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DEPARTMENT OF SURGERY
MEDICAL SCHOOL
UNIVERSITY OF SUMATERA UTARA
I. RENAL TUMORS
A. Grawitz Tumor
B. Wilms Tumor
ll. UPPER URINARY TRACT.
TUMORS
(Pelvio-calyces system &
Ureter)
III. BLADDER TUMORS
IV. TESTICULAR TUMORS
V. PROSTATE CANCER
VI. PENILE CANCER
RENAL
TUMORS
70 -
80%
Papillary
10 - 15%
Chromophobic
4 - 5%
Collecting duct
< 1%
Medullary cell
< 1%
Oncocytoma
3 - 7%
Treatment :
Nephron-sparing surgery
Radical Nephrectomy
Chemotherapi
Immunotherapi
Lung 29 54 %
Bone 16 - 27 %
Liver 2 - 10 %
Brain 1 7 %
Risk factors:
Chronic infection
Longstanding stone
Analgesic abuse
Smoking
Occupation (chemical, petroleum, plastic,
coal, asphalt)
Exposure to cyclophosphamide (alkylating
agent)
Diagnostic:
History: hematuria, pain/colic
Urine cytology
Imaging: KUB/IVU, CT Scan
Endoscopy: RPG, Cystoscopy, URS
(biopsy prn)
Staging: Chest X-ray, Bone Scan
Aromatic amines
Smoking
Trauma to the urothelium induced by
infection,
instrumentation, and calculi
Genetic
TCC
SCC
Adeno Ca
Sarcoma
PUN LMP
Undifferentiated
Unknown
90 %
5 10 %
2%
Symptoms:
Hematuria 85 90 %
dysuria,frequency, urgency
Diagnosis:
Urine cytology
Imaging: USG / KUB & IVU / CT-SCAN
Cystoscopy/TUR & biopsy:
- Tumor size
- Location / single or multiple
- Tumor base biopsy
Based on:
Tumor type/grade/stage/size
Primary/recurrence
Location
Focality
Co-morbidity