Clinical and morphological features, immune profile of renal cell tumors with clear cytoplasm
https://doi.org/10.17650/1726-9776-2019-15-3-126-131
Abstract
In the structure of oncological morbidity, renal cell carcinoma takes the 10th place among malignant neoplasms. The increase in incidence is observed from the age of 35–40 years and reaches a maximum at the age of 65–70 years. In terms of frequency of occurrence, clear cell renal cell carcinoma is ranked first among all kidney tumors. Meanwhile, due to the high heterogeneity of renal cell carcinomas with clear cytoplasm group, significant differential diagnostic difficulties arise in the morphological verification of these tumors. The article presents all nosological forms of kidney tumors with clear cytoplasm and provides a database of already known immunohistochemical markers for each nosological unit.
About the Authors
Yu. I. OsmanovRussian Federation
Anatomic Pathology Department Sechenov First Moscow State Medical University, Ministry of Health of Russia;
Department of Pathology Scientific Clinical Center, Russian Railway
Build. 2, 8 Trubetskaya St., Moscow 119991,
84 Volokolamskoe Shosse, Moscow 125367
E. A. Kogan
Anatomic Pathology Department
Build. 2, 8 Trubetskaya St., Moscow 119991
L. O. Severgina
Anatomic Pathology Department
Build. 2, 8 Trubetskaya St., Moscow 119991
L. M. Rapoport
84 Volokolamskoe Shosse, Moscow 125367
N. S. Aleksandrov
Anatomic Pathology Department
Build. 2, 8 Trubetskaya St., Moscow 119991
D. G. Tsarichenko
84 Volokolamskoe Shosse, Moscow 125367
D. O. Korolyov
84 Volokolamskoe Shosse, Moscow 125367
References
1. Ljungberg B, Campbell S C, Choi H Y. et al. The epidemiology of renal cell carcinoma. Eur Urol.2011;60(4):615–621. doi:10.1016/j.eururo.2011.06.049.
2. Ferlay J, Shin H R, Bray F, Forman D, Mathers C, Parkin D M. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;127(12):2893–2917. doi: 10.1002/ijc.25516.
3. Carole A. Ridge, Bradley B. Pua et al. Epidemiology and Staging of Renal Cell Carcinoma. Semin Intervent Radiol. 2014 Mar; 31(1): 3–8. doi: 10.1055/s-0033-1363837.
4. Goyal R, Gersbach E, Yang XJ, Rohan SM. Differential diagnosis of renal tumors with clear cytoplasm: clinical relevance of renal tumor subclassification in the era of targeted therapies and personalized medicine. Arch Pathol Lab Med. 2013 Apr;137(4):467-80. doi: 10.5858/arpa.2012-0085-RA.
5. Ross H, Martignoni G, Argani P. Renal cell carcinoma with clear cell and papillary features. Arch Pathol Lab Med. 2012 Apr;136(4):391-9. doi: 10.5858/arpa.2011-0479-RA.
6. Xiaoyan Bai, Chin-Lee Wu. Renal Cell Carcinoma and Mimics: Pathologic Primer for Radiologists. AJR 2012; 198:1289–1293. doi:10.2214/AJR.12.8586.
7. Reuter VE, Tickoo, SK. Adult renal tumors. In: Mills SE, Carter D, Greenson JK, Reuter VE, Stoler MH, eds. Sternberg’s Diagnostic Surgical Pathology. Vol 2. 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2010:1758–1798.
8. Storkel S, Eble JN, Adlakha K, et al. Classification of renal cell carcinoma:Workgroup No. 1, Union Internationale Contre le Cancer (UICC) and the American Joint Committee on Cancer (AJCC). Cancer. 1997;80(5):987–989. PMID: 9307203.
9. MacLennan GT, Cheng, L. Neoplasms of the kidney. In: Bostwik DG, Cheng L, eds. Urologic Surgical Pathology. 2nd ed. London, United Kingdom: Mosby Elsevier; 2008;77–171
10. Amin MB, Tamboli P, Javidan J, et al. Prognostic impact of histologic subtyping of adult renal epithelial neoplasms: an experience of 405 cases. Am J Surg Pathol. 2002;26(3):281–291. PMID: 11859199
11. Eble JN, Togashi K, Pisani P. Renal Cell Carcinoma. In: Eble JN, Sauter G, Epstein JI, Sesterhenn IA, eds. Pathology and Genetics of Tumours of the Urinary System and Male Genital Organs. Lyon, France: IARC Press; 2004:9–87.
