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Published in: Medical Molecular Morphology 2/2014

01-06-2014 | Award Review

Recent classification of renal epithelial tumors

Authors: Naoto Kuroda, Azusa Tanaka

Published in: Medical Molecular Morphology | Issue 2/2014

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Abstract

The recent classification of renal tumors is based on genetic evidence as well as on histologic features. Malignant tumor includes clear cell renal carcinoma (RCC), multilocular cystic RCC, papillary RCC, chromophobe RCC, carcinoma of the collecting duct of Bellini, renal carcinoma associated with Xp11.2 translocations/TFE3 gene fusions and mucinous tubular and spindle cell carcinoma. Benign tumor is subdivided into papillary adenoma, renal oncocytoma and metanephric adenoma. Recently, new disease entities such as acquired cystic disease-associated RCC, clear cell papillary RCC and renal carcinoma with t(6;11)(p21:q12) have been discovered. In this article, we briefly review and introduce the clinical, morphological and genetic features of these tumor entities.
Literature
1.
go back to reference Eble JN, Sauter G, Epstein JI, Sesterhenn IA (eds) (2004) World Health Organization Classification of Tumors. Pathology & Genetics. Tumours of the urinary system and male genital organ. IARC press, Lyon Eble JN, Sauter G, Epstein JI, Sesterhenn IA (eds) (2004) World Health Organization Classification of Tumors. Pathology & Genetics. Tumours of the urinary system and male genital organ. IARC press, Lyon
2.
go back to reference Amin MB, McKenney JK, Tickoo SK, Paner GP, Shen SS, Velazquez EF, Cubilla AL, Ro JY, Reuter VE (eds) (2010) Diagnostic pathology, genitourinary. Amirsys, LWW, Canada Amin MB, McKenney JK, Tickoo SK, Paner GP, Shen SS, Velazquez EF, Cubilla AL, Ro JY, Reuter VE (eds) (2010) Diagnostic pathology, genitourinary. Amirsys, LWW, Canada
3.
go back to reference Shuin T, Kondo K, Torigoe S, Kishida T, Kubota Y, Hosaka M, Nagashima Y, Kitamura H, Latif F, Zbar B, Lerman MI, Yao M (1994) Frequent somatic mutations and loss of heterozygosity of the von Hippel-Lindau tumor suppressor gene in primary human renal cell carcinomas. Cancer Res 54:2852–2855PubMed Shuin T, Kondo K, Torigoe S, Kishida T, Kubota Y, Hosaka M, Nagashima Y, Kitamura H, Latif F, Zbar B, Lerman MI, Yao M (1994) Frequent somatic mutations and loss of heterozygosity of the von Hippel-Lindau tumor suppressor gene in primary human renal cell carcinomas. Cancer Res 54:2852–2855PubMed
4.
go back to reference Nagashima Y, Inayama Y, Kato Y, Kanno H, Aoki I, Yao M (2004) Pathological and molecular biological aspects of the renal epithelial neoplasms, up-to-date. Pathol Int 54:377–386PubMedCrossRef Nagashima Y, Inayama Y, Kato Y, Kanno H, Aoki I, Yao M (2004) Pathological and molecular biological aspects of the renal epithelial neoplasms, up-to-date. Pathol Int 54:377–386PubMedCrossRef
5.
go back to reference Sükösd F, Kuroda N, Beothe T, Kaur AP, Kovacs G (2003) Deletion of chromosome 3p14.2-p25 involving in the VHL and FHIT genes in conventional renal cell carcinoma. Cancer Res 63:455–457PubMed Sükösd F, Kuroda N, Beothe T, Kaur AP, Kovacs G (2003) Deletion of chromosome 3p14.2-p25 involving in the VHL and FHIT genes in conventional renal cell carcinoma. Cancer Res 63:455–457PubMed
6.
go back to reference Williamson SR, Halat S, Eble JN, Grignon DJ, Lopez-Beltran A, Montironi R, Tan P-H, Wang M, Zhang S, MacLennan GT, Baldridge LA, Cheng L (2012) Multilocular cystic renal cell carcinoma. Similarities and difference in immunoprofile compared with clear cell renal cell carcinoma. Am J Surg Pathol 36:1425–1433PubMedCrossRef Williamson SR, Halat S, Eble JN, Grignon DJ, Lopez-Beltran A, Montironi R, Tan P-H, Wang M, Zhang S, MacLennan GT, Baldridge LA, Cheng L (2012) Multilocular cystic renal cell carcinoma. Similarities and difference in immunoprofile compared with clear cell renal cell carcinoma. Am J Surg Pathol 36:1425–1433PubMedCrossRef
7.
go back to reference Kuroda N, Ohe C, Mikami S, Inoue K, Nagashima Y, Cohen RJ, Pan CC, Michal M, Hes O (2012) Multilocular cystic renal cell carcinoma with focus on clinical and pathobiological aspects. Histol Histopathol 27:969–974PubMed Kuroda N, Ohe C, Mikami S, Inoue K, Nagashima Y, Cohen RJ, Pan CC, Michal M, Hes O (2012) Multilocular cystic renal cell carcinoma with focus on clinical and pathobiological aspects. Histol Histopathol 27:969–974PubMed
8.
go back to reference Delahunt B, Eble JN (1997) Papillary renal cell carcinoma: a clinicopathologic and immunohistochemical study of 105 tumors. Mod Pathol 10:537–544PubMed Delahunt B, Eble JN (1997) Papillary renal cell carcinoma: a clinicopathologic and immunohistochemical study of 105 tumors. Mod Pathol 10:537–544PubMed
9.
