RCC: Metastasis and Investigations

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Questions and Answers

What percentage of renal cell carcinoma is sporadic?

  • 90%
  • 96% (correct)
  • 95%
  • 80%

What characteristics are common in familial renal cell carcinoma?

  • Bilateral and solitary
  • Unifocal and unilateral
  • Multifocal and bilateral (correct)
  • Unilateral and solitary

What is the approximate percentage of familial renal cell carcinoma?

  • 1%
  • 4% (correct)
  • 10%
  • 8%

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

<p>Clear cell carcinoma (D)</p> Signup and view all the answers

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

<p>Tumor suppressor genes (A)</p> Signup and view all the answers

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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

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