Урология - Tumors

Renal tumor occupation all operative fielf and covering vena cava inferior

Renal tumor

Prognosis

Depends on stage and differentiation of the tumor. The worst reasults are at patient with affected vein cava inferior.

Other methods of treatment

X-Ray: in case of inoperable tumors, metastatic invasion of bone with pain.

Immunotherapy (α interpherone, interleykine – 2, BCG)

Chemotherapy (low-effective)

Hormone therapy

Aethoilogy

Chemical theory: aromatic amines (orthaminephenoles, scatole, indole)

Unfravesical obstruction.

Smoking

Ionizing irradiation

Drugs (phosphamide, analgetics)

Scistosomiasis

Risk groups – people who work at plants produsing aluminium, at printing-office, production of paints, rosin

TXPrimary tumour cannot be assessed\

T0No evidence of primary tumour

Tis Carcinoma in situ (i.e., flat tumour)

Ta Noninvasive papillary carcinoma

T1 Tumour invading subepithelial connective tissue

T2Tumour invading bladder muscle

T2a Tumour invading superficial muscle (inner half)

T2bTumour invading deep muscle (outer half)

T3 Tumour invading perivesical fat tissue

T3a Microscopically

T3b Macroscopically (extravesical mass)

T4Tumour invading neighbouring organs

T4aTumour invading the prostate, uterus, vagina

T4b Tumour invadin the pelvic wall, abdominal wall