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Pathology · USMLE Step 1

USMLE Pathology: Renal Tumors

Renal cell carcinoma and other renal tumor morphology and paraneoplastic associations, one finding per card.

29 cards · basic cards · AI-written, checked twice. Edit anything.

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What is the most common primary renal malignancy in adults?
Renal cell carcinoma (RCC)
From which renal cell type does renal cell carcinoma arise?
Proximal tubule epithelial cells
What is the classic triad of renal cell carcinoma?
Flank pain, hematuria, and a palpable abdominal mass
What is the most common histologic subtype of renal cell carcinoma?
Clear cell renal cell carcinoma
What color is clear cell RCC on gross examination?
Golden yellow
Why does clear cell RCC have clear-appearing cytoplasm on histology?
Accumulation of glycogen and lipid that dissolves out during tissue processing
What characteristic vasculature pattern is seen in clear cell RCC?
A delicate, branching "chicken-wire" vasculature
Loss of which gene is characteristic of clear cell RCC?
The VHL (von Hippel-Lindau) tumor suppressor gene
On which chromosome arm is the VHL gene located?
3p (short arm of chromosome 3)
What is the inheritance pattern of von Hippel-Lindau disease?
Autosomal dominant
What CNS/retinal tumor is associated with von Hippel-Lindau disease?
Hemangioblastoma
What adrenal medullary tumor is associated with von Hippel-Lindau disease?
Pheochromocytoma
What is the strongest modifiable risk factor for renal cell carcinoma?
Cigarette smoking
What renal tumor risk is increased by long-term dialysis?
RCC arising in acquired (dialysis-associated) cystic kidney disease
Ectopic secretion of what hormone by RCC causes paraneoplastic polycythemia?
Erythropoietin (EPO)

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