HYPERNEPHROMA - (Renal Adenocarcinoma or Renal Cell Carcinoma) © Imagenmed

Indicate the correct answer with relation to a solid renal mass of less than 3cm diameter
1. I do not need more studies as it will be a renal adenoma renal
2. Its malignant potential can be ruled out given its small size
3. It is a renal cyst until proven otherwise
4. Resection is advisable since it may be a hypernephroma
For isolated haematuria and asymptomatic cases the recommended investigation is
1. Urine cultures
2. Imaging of the kidneys and urinary tract
3. Routine cystoscopy
4. Microscopy and culture for bacillus of Koch
In the study of macroscopic haematuria, one of the following is of more use than the others
1. Microscopic exam of the urinary sediment
2. Quantification of creatinine clearance
3. Retrograde pyelography
4. Prostate biopsy or determination of PSA
The finding of "ghost cells" in microscopy of the urinary sediment consists of
1. Red blood cells stacked in the shape of "a pile of coins"
2. The presence of hemoglobinuria and remnants of erythrocytic membrane
3. Red blood cells absorbed by macrophages
4. Deformed red blood cells
The diagnostic value of the "ghost cells" is
1. Signifies that the haematuria comes from the kidney itself and is probably due to glomerular inflammation
2. Is indicative of haematuria from the renal tract or bladder
3. Is indicative of an occult neoplasia
4. Do not have a special importance, unless they are accompanied by casts