12. de Peralta-Venturina M, Moch H, Amin M, et al. Sarcomatoid differentiation in renal cell carcinoma: a study of 101 cases. Am J Surg Pathol. 2001;25(3):275–284. PMID: 11224597
13. Fuhrman SA, Lasky LC, Limas C. Prognostic significance of morphologic parameters in renal cell carcinoma. Am J Surg Pathol. 1982;6(7):655–663. PMID: 7180965
14. Grabmaier K, AdW, MC, Verhaegh GW, Schalken JA, Oosterwijk E. Strict regulation of CAIX(G250/MN) by HIF-1alpha in clear cell renal cell carcinoma. Oncogene. 2004;23(33):5624–5631. doi: 10.1038/sj.onc.1207764
15. Al-Ahmadie HA, Alden D, Fine SW, et al. Role of immunohistochemistry in the evaluation of needle core biopsies in adult renal cortical tumors: an ex vivo study. Am J Surg Pathol. 2011;35(7):949–961. doi: 10.1097/PAS.0b013e31821e25cd.
16. Wykoff CC, Beasley NJ, Watson PH, et al. Hypoxia-inducible expression of tumor-associated carbonic anhydrases. Cancer Res. 2000;60(24):7075–7083. PMID: 11156414
17. Goyal R, Zhu, B, Parimi, V, et al. Immunohistochemical (IHC) expression of carbonic anhydrase IX (CA9) in papillary (PRCC) and chromophobe (CHRCC) renal cell carcinoma is associated with necrosis. Mod Pathol. 2011;24(1S):194A.
18. Mancilla-Jimenez R, Stanley RJ, Blath RA. Papillary renal cell carcinoma: a clinical, radiologic, and pathologic study of 34 cases. Cancer. 1976;38(6): 2469–2480. PMID: 1000477
19. Ronnen EA, Kondagunta GV, Ishill N, et al. Treatment outcome for metastatic papillary renal cell carcinoma patients. Cancer. 2006;107(11):2617–2621. doi: 10.1002/cncr.22340.
20. Delahunt B, Eble JN, McCredie MR, Bethwaite PB, Stewart JH, Bilous AM. Morphologic typing of papillary renal cell carcinoma: comparison of growth kinetics and patient survival in 66 cases. Hum Pathol. 2001;32(6):590–595. doi: 10.1053/hupa.2001.24984.
21. Tretiakova MS, Sahoo S, Takahashi M, et al. Expression of alphamethylacyl-CoA racemase in papillary renal cell carcinoma. Am J Surg Pathol. 2004;28(1):69–76. PMID: 14707866
22. Skinnider BF, Folpe AL, Hennigar RA, et al. Distribution of cytokeratins and vimentin in adult renal neoplasms and normal renal tissue: potential utility of a cytokeratin antibody panel in the differential diagnosis of renal tumors. Am J Surg Pathol. 2005;29(6):747–754. PMID: 15897741
23. Paner GP, Srigley JR, Radhakrishnan A, et al. Immunohistochemical analysis of mucinous tubular and spindle cell carcinoma and papillary renal cell carcinoma of the kidney: significant immunophenotypic overlap warrants diagnostic caution. Am J Surg Pathol. 2006;30(1):13–19. PMID: 16330937
24. Amin MB, Paner GP, Alvarado-Cabrero I, et al. Chromophobe renal cell carcinoma: histomorphologic characteristics and evaluation of conventional pathologic prognostic parameters in 145 cases. Am J Surg Pathol. 2008;32(12): 1822–1834. doi: 10.1097/PAS.0b013e3181831e68.
25. Przybycin CG, Cronin AM, Darvishian F, et al. Chromophobe renal cell carcinoma: a clinicopathologic study of 203 tumors in 200 patients with primary resection at a single institution. Am J Surg Pathol. 2011;35(7):962–970. doi: 10.1097/PAS.0b013e31821a455d.
26. Abrahams NA, MacLennan GT, Khoury JD, et al. Chromophobe renal cell carcinoma: a comparative study of histological, immunohistochemical and ultrastructural features using high throughput tissue microarray. Histopathology. 2004;45(6):593–602. doi: 10.1111/j.1365-2559.2004.02003.x
27. Nagy A, Zoubakov D, Stupar Z, Kovacs G. Lack of mutation of the folliculin gene in sporadic chromophobe renal cell carcinoma and renal oncocytoma. Int J Cancer. 2004;109(3):472–475. doi: 10.1002/ijc.11694.
