Harman Patil (Editor)

Kidney tumour

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Kidney tumour

Kidney tumours (or kidney tumors), also known as renal tumours, are tumours, or growths, on or in the kidney. These growths can be benign or malignant (kidney cancer).

Contents

Presentation

Kidney tumours may be discovered on medical imaging incidentally (i.e. an incidentaloma), or may be present in patients as an abdominal mass or kidney cyst, hematuria, abdominal pain, or manifest first in a paraneoplastic syndrome that seems unrelated to the kidney.

Diagnoses

There are many forms of kidney tumours:

Malignant (cancerous)

  • The most frequent, malignant, primary kidney cancer is renal cell carcinoma (RCC) - which has several subtypes:
  • Clear cell RCC.
  • Papillary RCC
  • Chromophobe RCC
  • Collecting duct RCC
  • Metastatic tumour, e.g. ovarian carcinoma.
  • Benign

  • Renal oncocytoma
  • Cystic nephroma
  • Angiomyolipoma
  • Metanephric adenoma
  • Renal medullary fibroma
  • Surgical complexity

    The RENAL Nephrometry Scoring System is used to measure the complexity of kidney tumors for surgical excision, and is estimated by CT scan as follows:

    A higher score indicates a higher difficulty in removing the tumor surgically, potentially making nephrectomy necessary.

    References

    Kidney tumour Wikipedia