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URINARY TRACT
NEOPLASMS
TUMORS OF KIDNEY
(
5
-
10
)%
Benign tumors
.1
Epithelial
Papillary adenoma
Transitional cell papilloma
2
.
Connective tissue
•
Angiomyolipoma
•
Oncocytoma
•
Nephroplastoma)hamartoma(
•
Fibroma
PAPILLARY ADENOMA & TRANSTIONAL CELL
PAPILLOMA
ANGIOMYOLIPOMA
ANGIOMYOLIPOMA
ONCOCYTOMA
HAMARTOMA
MALIGNANT RENAL TUMORS
• 1ry
From renal parenchyma
1. Renal cell carcinoma )Grawitz tumor(
2. Nephroplastoma or embryoma )Wilms tumor(
From renal pelvis
TCC
2ry
Lung
Breast
....
RCC
RCC or Grawitz tumor
• 80
% of renal tumors .
• >
40 yrs old
• M: F » 4:1
• Unilateral
Nephroplastoma
Wilm
’
s tumor
• 10
% of childhood malignancy .
• <
4 yrs old children
• M=F
• 10
% bilateral
RCC
Predisposing factors
Wilms tumor
Unknown
RCC
1. Origin
2. Site
3. Gross
4. Infiltratio
Wilms tumor
• Epithelium of the proximal convoluted tubul
• Mostly upper pol
• Well circumscribed pseudocapsular mass
• Golden yellow
• Hage and necrosis C/S
• Early, to kidney pelvis and calyces= hematuria
• Late, to parenchima and capsule
Pathology
• Pleuripotent germ cell
• At any site, more in med lateral
• Well circumcribed mass
• Grayish white
• Hage and necrosis
• Early, to parenchima
• Late, to renal pelvis = late hematuria
Urinary tract  neoplasms.pptx
Urinary tract  neoplasms.pptx

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Urinary tract neoplasms.pptx

  • 2. TUMORS OF KIDNEY ( 5 - 10 )% Benign tumors .1 Epithelial Papillary adenoma Transitional cell papilloma 2 . Connective tissue • Angiomyolipoma • Oncocytoma • Nephroplastoma)hamartoma( • Fibroma
  • 3. PAPILLARY ADENOMA & TRANSTIONAL CELL PAPILLOMA
  • 8. MALIGNANT RENAL TUMORS • 1ry From renal parenchyma 1. Renal cell carcinoma )Grawitz tumor( 2. Nephroplastoma or embryoma )Wilms tumor( From renal pelvis TCC 2ry Lung Breast ....
  • 9. RCC
  • 10. RCC or Grawitz tumor • 80 % of renal tumors . • > 40 yrs old • M: F » 4:1 • Unilateral Nephroplastoma Wilm ’ s tumor • 10 % of childhood malignancy . • < 4 yrs old children • M=F • 10 % bilateral
  • 12. RCC 1. Origin 2. Site 3. Gross 4. Infiltratio Wilms tumor • Epithelium of the proximal convoluted tubul • Mostly upper pol • Well circumscribed pseudocapsular mass • Golden yellow • Hage and necrosis C/S • Early, to kidney pelvis and calyces= hematuria • Late, to parenchima and capsule Pathology • Pleuripotent germ cell • At any site, more in med lateral • Well circumcribed mass • Grayish white • Hage and necrosis • Early, to parenchima • Late, to renal pelvis = late hematuria