RCC: Metastasis and Investigations

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5 Questions

What percentage of renal cell carcinoma is sporadic?

96%

What characteristics are common in familial renal cell carcinoma?

Multifocal and bilateral

What is the approximate percentage of familial renal cell carcinoma?

4%

Which type of renal cell carcinoma is associated with Von Hippel-Lindau Syndrome?

Clear cell carcinoma

What is the molecular pathology of renal cell carcinoma predominantly associated with?

Tumor suppressor genes

Study Notes

Renal Cell Carcinoma (RCC)

  • Up to 30% of patients with RCC present with metastatic disease, commonly in the bone and lung.
  • Amyloidosis is a possible associated condition.

Investigations

  • General investigations for RCC include:
    • Complete Blood Count (CBC)
    • Erythrocyte Sedimentation Rate (ESR)
    • Liver Function Tests (LFTs)

Hereditary Papillary Renal Cell Cancer

  • Associated with activating mutations of the MET proto-oncogene
  • Characterized by a papillary growth pattern

Types of Renal Cell Carcinoma

  • Sporadic RCC: accounts for approximately 96% of cases
  • Familial RCC: accounts for approximately 4% of cases, characterized by:
    • Multifocal tumors
    • Bilateral tumors

Other Associated Conditions

  • Chronic renal failure
  • Acquired cystic disease

This quiz covers the presentation of metastatic disease in Renal Cell Carcinoma (RCC) patients, including common metastasis locations and necessary investigations.

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