Kidney Cancer 3.4

1. What is the most common primary type of kidney cancer?

Metastaric renal cancer

Renal Cell Carcinoma/ adenocarcinoma

2. Family history and Polycystic kidney disease are risk factors for RCC

True

False

3. The first lab study will present with 60% having what?

Gross or microscopic hematuria

Anemia

Abnormal liver function

4. Tobacco smoking does not increase risk of RCC

True

False

5. RCC is one of the most resistant to chemotherapy cancers

True

Falst

6. Radionuclide isotope scanning is used to determine the presence or absence of mets

True

False

7. What is Alopecia an adverse reaction to?

Chemo

Radiation

8. RCC when treated by Chemotherapy will have a high recurrence rate

True

False

9. Black men have a higher likelihood of getting contra lateral kidney cancer

True

False

10. Black males have RCC more then any other men

True

False

11. What type of cancer originates from the proximal renal tubular epithelial cell

Sarcinoma

RCC

Polycystic cancer

12. RCC responds well to radiation

No is radio-resistant

Yes is radio-sensitive

13. Horse shoe kidney is a risk factor for RCC

True

False

14. Radiation therapy is used for symptomatic pain relief from bone metastasis

True

False

15. At time of diagnosis how many patients likely have metastatic disease?

One third of patients

Two thirds of patients

4/5ths of patients

16. What is the gold standard for benign and malignant renal tumors?

Radical Nephrectomy

Partial nephrectomy

Bilateral nephrectomy

17. RCC accounts for what % of all primary malignant renal tumors

30%

6%

75%

85%

18. What lab study is done first?

LFT

CBC

UA

19. Shows filling defect

KUB

CT scan

Renal ultrasound

IVP

20. Tumor extends to renal vein

Stage 1

Stage 2

Stage 3A

Stage 3B

Stage 3C

21. Is chemotherapy useful on RCC?

No

Yes

22. White men have RCC more then blacks

True

False

23. Average age at diagnosis is between _ and _ years

60, 65

55, 60

50, 55

70, 80

24. Asians have the second highest incidence of RCC

True

False

25. What is the ratio of occurrence in male to female

3 to 1

2 to 1

4 to 1

8 to 2

26. Renal cancer can come from the breast?

True

False

27. How does a tumor present?

Flank pain and flank/abdominal mass

Hypertension

Weight loss

Gross or microscopic Hematuria

Hypotension

Submit

28. Renal cancer can come from the bladder

True

False

29. Contraindications for partial nephrectomy would be a metastatic disease or?

Poor renal function

Large sized tumor

Contralateral kidney is threatened

Solitary kidney

30. Tumor within the capsule

Stage 2B

Stage 2

Stage 1B

Stage 1A

Stage 1

31. Regional lymph nodes or perinephric fat outside gerota's fascia

3C

3A

3B

4A

4B

32. How many new cases of RCC occur annually?

20,000

30,000

11,600

10,000

33. Surgical treatment for RCC is?

Radical nephrectomy

Partial nephrectomy

Bilateral nephrectomy

Bilateral adrenalectomy

Submit

34. What is the cause of RCC?

Tobacco smoking

Polycystic kidney disease

Family history

Unknown

35. Extends to vessels and lymph nodes

Stage 2

Stage 3B

Stage 4A

Stage 3C

36. Shows involvement with other organs and tissue

MRI

CT scan

Radionuclide Isotope scanning

Renal ultrasound

37. How many people die from RCC per a year?

14,000

11,600

30,000

12,000

1000

38. Spreads to adjacent organs

Stage 4B

Stage 4C

Stage 4A

Stage 4

Stage 5

39. Occurrence rate is identical between black and white

True

False

40. Determines if Vena Cava, lymph nodes, or renal veins are involved. Also tells density of renal mass

Radionuclide Isotope scanning

CT scan

MRI

KUB

IVP

41. Distant metastasis is stage 4C

True

False

42. Tumor extends to perinephric fat or adrenal gland, but still within gerota's fascia

Stage 3A

Stage 2

Stage 2A

Stage 1C

43. May show enlargement or distortion of the kidney

KUB

Renal Ultrasound

CT scan

MRI

44. 30% of RCC patients will have this when doing _ lab test with _ results

Gross or microscopic hematuria, CBC

Gross or microscopic hematuria, UA

Anemia, CBC

Anemia, LFT

45. What rate of response is seen for Chemo?

7-11%

6-10%

4-6%

20%

Less then 3%

