Cpc renal tumors
•
2 gostaram•691 visualizações
Renal tumors clinico pathological meet
Recomendados
Mais conteúdo relacionado
Mais procurados
Mais procurados (20)
Semelhante a Cpc renal tumors
Semelhante a Cpc renal tumors (20)
Mais de Priyatham Kasaraneni
Mais de Priyatham Kasaraneni (20)
Último
Último (20)
Cpc renal tumors
- 2. Case 1 • A 42 years, Female • 644022 • Unit 2
- 3. • CC- Pain in the left loin since – 4 months No complaints of fever, haematuria, burning micturition • Past history:- • No h/o DM/HTN • No previous surgeries • H/O Right VUJ calculus 5 mm – 3 years back for which medical management was advised & recovered
- 4. • No significant family history • Personal • No history of smoking
- 5. EXAMINATION • No pallor, icterus, cyanosis, clubbing, oedema, lymphadenopathy • Pulse -78/min • BP -10/80 mmHg
- 6. • Abdomen inspection • Umbilicus central • No scars sinuses • All quadrants move equally with respiration • External genitals normal • Palpation • Soft, tenderness in the left lumbar region • No organomegaly • Percussion • No free fluid
- 7. • CVS : S1, S2 + • RS : NVBS • CNS: NFND
- 8. INVESTIGATIONS HB 14.5 TC 5940 BLOOD GROUP B POSITIVE PLATELET COUNT 3.45 L SERUM CREATININE 0.57 LFT NORMAL SERUM CALCIUM NORMAL URINE R/E normal
- 9. INVESTIGATIONS • CECT abdomen – A lower pole mass of left kidney of size 8*6 cms with less than -20 HU – likely Angiomyolipoma • Normal perinephric fat plane • Normal renal artery and renal vein. • No thrombus in the renal vein. • No calculi / calcification • No e/o renal hilar lymphadenopathy. • Normal right adrenal gland.
- 10. CLINCAL DIAGNOSIS • DIAGNOSIS:- • Left Renal angiomyolipoma
- 11. PROCEDURE • Open LEFT Partial NEPHRECTOMY ON 05-01-17 • INTRA OP – A 8 x 6 x 3 cms left lower pole renal mass noted.
- 15. HPE
- 16. Case 2 • A 2 year female child • 640027 • Paediatric Surgery • With C/O – abdominal distension since 15 days • O/E – P/A – distended with abdominal mass of size 10*8 cms, present over the left lumbar, umblical & left hypochondric region
- 17. • Cect abdomen – well defined well demarcated exophytic large heterogeneously enhancing mass lesion seen in the upper pole of left kidney with no obvious calcification – wilms tumor • Surgery done – left nephrectomy was done
- 18. HPE
- 19. Case 3 • A, 55 years, Male • 573291 • Unit 1
- 20. • CC- Incidentally detected left renal mass • No history of hematuria /loin pain or fever. • Past history:- • K/C/O HTN + T2DM on medication
- 21. • No significant family history or personal history
- 22. EXAMINATION • No pallor, icterus, cyanosis, clubbing, oedema, lymphadenopathy • Pulse -83/min • BP -130/80 mmHg
- 23. • Abdomen inspection • Umbilicus central • No scars sinuses • All quadrants move equally with respiration • External genitals normal • Palpation • Non tender • No organomegaly • Percussion • No free fluid • Other systems - WNL
- 24. INVESTIGATIONS Hb 11.6 TC 7210 Platelet count 2.5 Blood group A + ve Serum Creatinine 0.85 RBS 103 REST NORMAL
- 25. INVESTIGATIONS • CECT ABDOMEN AND PELVIS – 8x7x6 cm well enhanced left upper pole renal mass • Normal perinephric fat plane • Normal renal artery and renal vein. • No thrombus in the renal vein. • Normal right adrenal gland. • No enlarged lymph nodes
- 26. PROCEDURE • LAPAROSCOPIC LEFT PARTIAL NEPHRECTOMY ON 19-10-2017 • INTRA OP – 8x7x6 cm left upper pole renal mass noted.
- 27. • CLINCAL DIAGNOSIS • DIAGNOSIS:- • LEFT RENAL CELL CARCINOMA
- 28. HPE