Other benign tumors of the kidney;
Anjiomyolipom:
Various amounts of smooth muscle, fat, and thick-walled vessels of a benign kidney tumors. These tumors are malignant tumors seen regularly more than tuberous sclerosis patients return to form very nadirdir.Yan pain, a palpable mass, and may manifest in the form of urine, bleeding, bleeding in 10% of patients artırabilir.Olguların gelişebilir.Hamilelik shock due to bleeding, and most of the ultrasound tomography easily diagnosed six months and one year konulabilir.4 cm controls the masses under the following surgical removal of the benefit of the masses on edilmelidir.4 cm vardır.Acil kidney-sparing surgery in patients presenting with bleeding is often difficult, nephrectomy should be performed.
Oncocytoma:
Kidney Cancer
Oluşturur.50 accounted for 3-7% after the age of a benign renal tumors are common in men than in women is very common. Generally, a single-sided, double-sided, but there may be a large number of v. Radiological diagnosis is difficult, but when konulur.Çoğu definitive pathological diagnosis of the tumor nephrectomy or partial nephrectomy for kidney cancer is diagnosed, the condition is understood that after the oncocytoma.Renal adenoma:Diameters of 1-3 mm hoses are usually rarely pass 1cm'i. Mostly seen in men, symptoms do not. Difficult to distinguish from cancer examinations, are often partial nephrectomy.
What Are the Risk Factors for Kidney Cancer?
Little urine in the kidney that collects urine from the kidney cancer and the cells lining the inside of kanalcıklarının (epithelium) is the source. Histologically, clear cell carcinoma, papillary cell carcinoma, collecting duct carcinoma, chromophobe cell carcinoma arising from the renal pelvis sınıflanabilir.Böbrekte also seem cancers in the bladder urothelial cancer in many respects, in the era of görülebilir.Çocukluk nephroblastoma (Wilm's tumor), kidney tumors, 80% oluştururEn that is often 2-4 years of age. Renal cell cancer (renal cell ca) 85% of all malignant kidney tumors in adult cancer constitutes approximately exceeding 3%. Today, approximately 30% of patients with kidney cancer is still the time of diagnosis are spread. Also nephrectomy for localized cancer is 20 to 30% of the patients develop metastatic disease in the next period. Early diagnosis and appropriate treatment should be noted that given the full recovery of kidney cancer. If the cancer is diagnosed at an early stage of kidney survival rates were 70% to 100% of patients can be.Renal cell cancer is the most important feature is that they are resistant to radiotherapy or chemotherapy. Give the poor response to hormonal therapy. Renal cell cancers, if caught early, so was limited to the kidney can be removed surgically. Limited to the kidney is the most effective treatment for renal cell cancer cases.
Other non-genetic risk factors listed below.
Kidney cancer usually occurs between the ages of 50-60. Is two times more than men by women. Cause of kidney cancer is not yet fully known. However, researchers have identified some risk factors for the development of kidney cancer. However, anyone who has these risk factors, such as kidney cancer, not get caught in any of these risk factors for kidney cancer patients are not available. The source of kidney cancer hereditary (inherited) features play an important role. Renal tumors occur at an early age, is double-sided and multiple hereditary renal cancers of the kidney should be considered. These cancers, for example, von Hippel-Lindau syndrome, hereditary papillary thyroid cancer, hereditary clear cell carcinoma, renal oncocytoma be hereditary.One-end-stage renal failure and dialysis
2-acquired polycystic kidney disease with end-stage renal failure, toll-Smoking and tobacco use third-
4-obesity
5-metal workers
6-Asbestosis
7-Cadmium exposure
8-arsenic exposure
9-dry cleaning workers
10-Hypertension
11-Polycystic kidney disease
12-Long-term use of phenacetin
13-Long-term water tablets (diuretics) to use
What are the symptoms and how is it diagnosed?
Kidney Cancer Views:
Kidney cancer is the most frequently encountered clinical signs of bleeding in the urine, and pain in the abdomen defined as a hard mass in the form of 3-entity. Usually no symptoms in the early stage of kidney cancer, and for other reasons do not randomly determined tendency during ultrasonography or radiologic examinations. Diagnosis of stage 2 disease is diagnosed most frequently. Kidney tumors arise due to complaints of several reasons. In other words, as they are easier to treat if diagnosed early, increasing the possibility of getting rid of both cancer completely. However, the tumor grows and spreads, reduced lifetime risk is completely cured. Routine checks increases the likelihood of early diagnosis and disease provides completely get rid of. According to the prevalence of one or more of the following symptoms may indicate kidney cancer:The most common complaint of pain, consult a doctor with complaints of pain in patients who are 41% i second major complaint is that the bleeding, bleeding, change in urine color, dark urine is in the form of making, hematuria in 38% of patients seen by the other major complaint is that the kidney bloating and palpable mass, it is seen in 24% of patients complain şikayettir.Diğer complaints complaints in cancer patients in general, weight loss, weakness, fatigue, fever also posed by the substances released from kidney cancer, hypertension can be seen as the complaints.
