Urologie at Universität Heidelberg

Flashcards and summaries for Urologie at the Universität Heidelberg

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Exemplary flashcards for Urologie at the Universität Heidelberg on StudySmarter:

Nierenzell-CA, Symptome ?

Exemplary flashcards for Urologie at the Universität Heidelberg on StudySmarter:

histologische Phänotypen Nierenzell-CA ?

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Score Nierenzell-CA, wichtig für Operabilität

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Operationsverfahren Nierenzell-CA

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Lagerung bei Nierenzell_CA-OP

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Nierenzell-CA OP: vor und Nachteile laparoskopischer Eingriff 

Exemplary flashcards for Urologie at the Universität Heidelberg on StudySmarter:

Fokale Therapie bei nicht operablen Patienten 

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Besonderheit Nierenzell-CA?

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Systemtherapie NCC ?

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Nierenzell-CA, wer bekommt welche Therapie ?

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Nierenzell-CA Stellenwert Radio/Chemo ?

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Wie sieht Prostata im Alter aus ?

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Exemplary flashcards for Urologie at the Universität Heidelberg on StudySmarter:

Urologie

Nierenzell-CA, Symptome ?

oft nur Zufallsbefund, sonst tastbarer Tumor, Flankenschmerzen, Blut im Urin 

Urologie

histologische Phänotypen Nierenzell-CA ?

klarzellig (80%)

papilläres (Chromophiles) CA

chromophobes CA

Duct Bellini CA

Onkozytom

Urologie

Score Nierenzell-CA, wichtig für Operabilität

PADUA Score (wo liegt Tumor?)

Urologie

Operationsverfahren Nierenzell-CA

Nierenresektion 

Nierenteilresektion (besser für allg. und kardiovaskuläre Morbidität, Mortalität)

Urologie

Lagerung bei Nierenzell_CA-OP

Seitenlage, Abstand zwischen Beckenkamm und Rippen vergrößern, Arm abdizieren um Plexusschäden zu vermeiden 

Urologie

Nierenzell-CA OP: vor und Nachteile laparoskopischer Eingriff 

Vorteil: geringere KH-Dauer, weniger Blutverlust 

Nachteil: anspruchsvoll, Ischämiezeit höher 

Urologie

Fokale Therapie bei nicht operablen Patienten 

Kryoablation Radiofrequenzablation, aktive Überwachung nur bei hochselektionierten Patienten 

Urologie

Besonderheit Nierenzell-CA?

kann Tumorzapfen in abführende Venen bilden

Urologie

Systemtherapie NCC ?

Targeted Therapy (TK-Inhibitoren, mTOR, VEGF-AK) Dauer Oral 

Checkpoint-Inhibitoren (Immuntherapie, PD1 Hemmer) Dauer I.V. NW: Autoimmunreaktion, Hautausschlag 

Urologie

Nierenzell-CA, wer bekommt welche Therapie ?

hängt von Risikoprofil des Patienten ab (IMDC)

Urologie

Nierenzell-CA Stellenwert Radio/Chemo ?

nicht sensitiv 

Urologie

Wie sieht Prostata im Alter aus ?

Vergrößerung der tubeloalveolären Drüsen, Anhebung Beckenboden, Angelhaken Phänomen 

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