Urology

Renal Cell Carcinoma

신세포암

Renal malignancy from proximal tubule epithelium (clear cell most common)

How common
Common
Typical age
Variable age

What is it?

Core pathophysiology of Renal Cell Carcinoma.

Commonly affected: 신장 실질 (피질)

How it develops

  1. TriggerTriggering factor for Renal Cell Carcinoma
  2. Local changeSpecific changes in 신장 실질 (피질)
  3. ManifestationCharacteristic clinical features appear
  4. CourseCourse depends on treatment

Symptoms

  • Characteristic symptomsClassic features of Renal Cell Carcinoma
  • Voiding/pain/hematuriaVaries by patient
  • Systemic symptomsWith progression

How it is examined

  • Physical examIdentify affected region
  • Urine/blood labsUA, renal function, PSA as appropriate

Imaging

Renal ultrasound or CT urography is standard.

  • Lesion-specific imaging findings

MRI or cystoscopy if indicated.

  • Adjunctive findings

Non-surgical care

  • PharmacotherapyTargeted medications
  • Lifestyle/hydration2 L/day fluids, regular voiding
  • SurveillanceRegular follow-up

Conservative options are generally tried first. Medications listed here can have side effects — discuss them with your prescriber.

When surgery is considered

Medical failure or complications

Procedures that may be discussed

  • Endoscopic procedure
  • Surgical treatment

Outlook

Good with appropriate treatment.

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