Renal/ Kidney cancer


·         Also known as kidney cancer
·         Arise from the cortex or pelvis ( and calyces) of the kidney
·         Relatively rare type  of ca
·         In US over 39000 new cases diagnosed and over 12800 die annually
·         Approx. two third are discovered incidentally in the pelvic or abdominal scanning
Etiology/ risk factors:
·         Unknown
·         Age- old age
·         Occupational exposure asbestos, patroleum, cadmium, herbicides and trichoroethylene.
·         Obesity , fat intake , tobacco use
·         Family history
·         Autosomal dominant polycystic kidney disease and tuberous sclerosis
·         Hypertension and CKD
·         Diuretic medications.

·         Renal cell carcinoma/ renal cell adenocarcinoma / renal cell cancer(most common)
·         Clear cell renal cell ca
·         Papillary renal cell ca
·         Chromophobe renal cell ca
·         Rare types (mucinous tubular and spindle cell ca, medullary ca etc.)

·         Stage I- limitation to renal capsule . size < 7cm.
·         stage II- spreading to perirenal fat but confined to fascia, includes metastasis to adrenal gland . tumor size > 7 cm
·         Stage III- regional lymph nodes involved , renal thrombus in renal vein or vena cava , involvement of renal vein or vena cava
·         Stage IV- presence of distant metastasis

Signs and  symptoms :
·         Asymptomatic
·         Hematuria, flank pain (lower flank pain)
·         Palpable mass on the abdomen or flank
·         Weight loss and anemia
·         Fever
·         Hypertension
·         Generalized fatigue
·         History and physical examination
·         Urine analysis
·         Kidney, ureter, bladder radiography
·         Angiography
·         Reanal USG
·         Pelvic and abdominal CT
·         MRI
·         CT guided Fine needle biopsy
·         Early identification and modification of etiological factors
·         Life style and environmental modification
·         Encourage cessation of tobacco, dietar modifications
·         Minimizing occupational exposure
·         Radical nephrectomy
·         Nephron sparing surgeries
·         Radiation therapy:
·         RCC is unresponsive to radiation therapy
·         Used as palliationf
·         5FU,floxuridine and gemicitabine
Biologica therapy:
·         Alfa interferon, interleukin-2

Nursing Management:
·         Pre and postop management
·         Health teaching to minimize the complications
·         Pain management
·         Observe the nephrectomy dressing closely for bleeding
·         Maintain I/O chart
·         Auscultation of bowel sounds and repositioning to promote peristalsis
Health Teaching:
·         Avoid any potential nephrotoxic drugs including NSAIDs
·         Care must be taken to avoid trauma on the remaining kidney
·         Early recognization and prompt treatment of urinary tract inferction
·         Consulting the physician before using OTC drugs, any dietary supplementation or complementary therapy

·         Regular follow up examination



anaphysio,3,ASEPSIS AND INFECTION CONTROL,9,audio,1,biochemistry,2,blog,1,BSN Notes: Assessment in Psychiatry,6,BSN Notes: Burns,11,BSN Notes: Care of Terminally Ill Patients,6,BSN Notes: Childhood and Developmental Disorders,6,BSN Notes: Common Behavioural and Social Problems,4,BSN Notes: Common Childhood Diseases,7,BSN Notes: Common Signs And Symptoms,32,BSN Notes: Community Mental Health Nursing,12,BSN Notes: Critical Care,12,BSN Notes: Disaster and Emergency,15,BSN Notes: ENT,8,BSN Notes: Eye,25,BSN Notes: History and Assessment,24,BSN Notes: Introduction of Psychiatry,27,BSN Notes: Legal Issues In Psychiatry,4,BSN Notes: Medication Administration,24,BSN Notes: Neuritic_Stress related and Somatization Disorders,10,BSN Notes: Neurology,6,BSN Notes: Oncological Nursing,8,BSN Notes: Organic Brain Disorders,1,BSN Notes: Oxygenation,3,BSN Notes: Personality_Sexual and Eating Disorders,5,BSN Notes: Principles and Concepts of Psychiatry Nursing,2,BSN Notes: Psych-pharmacology and Other Treatment Modalities,30,BSN Notes: Psychiatry Emergencies and Crisis Intervention,4,BSN Notes: Psychosocial Needs,5,BSN Notes: Schizophrenia and othe Psychotic Disorders,4,BSN Notes: The healthy child,5,BSN Notes: TNPR,9,BSN Notes: Urinary Elimination,14,chn,41,clinicalkannada,4,clinicals1,35,clinicals2,10,clinicals3,26,clinicals4,11,Code of Ethics,3,community,7,Critical thinking,7,drugs,3,Equipment & Linen,9,Equipments & Linen,1,Etics and Legal,1,exa,1,exam,11,featured,19,fon,141,fon3,141,fun,1,geriatric,1,graphic,1,Growth and Development,5,he,93,hotspot,6,kannada,54,language,1,Machinery,10,Medications,1,Memory Tools,9,mhn,126,microbiology,3,misc,2,mnemonics,48,msn,137,NCLEX,13,ncp,27,news,4,obg,28,OBG Medications,1,Peri- operative Nursing,2,pharma,29,Physical Examination and Assessment,9,Psychology,2,Pulse,7,resources,1,Respiration,4,Transitional care,1,Ventilators,5,voice,2,
item Renal/ Kidney cancer
Renal/ Kidney cancer
Loaded All Posts Not found any posts VIEW ALL Readmore Reply Cancel reply Delete By Home PAGES POSTS View All RECOMMENDED FOR YOU LABEL ARCHIVE SEARCH ALL POSTS Not found any post match with your request Back Home Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sun Mon Tue Wed Thu Fri Sat January February March April May June July August September October November December Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec just now 1 minute ago $$1$$ minutes ago 1 hour ago $$1$$ hours ago Yesterday $$1$$ days ago $$1$$ weeks ago more than 5 weeks ago Followers Follow THIS CONTENT IS PREMIUM Please share to unlock Copy All Code Select All Code All codes were copied to your clipboard Can not copy the codes / texts, please press [CTRL]+[C] (or CMD+C with Mac) to copy