denys Drasch syndrome

WT-1 gene on chromosome 11

it's a mutation in the ZINC FINGER REGION
What chromosome are the WT1 WT2 genes on?
chromosome 11 on both occaounst
organomegaly, macroglossia, omphalocele

What's the mutation?
Beckwidth-Wiedmann syndrome

WT-2 gene on chromosome 11
What's the salient feature of wilm's tumor histology?
triphasic - blastemal, stromal and epithelial cell types
what's the precursor lesion to Wilm's tumor?

Where is it often found
nephrogenic rests

in the contralateral kidney of a wilm's patient.