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