MMD Exam 2 pt 213 cards

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1

Bladder Ca RF/SX

Men, White, 65, Smoking SX: Gross Painless Hematuria, freq, urgency, flank pain, met dz sx: hepatomegaly, lymphedema

2

Bladder Ca DX

Cysto with BX and Transurethral Resection- dx, tx and staging distant mets assessed by CT of chest, abd or MRI


4

TX for bladder ca

Superficial: complete transurethral resection with/w/o intraves therapy Invasive: Rad Cystectomy and adjuvant chemo Met DZ: Sugery with curative or palliative chemo

5

Renal Cell Ca RF/SX

M, 6th decade, smoking SX: Triad-hematuria, flank pain and abd mass show advanced dz; fever, chills, wt loss, cough, bone pain

6

Clear Cell

Originates in proximal tubule and found in mets

7

Papillary

prox tubule, tends to be bilat

8

Chromophobic

corical collecting duct

9

Oncocytic

cortical collecting duct; benign

10

Collecting Duct

Medullary collecting duct, rare and very aggressive, tends to affect younger pts

11

DX Renal Cell CA

Abd and Pelvis CT is test of choice; chest CT to rule out pulm mets

12

Renal ca staging

Stage 1: tumors <7 cm and confined to kidney Stage 2: Tumors>7cm and confined to kidney Stage 3: Extend through renal capsule but only involve a single lymph node Stage 4: Invade adjacent organs or distant mets

13

Renal Ca TX

Stage 1,2 and selected 3: Rad Nephrectomy (in presence of mets its palliative) or can do Segmental to preserve fct Radiation not effective; IL-2 approved