肾脏肿瘤英文课件
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Incidence
• only 2% to 3% are familial • children and young adults with RCC may
respond better to surgical therapy
Pathologic Subtypes of RCC
Clinical Presentation
肾脏肿瘤
Renal Neoplasms
分类
• 炎症性病变
➢局限性肾盂肾炎 ➢黄色肉芽肿 ➢结核 ➢风湿性肉芽肿 ➢囊肿合并感染
分类
• 良性肿瘤
➢Simple cyst ➢AML ➢Oncocytoma ➢Adenoma ➢Cystic nephroma ➢Reninoma ➢Et al
分类
• 恶性肿瘤
• more than 50% of RCCs are now detected incidentally
• Local Tumor Growth • Metastases • Obstruction of the Inferior Vena Cava • Paraneoplastic Syndromes(20% of patients)
SURGICAL MANAGEMENT OF METASTATIC RENAL CELL CARCINOMA
• Cytoreductive Nephrectomy • Resection of Metastases • Targeted Therapy
• 30% to 40% of patients with RCC have died of their cancer
• male-to-female predominance of 3 : 2 • typical presentation in the sixth and seventh
decades of life
Staging
Diagnosis
• CT • Or • MRI
Bus
Biopsy
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TREATMENT OF LOCALIZED RENAL CELL CARCINOMA
• Partial nephrectomy
• Radical nephrectomy
Other choice
• Renal Cryosurgery • Radiofrequency Ablation (RFA) • Active Surveillance
➢Renal cell carcinoma ➢Urothelium based cancer ➢Sarcoma ➢Wilm’s tumor ➢Metastasis ➢carcinoid, lymphoma, et al
肾细胞癌
Renal Cell Carcinoma
Incidence
• Accounts for 2% to 3% of all adult malignant neoplasms