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Neoplasias Sistema Urinario

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Neoplasias del Sistema Urinario. Guía práctica para poder repasar neoplasias del Sistema Genitourinario. Todo en una pagina, perfecto resumen para el examen.

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  • August 14, 2024
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Neoplasias de Sistema Urinario





ADENOCARCINOMA RENAL CARCINOMA DE PELVIS RENAL Cancer de Vejiga
neoplasias del tracto urinario superior derivan
Cancer de Uretra
Clinica: del epitelio de transición urinario (urotelio) y

~
hematuria macroscópica constituyen 5% tumores de rinon

v Dolor lumbar

~ Perdida de peso

~
Debilidad

~ Fiebre periódica con sudoración nocturna Clinica:

~ hematuria mayor a a 75
75%
%


~ Obstrucción de vías urinarias x coágulo
-




Etapas avanzadas: o tumor
-





~ tumoracion abdominal •
v
Causa colico renal

~ Adenopatía cervicales, supraclaviculares ↑




metastasicas Diagnostico:
~
• Edema miembros inferiores •
~ anemia en el análisis de sangre ,
-


•~
Varices cordon espermatico •
~
Hematuria micro y macroscópica en EGO
-
~
• Caquexia •
~
citología , ecografía, urografia clasica o
pielografia
~
• TC con contraste , uretroscopia
Triada: hematuria, tumor palpable abdominal, dolor lumbar
-

·
al
08


Tratamiento:
Diagnostico:

~ nefrectomía radical con ureterectomia y

v Analsiis sangre - 80% anemia
cistectomia parcial a nivel de
•-
Análisis orina - hematuria microscópica y
desembocadura del ureter junto con
hematuria
linfadenectomia regional

~ Pruebas imagen - ECO, TC abd y pelvis ,
• Ureterectomia
arteriografia renal , RMN, gammagrafia osea, rx de -
• Quimioterapia o radioterapia
TC y TC craneo

~ Dg morfológico del tumor resecado y de ganglios
regionales

~ Diferencial: -
quistes renales simples y multiples ,
-


angiomiolipoma renal, pielonefritis
-
-

xantulogranulomatosa




fuera
rinon win on
&


<7cM 7 Tcm vena

tejido




4

7

7 tejido adiposo
vena princ .




10
Vena cara

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