00:00Hi, I am Dr. Anuramesh from Kaveri Hospital Alvarped.
00:03I am talking about renal tumors.
00:06So, if you look at the kidney,
00:08two or three different types of specific tumors can come.
00:11One is that there are two parts in the kidney.
00:14One is that the urine will filter the urine form.
00:18This is the urine form.
00:21This is the urine form.
00:24So, the urine filter is called a renal cell carcinoma.
00:29If you collect the part,
00:31it is mostly a transitional cell carcinoma.
00:34So, I will talk to you about the renal cell carcinoma.
00:37If you look at the RCCs,
00:40most commonly, it is incidentally detected.
00:43If you scan a few people,
00:45you will see a few people.
00:47Mostly in the master health check-up.
00:50There is some other reason they are doing a scan.
00:52There is pain.
00:54In the scans, they will pick up these tumors.
00:56Otherwise,
00:57if you look at the associations,
01:00smoking is a very common association.
01:02Hypertension,
01:03obesity.
01:04Very few people,
01:05there is a familial association of renal tumors.
01:08Other than this,
01:10few people,
01:11mostly long duration dialysis,
01:15some of them may have.
01:16Some people can have it due to certain other causes,
01:19irritant factors might be there.
01:22So,
01:23how many people are present?
01:25So,
01:26most commonly,
01:27incidentally,
01:28what symptoms are there.
01:29Two of them may have blood in the urine.
01:31So,
01:32if the tumor is not only within the kidney,
01:35or it has spread,
01:36you can have association of
01:38how the spread is there.
01:40So,
01:41we need to investigate,
01:42we will require CT scans with some contrast study.
01:47So,
01:48in the contrast study,
01:49we will die.
01:50In that case,
01:51we will see the various phases in the CT.
01:53So,
01:54in the tumor,
01:55here,
01:56there is a description of the tumor.
01:57Why we have CT scans?
01:59The tumor,
02:00whether it is amenable for resection alone.
02:03That is,
02:04there is a tumor with some normal kidney tissue.
02:07In that case,
02:08there are three kidneys.
02:10The kidney tumor with a little bit of tissue removal,
02:13that is,
02:14partial nephrectomy.
02:15Remove of the entire kidney along with the tumor,
02:18that is called a radical nephrectomy.
02:20So,
02:21the investigation is going to be helpful for further treatment as well.
02:26Additionally,
02:27suppose,
02:28we will be taking even a PET scan,
02:32as in when,
02:33if it is necessary.
02:34In this case,
02:35we have a regular follow-up.
02:38Every three months,
02:39for the initial two years.
02:41Thereafter,
02:42six monthly ones.
02:43And after finishing four years,
02:45fifth year onwards,
02:46we are early ones.
02:50illes Virginia
02:52Bingham
02:53Biscode
02:54Delingt-Tus
02:55See you in
02:58the next episode.
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