kuliah tumor revisi

8/15/2019 Kuliah Tumor Revisi

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TUMOR SALURAN KEMIH(TUMORS/MALIGNANCY OF

URINARY TRACT)Dr.M.Galuh Richata, SpU



TUMORS OF THE URINARYTRACT Kidney

Ureter

Bladder

Prostate Urethra (very rare)

Eternal Genital (penis ! testicular)



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)



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



KIDNEY TUMORS Pre'e!tt%o!

Si9nsy%pto%s secondary to %etastases"

:un9 dyspnea, cou9h

Brain sei;ure, headache

Bone one pain



KIDNEY TUMORS Pre'e!tt%o!

/Paraneoplastic Syndrome0"

# Erythrocytosis

# 5ypercalce%ia

# 5ypertension

# 'on%etastatic hepatic dys-unction



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



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)



*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



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




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)




D%!o'%' <%a9in9 " USG, <=U, $ scan, MR<

Urine cytolo9y




$ystoscopy




$linical Sta9e




<ntervention

Sur9ery (Endoscopic, $ystecto%y)

$he%otherapy

Radiation



TUMORS OF URINARY TRACT

Every patients withhematuria must be

suspected as a patientwith malignancy,

until it is proven otherwise



GENETIC AND CONGENITAL DISEASE

OF URINARY TRACT

Disorders o- the"

Kidney

Ureter

Bladder

Urethra ! Genitalia



DISORDERS OF THE KIDNEY

C9enesis (%ostly unilateralH ilateral very rare) 5ypoplasia

Supernu%erary

Si%ple $yst

Multicystic Kidney

Polycystic Kidney Disease



DISORDERS OF THE KIDNEY Renal 4usion (horse shoe &idney)

Ectopic Kidney

Cnor%al Rotation



DISORDERS OF THE URETER PUIJ (PelvioUreteral Iunction Jstruction)

=esicoUreteral Re-lu

Ectopic Ureteral Jri-iciu%

Doule $ollectin9 Syste% Ureterocele



DISORDERS OF URETHRA +GENITALIA Urethral Stricture

Posterior Urethral =alve

5ypospadia

Epispadia Priapis%

Phi%osis

Paraphi%osis

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