renal tumor cases for discursion
DESCRIPTION
RENAL TUMOR CASES FOR DISCURSION. Ass Prof Anmar Nasir Consultant of Urology Um Al- qura univ. Prof. Hasan Farsi Consultant Of Urology KAU. Case 1. History. Age 54y Symptoms Bilateral flank pain No hematuria No voiding or storage symptoms No uremic manifestations O/E: - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/1.jpg)
RENAL TUMOR RENAL TUMOR CASES FOR DISCURSIONCASES FOR DISCURSION
Prof. Hasan FarsiProf. Hasan FarsiConsultant Of UrologyConsultant Of Urology
KAUKAU
Ass Prof Anmar NasirAss Prof Anmar NasirConsultant of UrologyConsultant of Urology
Um Al-qura univUm Al-qura univ
![Page 2: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/2.jpg)
Case 1
![Page 3: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/3.jpg)
HistoryHistory AgeAge
– 54y54y SymptomsSymptoms
– Bilateral flank pain Bilateral flank pain – No hematuriaNo hematuria– No voiding or storage symptoms No voiding or storage symptoms – No uremic manifestationsNo uremic manifestations
O/E:O/E:– Generally okGenerally ok– Fullness in both renal angle with mild Fullness in both renal angle with mild
tenderness tenderness – no palpable mass no palpable mass
![Page 4: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/4.jpg)
Laboratory profilesLaboratory profilesCBCCBCRenal profilesRenal profiles
HgHgWbcsWbcsPlateletPlateletCrCrNaNaKK
PropProp1481485.75.723123180801381384.04.0
Post OpPost Op105105-143-1431313350350738-1018738-1018128-140128-1403.1-6.63.1-6.6
Post Renal Post Renal TXTX
1061065.75.73213211081081341343.93.9
AlbuminAlbuminAlk PhosAlk PhosBilirubinBilirubinAltAltCxrCxr
PropProp4242575710101515NadNad
Post OpPost Op41415858881919NadNad
Post Post Renal Renal TXTX
35354747772424NadNad
![Page 5: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/5.jpg)
Preop.15/1/2006
![Page 6: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/6.jpg)
![Page 7: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/7.jpg)
![Page 8: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/8.jpg)
![Page 9: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/9.jpg)
Surgical procedureSurgical procedure
Date :Date :– 23/2/200623/2/2006
Surical techniqueSurical technique– Bilateral radical nephrectomyBilateral radical nephrectomy– 12 rib supra costal approch12 rib supra costal approch
Pathology :Pathology :
![Page 10: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/10.jpg)
PathologyPathology
Gross DescriptionGross DescriptionMicroscopic DescriptionMicroscopic Description
Left Left Right Right Left Left RightRight
SizeSize17x11x617x11x614x7x614x7x6GII T2NoMoGII T2NoMoGIIT2NoMoGIIT2NoMo
Attached ToAttached ToPre-nenphric Fat, Pre-nenphric Fat, Ureter And Ureter And
Renal Artery Renal Artery And VeinAnd Vein
Ureter And Ureter And Renal Renal
Artery And Artery And VeinVein
Adrenal Adrenal GlandGland
+Ve+Ve-Ve-Ve
LNLN-Ve-Ve-Ve-Ve
Tumour Tumour Numerous Tumor Numerous Tumor Nodules Nodules
Ranging In Ranging In Sixe From0.4-Sixe From0.4-
9cm9cm
Numerous Numerous Tumor Tumor Nodules Nodules
Ranging In Ranging In Sixe Sixe
From0.4-From0.4-6cm6cm
![Page 11: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/11.jpg)
Post operative for 2 yrs
![Page 12: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/12.jpg)
![Page 13: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/13.jpg)
![Page 14: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/14.jpg)
Renal TX 27/11/2008
![Page 15: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/15.jpg)
![Page 16: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/16.jpg)
![Page 17: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/17.jpg)
![Page 18: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/18.jpg)
Post renal TX
![Page 19: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/19.jpg)
![Page 20: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/20.jpg)
Case 2
![Page 21: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/21.jpg)
Case 2Case 2 AgeAge
– 53y53y SymptomsSymptoms
– Left flank pain Left flank pain – No hematuriaNo hematuria– No voiding or storage symptoms No voiding or storage symptoms – No uremic manifestationsNo uremic manifestations
O/E:O/E:– Generally okGenerally ok– mild tenderness mild tenderness – no palpable massno palpable mass
![Page 22: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/22.jpg)
![Page 23: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/23.jpg)
![Page 24: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/24.jpg)
![Page 25: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/25.jpg)
![Page 26: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/26.jpg)
![Page 27: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/27.jpg)
![Page 28: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/28.jpg)
![Page 29: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/29.jpg)
![Page 30: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/30.jpg)
Surgical procedureSurgical procedure
Date :Date :– 8/5/20078/5/2007
Surical techniqueSurical technique– Left partial NephrectomyLeft partial Nephrectomy– 12 rib supra costal approch12 rib supra costal approch
Pathology :Pathology :
![Page 31: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/31.jpg)
PathologyPathology
Gross DescriptionGross DescriptionMicroscopic DescriptionMicroscopic Description
Left Left
Left Left GII T3NoMoGII T3NoMo
SizeSize3.5x2.5x13.5x2.5x1
Tumour Tumour Well circumscribed Well circumscribed Submitted Submitted
total+safty margin total+safty margin from the bed from the bed
![Page 32: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/32.jpg)
Post op
![Page 33: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/33.jpg)
![Page 34: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/34.jpg)
![Page 35: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/35.jpg)
![Page 36: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/36.jpg)
Surgical procedureSurgical procedure
Technique:Technique:– left renal explorationleft renal exploration– 12 rib incision12 rib incision– Excision of mass in the left renal bed Excision of mass in the left renal bed
with safety margin from including the with safety margin from including the renal capsulerenal capsule
– Pathology:Pathology:Myofibroblastic proliferation (Desmoid Myofibroblastic proliferation (Desmoid
tumor)tumor)
![Page 37: RENAL TUMOR CASES FOR DISCURSION](https://reader036.vdocuments.us/reader036/viewer/2022062517/56813219550346895d9878aa/html5/thumbnails/37.jpg)
Thank you