28. Rohan SM, Xiao Y, Liang Y, et al. Clear-cell papillary renal cell carcinoma: molecular and immunohistochemical analysis with emphasis on the von Hippel-Lindau gene and hypoxia-inducible factor pathway-related proteins. Mod Pathol. 2011;24(9):1207–1220. doi: 10.1038/modpathol.2011.80.
29. Aydin H, Chen L, Cheng L, et al. Clear cell tubulopapillary renal cell carcinoma: a study of 36 distinctive low-grade epithelial tumors of the kidney. Am J Surg Pathol. 2010;34(11):1608–1621. doi: 10.1097/PAS.0b013e3181f2ee0b.
30. Gobbo S, Eble JN, Grignon DJ, et al. Clear cell papillary renal cell carcinoma: a distinct histopathologic and molecular genetic entity. Am J Surg Pathol. 2008;32(8):1239–1245. doi: 10.1097/PAS.0b013e318164bcbb.
31. Suzigan S, López-Beltrán A, Montironi R et al. Multilocular cystic renal cell carcinoma : a report of 45 cases of a kidney tumor of low malignant potential. Am J Clin Pathol. 2006 Feb;125(2):217-22. doi: 10.1309/AH6F-C77P-YR2V-6YAY
32. Srigley JR, Delahunt B, Eble JN et al. The International Society of Urological Pathology (ISUP) Vancouver Classification of Renal Neoplasia. Am J Surg Pathol. 2013 Oct;37(10):1469-89. doi: 10.1097/PAS.0b013e318299f2d1.
33. Hindman NM, Bosniak MA, Rosenkrantz AB et al. Multilocular cystic renal cell carcinoma: comparison of imaging and pathologic findings. AJR Am J Roentgenol. 2012 Jan;198(1):W20-6. doi: 10.2214/AJR.11.6762.
34. Williamson SR, Halat S, Eble JN, Grignon DJ et al. Multilocular cystic renal cell carcinoma: similarities and differences in immunoprofile compared with clear cell renal cell carcinoma. Am J Surg Pathol. 2012 Oct;36(10):1425-33. doi: 10.1097/PAS.0b013e31825b37f0.
35. Sun BL, Abern M2, Garzon S et al. Cystic nephroma/mixed epithelial stromal tumor: a benign neoplasm with potential for recurrence. Int J Surg Pathol. 2015 May;23(3):238-42. doi: 10.1177/1066896914563391.
36. Smith SC, Trpkov K, Chen YB et al. Tubulocystic Carcinoma of the Kidney With Poorly Differentiated Foci: A Frequent Morphologic Pattern of Fumarate Hydratase-deficient Renal Cell Carcinoma. Am J Surg Pathol. 2016 Nov;40(11):1457-1472. doi: 10.1097/PAS.0000000000000719.
37. Moch H, Cubilla AL, Humphrey PA et al. The 2016 WHO Classification of Tumours of the Urinary System and Male Genital Organs-Part A: Renal, Penile, and Testicular Tumours. Eur Urol. 2016 Jul;70(1):93-105. doi: 10.1016/j.eururo.2016.02.029.
38. Skinnider BF, Folpe AL, Hennigar RA et al. Distribution of cytokeratins and vimentin in adult renal neoplasms and normal renal tissue: potential utility of a cytokeratin antibody panel in the differential diagnosis of renal tumors. Am J Surg Pathol. 2005 Jun;29(6):747-54. PMID: 15897741
39. Argani P, Antonescu CR, Illei PB, et al. Primary renal neoplasms with the ASPL-TFE3 gene fusion of alveolar soft part sarcoma: a distinctive tumor entity previously included among renal cell carcinomas of children and adolescents. Am J Pathol. 2001;159(1):179–192. doi: 10.1016/S0002-9440(10)61684-7.
40. Argani P, Olgac S, Tickoo SK, et al. Xp11 translocation renal cell carcinoma in adults: expanded clinical, pathologic, and genetic spectrum. Am J Surg Pathol. 2007;31(8):1149–1160. doi: 10.1097/PAS.0b013e318031ffff.
41. Davis IJ, Hsi BL, Arroyo JD, et al. Cloning of an alpha-TFEB fusion in renal tumors harboring the t(6;11)(p21;q13) chromosome translocation. Proc Natl Acad Sci U S A. 2003;100(10):6051–6056. doi: 10.1073/pnas.0931430100.