46. Primary tumors account for how much of all renal cancer?

50%

85%

6%

30%

47. Likely locations for distant metastasis include bone and what else?

Kidney

Heart

Liver

Bone

Brain

Submit

48. Secondary symptoms to metastatic disease are?

Dyspnea, cough

Seizure, headache

Chills, fever

Bone pain

Heart problems

Submit

49. What locations can Renal cancer come from?

Breast

Brain

Stomach

Lungs

Liver

Submit

50. A contraindication for radiation therapy is that RCC is radio-resistant and?

Gross hematuria

Pain

Alpecia

Stomach cramps

Severe bone metastasis

Submit

51. Rad studies would include a KUB, IVP, Renal ultrasound and what else?

CT scan

MRI

Radionuclide isotope scanning

Bone scan

Nuclear density test

Submit

52. Radiation side effects include sunburn type red patch, N/V and what else

Fever

Chills

Diarrhea

Stomach cramps

Hematuria

Submit

53. Distorts the contour of the kidney and collecting system

Sarcoma

Polycystic disease

RPLND

RCC

Kidney Cancer 3.4

1. What is the most common primary type of kidney cancer?

2.

What first name or nickname would you like us to use?

2. Family history and Polycystic kidney disease are risk factors for RCC

3. The first lab study will present with 60% having what?

4. Tobacco smoking does not increase risk of RCC

5. RCC is one of the most resistant to chemotherapy cancers

6. Radionuclide isotope scanning is used to determine the presence or absence of mets

7. What is Alopecia an adverse reaction to?

8. RCC when treated by Chemotherapy will have a high recurrence rate

9. Black men have a higher likelihood of getting contra lateral kidney cancer

10. Black males have RCC more then any other men

11. What type of cancer originates from the proximal renal tubular epithelial cell

12. RCC responds well to radiation

13. Horse shoe kidney is a risk factor for RCC

14. Radiation therapy is used for symptomatic pain relief from bone metastasis

15. At time of diagnosis how many patients likely have metastatic disease?

16. What is the gold standard for benign and malignant renal tumors?

17. RCC accounts for what % of all primary malignant renal tumors

18. What lab study is done first?

19. Shows filling defect

20. Tumor extends to renal vein

21. Is chemotherapy useful on RCC?

22. White men have RCC more then blacks

23. Average age at diagnosis is between ___ and ___ years

24. Asians have the second highest incidence of RCC

25. What is the ratio of occurrence in male to female

26. Renal cancer can come from the breast?

27. How does a tumor present?

28. Renal cancer can come from the bladder

29. Contraindications for partial nephrectomy would be a metastatic disease or?

30. Tumor within the capsule

31. Regional lymph nodes or perinephric fat outside gerota's fascia

32. How many new cases of RCC occur annually?

33. Surgical treatment for RCC is?

34. What is the cause of RCC?

35. Extends to vessels and lymph nodes

36. Shows involvement with other organs and tissue

37. How many people die from RCC per a year?

38. Spreads to adjacent organs

39. Occurrence rate is identical between black and white

40. Determines if Vena Cava, lymph nodes, or renal veins are involved. Also tells density of renal mass

41. Distant metastasis is stage 4C

42. Tumor extends to perinephric fat or adrenal gland, but still within gerota's fascia

43. May show enlargement or distortion of the kidney

44. 30% of RCC patients will have this when doing ___ lab test with ___ results

45. What rate of response is seen for Chemo?

46. Primary tumors account for how much of all renal cancer?

47. Likely locations for distant metastasis include bone and what else?

48. Secondary symptoms to metastatic disease are?

49. What locations can Renal cancer come from?

50. A contraindication for radiation therapy is that RCC is radio-resistant and?

51. Rad studies would include a KUB, IVP, Renal ultrasound and what else?

52. Radiation side effects include sunburn type red patch, N/V and what else

53. Distorts the contour of the kidney and collecting system

23. Average age at diagnosis is between _ and _ years

44. 30% of RCC patients will have this when doing _ lab test with _ results