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14 Cards in this Set

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list the benign renal tumors from class
-Renal Papillary Adenoma
-Hamartoma (angiomyolipoma)
most common renal tumor?
renal adenocarcinoma / renal cell carcinoma
RCC: how doe they present?
Painless Hematuria (also seen in TCC of bladder)
-may have fever, flank pain, colic
RCC: how does it spread?
via renal vein (one of the exceptions to the 'carcinomas spread via lymphatics' rule, as well as hepatocellular carcinoma)
list the benign renal tumors from class
-Renal Papillary Adenoma
-Hamartoma (angiomyolipoma)
most common renal tumor?
renal adenocarcinoma / renal cell carcinoma
RCC: how doe they present?
Painless Hematuria (also seen in TCC of bladder)
-may have fever, flank pain, colic
RCC: how does it spread?
via renal vein (one of the exceptions to the 'carcinomas spread via lymphatics' rule, as well as hepatocellular carcinoma)
RCC - lab findings
polycythemia, hypercalcemia
types of RCC
clear cell, chromophobe, sarcomatous
RCC staging
1-4
1-confined to kidney
2-confined to renal fascia
3-invasion of renal vein or lymph node
4-invasion of other organ or distant spread
types of wilms' tumor
1-WAGR - aniridia, genital abnormalities, retardation
2-Denys-Drash - gonadal dysgenesis, renal failure
3-Beckwith-Wiedemann - asymmetric limbs
MEAN AGE: 3
clinical picture and labs for Wilms' tumor
Abdominal Mass. High EPO
-micro: will see stromal rhabdomyosarcoma elements (malignant sk. mm. cells). spread to lungs/liver/LN.
renal pelvis tumor -
a TCC, like bladder