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TUMOR SALURAN KEMIH(TUMORS/MALIGNANCY OF
URINARY TRACT)Dr.M.Galuh Richata, SpU
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TUMORS OF THE URINARYTRACT Kidney
Ureter
Bladder
Prostate Urethra (very rare)
Eternal Genital (penis ! testicular)
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KIDNEY TUMORS Tumor from the Pre!"h#m"
# Renal $ell $arcino%a (%ost &idney tu%or in
adults)
# 'ephrolasto%a *il%+s u%or (inchildren)
Tumor of the E$%the&%um"
Urotheliu% u%or o- the Renal Pelvis (
Urotheliu% u%or o- Urinary ract)
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KIDNEY TUMORS Pre'e!tt%o!"
/Triad of classic signs & symptoms0
# Palpale %ass (123)
# 4lan& pain (123)
# 5e%aturia (623)
all eist only 72#783
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KIDNEY TUMORS Pre'e!tt%o!
Si9nsy%pto%s secondary to %etastases"
:un9 dyspnea, cou9h
Brain sei;ure, headache
Bone one pain
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KIDNEY TUMORS Pre'e!tt%o!
/Paraneoplastic Syndrome0"
# Erythrocytosis
# 5ypercalce%ia
# 5ypertension
# 'on%etastatic hepatic dys-unction
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KIDNEY TUMORS Im%!
USG, <=P<=U, $ Scan, MR<
I!tere!t%o!
Mostly sur9ical, depends on the sta9in9
('M)
Pro!o'%'" poor
8 year survival rate " 823 (overall)>23 i- no %etastases
78#?23, i- renal vein involved
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TUMORS OF UROTHELIUM 4ro% the urothelial linin9 o- the urinary tract
( the transitional cells)
transitional tumor / transitional cell
carcinoma May arise any@here in the urinary tract, ut
predo%inantly in ladder (then in renal
pelviscalices AA ureter AA urethra)
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*LADDER CANCER ransitional $ell $arcino%a ($$) o- the
ladder
Sua%ous $ell $arcino%a (Epider%oid) o-
the ladder Cdenocarcino%a o- the ladder
Rhado%yosarco%a o- the ladder
Etc
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TRANSITIONAL CELL CARCINOMA
Pea& incidence" 82 >2 years old
Men " @o%en F " 7 Ris& -actor"
S%o&in9
$he%ical eposure" Cro%atic hydrocarons
$hronic irritationin-la%%ation" stone, @or%,in-ection
Radiation eposure
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TRANSITIONAL CELL CARCINOMA
S%! + S#m$tom'
5e%aturia " aout 23 9ross he%aturia
$lassic sy%pto%" recurrent-painless
hematuria.
Dysuria and irritative sy%pto%s (F23)
Upper urinary tract ostruction (advanceddisease)
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TRANSITIONAL CELL CARCINOMA
D%!o'%' <%a9in9 " USG, <=U, $ scan, MR<
Urine cytolo9y
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TRANSITIONAL CELL CARCINOMA
$ystoscopy
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TRANSITIONAL CELL CARCINOMA
$linical Sta9e
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TRANSITIONAL CELL CARCINOMA
<ntervention
Sur9ery (Endoscopic, $ystecto%y)
$he%otherapy
Radiation
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TUMORS OF URINARY TRACT
Every patients withhematuria must be
suspected as a patientwith malignancy,
until it is proven otherwise
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GENETIC AND CONGENITAL DISEASE
OF URINARY TRACT
Disorders o- the"
Kidney
Ureter
Bladder
Urethra ! Genitalia
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DISORDERS OF THE KIDNEY
C9enesis (%ostly unilateralH ilateral very rare) 5ypoplasia
Supernu%erary
Si%ple $yst
Multicystic Kidney
Polycystic Kidney Disease
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DISORDERS OF THE KIDNEY Renal 4usion (horse shoe &idney)
Ectopic Kidney
Cnor%al Rotation
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DISORDERS OF THE URETER PUIJ (PelvioUreteral Iunction Jstruction)
=esicoUreteral Re-lu
Ectopic Ureteral Jri-iciu%
Doule $ollectin9 Syste% Ureterocele
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