42. Argani P, Lal P, Hutchinson B, Lui MY, Reuter VE, Ladanyi M. Aberrant nuclear immunoreactivity for TFE3 in neoplasms with TFE3 gene fusions: a sensitive and specific immunohistochemical assay. Am J Surg Pathol. 2003;27(6): 750–761. PMID: 12766578
43. Ondřej H, Eva Maria C, Rioux-Leclercq N et al. The 2012 ISUP Vancouver and 2016 WHO classification of adult renal tumors: changes for common renal tumors. Diagnostic Histopathology 2016;22(2):41-46. doi: https://doi.org/10.1016/j.mpdhp.2016.01.003.
44. Lopez-Beltran A, Kirkali Z, Montironi R et al. Unclassified renal cell carcinoma: a report of 56 cases. BJU Int. 2012 Sep;110(6):786-93. doi: 10.1111/j.1464-410X.2012.10934.x. Epub 2012 Mar 8.
45. Perrino CM, Grignon DJ, Williamson SR et al. Morphological spectrum of renal cell carcinoma, unclassified: an analysis of 136 cases. Histopathology. 2018 Jan;72(2):305-319. doi: 10.1111/his.13362. Epub 2017 Oct 24.
46. Perez-Ordonez B, Hamed G, Campbell S. Renal oncocytoma: a clinicopathologic study of 70 cases. Am J Surg Pathol. 1997 Aug;21(8):871-83. PMID: 9255250
47. Campodonico F, Carmignani G, Toncini C. Bilateral renal oncocytosis with renal failure. Arch Pathol Lab Med. 2002 Jun;126(6):648-9. doi: 10.1043/0003-9985(2002)126<0648:BROWRF>2.0.CO;2.
48. Hes O, Michal M, Kuroda N et al. Vimentin reactivity in renal oncocytoma: immunohistochemical study of 234 cases. Arch Pathol Lab Med. 2007 Dec;131(12):1782-8. doi: 10.1043/1543-2165(2007)131[1782:VRIROI]2.0.CO;2.
49. Liu L, Qian J, Singh H. Immunohistochemical analysis of chromophobe renal cell carcinoma, renal oncocytoma, and clear cell carcinoma: an optimal and practical panel for differential diagnosis. Arch Pathol Lab Med. 2007 Aug;131(8):1290-7. doi: 10.1043/1543-2165(2007)131[1290:IAOCRC]2.0.CO;2.
50. Zhou M, Kort E, Hoekstra P et al. Adult cystic nephroma and mixed epithelial and stromal tumor of the kidney are the same disease entity: molecular and histologic evidence. Am J Surg Pathol. 2009 Jan;33(1):72-80. doi: 10.1097/PAS.0b013e3181852105.
51. Stamatiou K, Polizois K, Kollaitis G et al. Cystic nephroma: a case report and review of the literature. Cases J. 2008 Oct 23;1(1):267. doi: 10.1186/1757-1626-1-267.
52. Cibas ES, Goss GA, Kulke MH, Demetri GD et al. Malignant epithelioid angiomyolipoma ('sarcoma ex angiomyolipoma') of the kidney: a case report and review of the literature. Am J Surg Pathol. 2001 Jan;25(1):121-6. PMID: 11145246
53. Kawaguchi K, Oda Y, Nakanishi K, Saito T et al. Malignant transformation of renal angiomyolipoma: a case report. Am J Surg Pathol. 2002 Apr;26(4):523-9. PMID: 11914633
54. Guobin Tan, Lei Liu, Mingning Qiu et al. Clinicopathologic features of renal epithelioid angiomyolipoma. Int J Clin Exp Pathol. 2015; 8(1): 1077–1080. PMID: 25755823.
55. Michal M, Hes O, Nemcova J et al. Renal angiomyoadenomatous tumor: morphologic, immunohistochemical, and molecular genetic study of a distinct entity. Virchows Arch. 2009 Jan;454(1):89-99. doi: 10.1007/s00428-008-0697-3. Epub 2008 Nov 20.
56. Jayalakshmy P.S, Jose M, Feroze M et al. Renal angiomyoadenomatous tumour. Turk J Urol. 2017 Sep; 43(3): 378–382. doi: 10.5152/tud.2017.32067.
Review
For citations:
Osmanov Yu.I., Kogan E.A., Severgina L.O., Rapoport L.M., Aleksandrov N.S., Tsarichenko D.G., Korolyov D.O. Clinical and morphological features, immune profile of renal cell tumors with clear cytoplasm. Cancer Urology. 2019;15(3):126-131. (In Russ.) https://doi.org/10.17650/1726-9776-2019-15-3-126-131