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Learn about renal adenocarcinoma, its causes, symptoms, diagnostic methods like ultrasound and CT scan, TNM staging, treatment options including radical nephrectomy, immunotherapy, and chemotherapy.
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BENIGN TUMORS • Cystic lesions • Renal Adenomas • Oncocytoma • Angiomyolipoma (Renal Hamartoma)
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
Pt undewent radical nephrectomy & CABG & thrombectomy & IVC clousure
Metastatic RCC • Cytoreductive nephrectomy • Immunotherapy • Chemotherapy • Radiotherapy