Renal Tumors PDF
Document Details
Samer Makarem
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Summary
This document presents a comprehensive overview of Renal Tumors, covering benign and malignant types, their characteristics, imaging, and treatment options. It details the different diagnostic and therapeutic approaches, including surgical and medical interventions. The presentation also touches on important aspects such as symptom presentation and the diagnostic workup.
Full Transcript
Renal Tumors Samer Makarem MD Urology Benign renal masses Large and heterogenous group of renal lesions 15-20% of renal masses 4 cm partial/radical nephrectomy or embolization with early intervention in young females desiring pregnancy. Selective embolization should be...
Renal Tumors Samer Makarem MD Urology Benign renal masses Large and heterogenous group of renal lesions 15-20% of renal masses 4 cm partial/radical nephrectomy or embolization with early intervention in young females desiring pregnancy. Selective embolization should be considered as first-line therapy in patients with acute or potentially life-threatening hemorrhage, because surgical exploration in this setting is often associated with total nephrectomy Wunderlich syndrome Massive retroperitoneal hg occurring is 10 % of AMLs more likely in pregnancy. Lenk’s triad :acute flank pain ,evidence of internal bleeding ,and palpable tender abdominal mass. Grey turner sin Cullens sign Malignant kidney tumors Gustav Simon General considerations A thin sliced renal CT scan remains the single most important radiographic test for delineating the nature of a renal mass. In general, any renal mass that enhances with intravenous administration of contrast material on CT >15 (HU) should be considered an RCC until proved otherwise Magnetic resonance imaging (MRI) is the alternate standard imaging modality for the characterization of a renal mass Renal biospsy Considered in small renal tumors
