benign tumors cystic lesions renal adenomas oncocytoma angiomyolipoma (renal hamartoma)

BENIGN TUMORS

• Cystic lesions• Renal Adenomas• Oncocytoma• Angiomyolipoma (Renal Hamartoma)

CYSTIC LESIONS

oncocytoma

Angiomyolipoma

ADENOCARCINOMA OF THEKIDNEY (RCC)

•The cause of renal adenocarcinoma is unknown .•Occupa-tional exposures, chromosomal aberrations, and

tumor suppressor genes have been implicated.• Cigarette smokingis the only risk factor consistently linked to

RCC .•Exposure to asbestos, solvents,and cadmium has also been

associated with an increasedincidence of RCC•Pathology

TNM Staging

• N:Regional lymph node• Nx:Regional LNcan not

be assessed.• N0:No regional LN

metastasis.• N1:Metastase in

regional LN(s)

•SYMPTOMS AND SIGNS• PARANEOPLASTIC SYNDROMES

•LABORATORY FINDINGS•ULTRASONOGRAPHY

•CT SCANNING• MAGNETIC RESONANCE IMAGING

•Renal biopsy

Treatment

•Radical Nephrectomy•Partial Nephrectomy•Simple Nephrectomy

Abdominopelvic CT-Scan

Radical Nephrectomy was done.(90/11/21)

Dilated superficial abdominal vein and abdominal mass

Abdomen-Pelvic CT Scan

MRI

Abdominopelvic CT-Scan

Abdominopelvic CT-Scan

MRI:Tumor thrombosis with IVC involvement

Pt undewent radical nephrectomy & CABG & thrombectomy & IVC clousure

Metastatic RCC

•Cytoreductive nephrectomy•Immunotherapy•Chemotherapy•Radiotherapy