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renal cell tumors

Tuesday 26 May 2009

Types

- papillary adenoma
- renal oncocytoma
- renal cell carcinomas

  • clear cell renal cell carcinoma
  • papillary renal cell carcinoma
  • chromophobe renal cell carcinoma
  • Bellini collecting ducts renal cell carcinoma
  • renal medullary carcinoma
  • TFE3-associated renal cell carcinoma (Xp11 translocation-associated renal cell carcinoma)
  • TFEB-associated renal cell carcinoma
    • TFEB-associated HMB45+ epithelioid renal tumor

Immunochemistry

Onc: Oncocytoma
ClC-RCC, EosinCytoplasm
Chromophobe Carcinoma, Eosinophilic Variant
EAML: Epithelioid Angiomyolipoma
PRCC2: Papillary RenalCell Carcinoma (Pap RCC), Type 2
TRCC: Translocation Carcinoma t(6:11)t(6;11)
CDC: Collecting DuctCarcinoma
MC: Medullary Carcinoma
TCC: TubulocysticCarcinoma
TMSCC: Tubular Mucinous Spindle Cell Carcinoma

Antibody Onc. ClC-RCC ChC-RCC EAML PRCC2 TRCC CDC MC TCC TMSCC
CAM 5.2 pos pos pos neg pos neg pos pos pos pos
AE1/AE3 pos pos pos neg pos neg pos pos pos pos
Vimentin neg pos neg neg pos pos pos pos - pos
EMA pos pos pos neg pos neg pos pos - pos
CD10 pos/neg pos pos/neg neg pos pos pos/neg - pos pos/neg
RCC Ma neg pos neg neg pos/neg - - - - neg
CK7 “patchy” neg pos neg pos neg pos pos pos pos
CK20 neg neg neg neg neg neg neg neg neg neg
CK19 neg neg neg neg neg pos/neg pos pos pos/neg pos 34BE12 neg neg neg neg pos/neg neg pos/neg neg pos/neg pos/neg
AMACR neg neg neg - pos pos neg - pos pos
Parvalbumin pos neg pos - neg - - - pos - S100A1 pos pos neg - pos - - - - -
C-kit pos neg pos neg pos/neg - pos/neg - - neg

E-cadherin pos neg pos - pos/neg pos pos - - -
Kid sp cad pos neg pos - neg neg neg neg neg neg
Caveolin-1 neg - pos - - - - - - -
Cathepsin K neg neg neg - neg pos - - - -
PAX-2 pos pos neg - pos/neg neg neg - pos pos/neg
TFE3 neg neg pos - neg pos - - - -
TFEB neg neg - - neg neg - - - -
UEA-1 neg neg - - pos/neg - pos - pos -
HMB 45 neg neg neg pos neg neg neg neg neg neg
Melan A neg neg neg pos neg neg neg neg neg neg
Coll iron neg neg pos - neg neg neg neg neg neg

Links

- Renal Neoplasms: An Update on Immunohistochemical and Histochemical Features by Dako

References

- Molecular approaches to classify adult renal epithelial neoplasms. Maj M, Wagner L. Expert Rev Mol Diagn. 2011 Nov;11(8):803-6. PMID: #22022942#

- Molecular classification of adult renal epithelial neoplasms using microRNA expression and virtual karyotyping. Powers MP, Alvarez K, Kim HJ, Monzon FA. Diagn Mol Pathol. 2011 Jun;20(2):63-70. PMID: #21532496#

- Virtual-Karyotyping With SNP Microarrays in Morphologically Challenging Renal Cell Neoplasms: A Practical and Useful Diagnostic Modality. Kim HJ, Shen SS, Ayala AG, Ro JY, Truong LD, Alvarez K, Bridge JA, Gatalica Z, Hagenkord JM, Gonzalez-Berjon JM, Monzon FA. Am J Surg Pathol. 2009 May 20. PMID: #19461508#

Portfolio

  • Renal oncocytoma
  • Renal oncocytoma