BENIGN TUMORS Cystic lesions Renal Adenomas Oncocytoma Angiomyolipoma (Renal Hamartoma)

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Presentation 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

MRI:Tumor thrombosis with IVC involvement

Pt undewent radical nephrectomy & CABG & thrombectomy & IVC clousure

Metastatic RCC Cytoreductive nephrectomy Immunotherapy Chemotherapy Radiotherapy