Question 95 · LEK · Kidney cancer
Macroscopic haematuria occurs in a 65-year old smoking man with no accompanying pain, and the ultrasound shows a solid tumour with a diameter above 4 cm located in the pole of the left kidney. What should be done next?
1) follow-up of the tumour with ultrasound every 6 months;
2) urine analysis and urine cytology;
3) kidney function analysis, whole blood count, alkaline phosphatase, calcium level;
4) abdomen, pelvis and chest CT scan to establish the stage of the neoplastic disease;
5) partial or total (radical) nephrectomy depending on the stage of the disease.
The correct answer is:
2) urine analysis and urine cytology;
3) kidney function analysis, whole blood count, alkaline phosphatase, calcium level;
4) abdomen, pelvis and chest CT scan to establish the stage of the neoplastic disease;
5) partial or total (radical) nephrectomy depending on the stage of the disease.
The correct answer is:
- A. only 1.
- B. 1,2.
- C. 1,2,3.
- D. 2,3,4.
- E. 2,3,4,5.
Hint
A solid renal mass over 4 cm with painless haematuria in a smoker is presumed malignant; think about laboratory work-up, staging and definitive treatment.
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