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06-05-2009, 10:37 AM
Renal carcinoma (Hypernephroma)


It is adenocarcinoma, composed of large cells , spread by direct, lymphatic & blood.


C/P

Haematuria.
palpable mass.
Paramalig. $:-hypertension due to excessive renin secretion
-­ alk. Phosph. Secreted by the tumour.
-­ Ca (parath. Hr. like).
-Polycythaemia (erythropoietin).
-Neuromyopathy.

Investig.

Sonar.
I V P.
Biopsy.

ttt :
Surgery Radiotherapy


Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)