These symptoms may be a sign of kidney cancer caused by other diseases, such as infection. People who have these complaints do appear in a urology specialist. Early diagnosis of cancer treatment possible.
Renal Cell Carcinoma Metastasis and Velocity Zones:
In general, patients with bleeding in the urine in the first examination and medicated kidney ultrasound picture is taken. Ultrasound imaging of the urinary tract first choice nowadays, cheap, is easy, as the first step due to the emergency conditions are Pyelography yapılmalıdır.İntravenöz IVP (kidney Medicated film); calcification deposits called as white spots can be observed in these films. Intravenouspyelography alone was 75% accuracy rate.Computed tomography for the diagnosis of kidney cancer, renal ultrasound and medicated more sensitive the film. 95% of the Nile dir.Kitlenin localization accuracy of CT in the diagnosis of local involvement in size and spread to surrounding tissues gives information about.
MR Imaging; side effects is low, with high accuracy to show the structure of the masses, be applicable to patients with renal insufficiency and contrast allergy, renal vein and inferior vena cava trombüslerini without the need to show the most important advantages of the contrast agent.
Scintigraphy: Bone metastases are thought to be useful in the case where bone pain, and alkaline phosphatase.PET (positron emission tomography), and about the course of treatment of patients with metastases guiding.
Biopsy may be considered in some cases have many doubts about the diagnosis, and often can be guided by computed tomography. However, the evaluation of the biopsy are problems.
What are the treatment options?
RegionRatio (%)Lung
50-60Bone
30-40Regional lymph nodes
15-30The main renal vein
15-20Perirenal adipose tissue
10-20Adrenal (same side)
10-15Vena cava
8-15Brain
10-13Against kidney
1-2
Kidney Cancer Treatment
General condition of the patient's tumor, the treatment of renal tumor size, extent of disease, patient age belirlenir.Böbrek radiotherapy and chemotherapy-resistant tumors, cancers that in general surgery remains the treatment of choice right now. The standard method of surgical treatment of kidney cancer. Or all of the kidney removed surgically or with a portion of the kidney tumor is removed.With radical nephrectomy operation kidney, adrenal gland and fat layers in the membrane around and along with removal of the tumor with a portion being removed entirely denir.Böbreğin denir.Cerrahi technically or partial nephrectomy or robotic operation can be made open or laparoscopic surgery. Pain and discomfort after surgery, the patient can be heard.
Additional Treatments Kidney Cancer
Chemotherapy: Chemotherapy is the use of drugs to kill cancer cells. Many other cancer
Radiation therapy: Radiation therapy radioactive source outside of the bodyfrom the use of high-energy rays to kill cancer cellsbased. The effectiveness of radiation therapy is different in different types of cancer. However, renalRadiation therapy is one of the few cancers to affect cancer. Therefore kidneyhas no place in the treatment of cancer are considered definitive.
Biological therapy (immunotherapy): Interleukin-2 and interferon, biological treatmentand in fact it is produced naturally in the body defense system used weaponsdescribed as substances. Outside the body by giving the patient's immunebetter use of the system, and to strengthen. Spread of cancer patientsApproximately 20% of these respond to treatment. These agents is determined by the doctoris within a program. Due to the side effects are extremely careful and experienced centersSuitable implementation. Biological monitoring of side effects during treatment for the patient is oftenremain in the hospital. As a side effect of this treatment of muscle pain, weakness, loss of attention, fever, vomiting and diarrheamay cause. Patients themselves often feel very tired. Some of them are skin rash.When treatment of these problems can be very serious, but these effects disappear.
How patient follow-up?
Although effective renal cancer, a very limited effect.However, researchers are experimenting new drugs and drug combinations. Side effects of chemotherapyadministered drugs depends. In general, the rapidly growing cancer drugs affect blood cells and hair losscauses. As a result loss of resistance to diseases, and undergo a loss of energy.
Hormone therapy is used to control the growth of the cell Hormones.Hormone therapy is used in patients with advanced kidney cancer. Progesterone kidneycancer is the most common hormone. Often temporarily reduce symptomsfor "palliative treatment" is used. Today, it is not considered curative. Side effects are usuallymoderate. Weight drugs containing progesteronemay result in changes. Causes sweating and water loss. Side effects of stopping treatment will be lost.
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