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Renal Tumors
Renal Tumors and Pathology
22
Biochemistry
12th Grade
05/31/2012

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Term
Palpable flank mass with flank pain, hematuria, hypertension, urinary infection

Presents in adulthood
Definition
Autosomal dominant polycystic kidney disease - ADPKD

Multiple, large, bilateral cysts that ultimately destroy the parenchma
Term
Palpable flank mass with flank pain, hematuria, hypertension, urinary infection. Can result in Potter's syndrome in utero, and hepatic fibrosis

Presents in childhood
Definition
Autosomal recessive polycystic kidney disease (ARPKD)
Term
Sequelae associated with polycystic kidneys
Definition
Polycystic liver disease
Berry Anneurism (SAH)
Mitral valve prolapse
Term
Most common renal malignancy

Associated with von Hippel-Lindau gene deletion on chromosome 3
Definition
Renal Cell carcinoma
Term
Malignancy seen with polygonal clear cells. Presents with hematuria, palpable mass
Definition
Renal cell carcinoma

Associated with von Hippel Lindau gene deletion of chromosome 3
Term
Malignancy associated with:
Polycythemia (via EPO)
Ectopic ACTH
PTHrP
Prolactin
Definition
Renal Cell carcinoma
Term
Most common renal malignancy in early childhood
Definition
Wilm's tumor

Associated with WAGR complex
(Wilms, aniridia, genital anomale, retardation)

Associated with WT1 tumor suppressor on chromosome 11
Term
WAGR complex

Associated with WT1 tumor suppressor on chromosome 11
Definition
Wilms tumor
Aniridia
Genitalurinary malformation
Retardation
Term
Most common tumor of the urinary tract arising from the urothelial lining of renal pelvis, ureter, bladder or urethra
Definition
Transitional cell carcinoma (urothelial CA)
Term
Risk factors for transitional cell (urothelial) carcinoma
Definition
Smoking
Exposure to naphthylamine
Azo dyes
Long time cyclophosphamide or phenacetin use
Term
Malignant proliferation of cells associated with chronic cystitis, chronic nephrolithiasis and schistosoma hematobium
Definition
Squamous cell carcinoma of the bladder
Term
Proliferation of glands from a urachal remnant, cystitis glandularis or extrophy of the bladder
Definition
Adenocarcinoma of the kidney
Term
Autosomal dominant disorder associated with hemangioblastoma of cerebellum and renal cell carcinoma
Definition
von Hippel Lindau disease
Term
Necrotic cells plugging tubules, obstructing tubules with "muddy brown casts"
Definition
Acute Tubular necrosis
Term
Causes of acute tubular necrosis
Definition
Obstruction/Crush injury (myoglobinuria)
Ischemia
Toxins (contrast agents)
Gentimicin
Sulfa drugs
Term
Acute renal failure with
Increase in BUN/Cr ratio in attempt to conserve volume
Definition
Pre-renal azotemia
Term
Acute renal failure
BUN absorption is impaired, will decrease the BUN/Cr ratio
Definition
Intrarenal/intrinsic azotemia
Term
Acute renal failure with
Outlflow obstruction, will initially have normal BUN/Cr. After a long time will damage the tubular epithelium and get decreased BUN/Cr
Definition
Post renal Azotemia
Term
WBC casts
CVA tenderness
Nausea
Vomiting
Definition
Pyelonephritis
Term
Waxy casts
Definition
Advanced renal disease (ESRD)
Term
Acute interstitial renal inflammation due to drugs
Definition
Acute interstitial nephritis
Term
Drugs that cause Acute Interstitial nephritis
Definition
NSAIDS
Penicillin derivatives
Sulfonamides
Rifampin
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