RCC

Question 1

56 y/o Male with Flank pain and macroscopic hematuria . Do a General examination and Ultrasound

Answer 1

Question 2

The ultrasound revealed a LP mass with no involvement of the collecting system . What else would you like to know about the CT

Answer 2

1.Radius of the mass
2.Is the mass enhancing
3. How close is it to the Hilum
4. Polarity
5. Renal vein thrombus
6. LAD
7. Contralateral kidney
8. Liver and Lung mets

Question 3

What is the RENAL & PADUA score

Answer 3

CT based anatomical classification to quantify the complexity of the renal mass , and to predict perioperative outcomes ( WIT, EBL, Risk of complications)

Question 4

What stage tumour is a LP renal mass of 4x5 cm with no LN, no Mets, no renal vein thrombus

Answer 4

cT1b

Question 5

What are is the best options to Manage of a pt with a renal mass 4x5 cm in the LP

Answer 5

Shared decision making
Taking into considerations patients co morbidities
Councel the pt on all options
- Partial nephrectomy ( Best )
- Radical nephectomy