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Kidney Cancer: Diagnosis and Evaluation
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== Answers == # What is the differential diagnosis for a solid mass on imaging? #* Malignant: RCC, urothelial carcinoma, sarcoma, lymphoma, metastasis #* Benign: oncocytoma, abscess, infarct, vascular malformation, renal pseudotumour # What are the recommended investigations in patients with suspected RCC? #* History and physical #* Laboratory investigations: CBC, Cr, LFTs, calcium #* Imaging: Triphasic CT abdo/pelvis, CXR or CT chest # What are the paraneoplastic syndromes associated with RCC? ## Neuropathy ## Elevated ESR ## Weight loss ## Hypertension ## Anemia ## LFTs elevated ## Fever ## Hypercalcemia ## Amyloidosis ## Polychythemia # What findings are suggestive of ipsilateral adrenal involvement ## Enlarged or indistinct adrenal gland on imaging ## Extensive malignant replacement of kidney ## Palpably abnormal adrenal gland # What are potential complications related to renal mass biopsy? ## Bleeding ### Renal hematoma ### Gross hematuria ### Hemorrhage requiring transfusions ## Pain ## Pneumothorax
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