go back to reference Kuroda N, Toi M, Hiroi M, Enzan H (2003) Review of papillary renal cell carcinoma with focus on clinical and pathobiological aspects. Histol Histopathol 18:487–494PubMed Kuroda N, Toi M, Hiroi M, Enzan H (2003) Review of papillary renal cell carcinoma with focus on clinical and pathobiological aspects. Histol Histopathol 18:487–494PubMed
10.
go back to reference Thoenes W, Störkel S, Rumplet H-J, Moll R, Baum HP, Werner S (1988) Chromophobe cell renal carcinoma and its variant—a report of 32 cases. J Pathol 155:277–287PubMedCrossRef Thoenes W, Störkel S, Rumplet H-J, Moll R, Baum HP, Werner S (1988) Chromophobe cell renal carcinoma and its variant—a report of 32 cases. J Pathol 155:277–287PubMedCrossRef
11.
go back to reference Nagashima Y (2000) Chromophobe renal cell carcinoma: clinical, pathological and molecular biological aspects. Pathol Int 50:872–878PubMedCrossRef Nagashima Y (2000) Chromophobe renal cell carcinoma: clinical, pathological and molecular biological aspects. Pathol Int 50:872–878PubMedCrossRef
12.
go back to reference Kuroda N, Toi M, Hiroi M, Enzan H (2003) Review of chromophobe renal cell carcinoma with focus on clinical and pathobiological aspects. Histol Histopathol 18:165–171PubMed Kuroda N, Toi M, Hiroi M, Enzan H (2003) Review of chromophobe renal cell carcinoma with focus on clinical and pathobiological aspects. Histol Histopathol 18:165–171PubMed
13.
14.
go back to reference Kobayashi N, Matsuzaki O, Shirai S, Aoki I, Yao M, Nagashima Y (2008) Collecting duct carcinoma of the kidney: an immunohistochemical evaluation of the use of antibodies for differential diagnosis. Hum Pathol 39:1350–1359PubMedCrossRef Kobayashi N, Matsuzaki O, Shirai S, Aoki I, Yao M, Nagashima Y (2008) Collecting duct carcinoma of the kidney: an immunohistochemical evaluation of the use of antibodies for differential diagnosis. Hum Pathol 39:1350–1359PubMedCrossRef
15.
go back to reference Kuroda N, Toi M, Hiroi M, Enzan H (2002) Review of collecting duct carcinoma with focus on clinical and pathobiological aspects. Histol Histopathol 17:1329–1334PubMed Kuroda N, Toi M, Hiroi M, Enzan H (2002) Review of collecting duct carcinoma with focus on clinical and pathobiological aspects. Histol Histopathol 17:1329–1334PubMed
16.
go back to reference Armah HB, Parwani AV (2010) Xp11.2 translocation renal cell carcinoma. Arch Pathol Lab Med 134:124–129PubMed Armah HB, Parwani AV (2010) Xp11.2 translocation renal cell carcinoma. Arch Pathol Lab Med 134:124–129PubMed
17.
go back to reference Kuroda N, Mikami S, Pan CC, Cohen RJ, Hes O, Michal M, Nagashima Y, Tanaka Y, Inoue K, Shuin T, Lee GH (2012) Review of renal carcinoma associated with Xp11.2 translocations/TFE3 gene fusions with focus on pathobiological aspect. Histol Histopathol 27:133–140PubMed Kuroda N, Mikami S, Pan CC, Cohen RJ, Hes O, Michal M, Nagashima Y, Tanaka Y, Inoue K, Shuin T, Lee GH (2012) Review of renal carcinoma associated with Xp11.2 translocations/TFE3 gene fusions with focus on pathobiological aspect. Histol Histopathol 27:133–140PubMed
18.
go back to reference Rakozy C, Schmahl GE, Bogner S, Störkel S (2002) Low-grade tubular-mucinous renal neoplasms: morphologic, immunohistochemical, and genetic features. Mod Pathol 15:1162–1171PubMedCrossRef Rakozy C, Schmahl GE, Bogner S, Störkel S (2002) Low-grade tubular-mucinous renal neoplasms: morphologic, immunohistochemical, and genetic features. Mod Pathol 15:1162–1171PubMedCrossRef
19.
go back to reference Kuroda N, Toi M, Hiroi M, Suin T, Enzan H (2005) Review of mucinous tubular and spindle-cell carcinoma of the kidney with focus on clinical and pathobiological aspects. Histol Histopathol 20:221–224PubMed Kuroda N, Toi M, Hiroi M, Suin T, Enzan H (2005) Review of mucinous tubular and spindle-cell carcinoma of the kidney with focus on clinical and pathobiological aspects. Histol Histopathol 20:221–224PubMed
20.
go back to reference Amin MB, Crotty TB, Tickoo SK, Farrow GM (1997) Renal oncocytoma: a reappraisal of morphologic features with clinicopathologic findings in 80 cases. Am J Surg Pathol 21:1–12PubMedCrossRef Amin MB, Crotty TB, Tickoo SK, Farrow GM (1997) Renal oncocytoma: a reappraisal of morphologic features with clinicopathologic findings in 80 cases. Am J Surg Pathol 21:1–12PubMedCrossRef
21.
go back to reference Perez-Ordonez B, Hamed G, Campbell S, Erlandson RA, Russo P, Gaudin S, Reuter VE (1997) Renal oncocytoma: a clinicopathologic study of 70 cases. Am J Surg Pathol 21:871–883PubMedCrossRef Perez-Ordonez B, Hamed G, Campbell S, Erlandson RA, Russo P, Gaudin S, Reuter VE (1997) Renal oncocytoma: a clinicopathologic study of 70 cases. Am J Surg Pathol 21:871–883PubMedCrossRef
22.
go back to reference Kuroda N, Toi M, Hiroi M, Shuin T, Enzan H (2003) Review of renal oncocytoma with focus on clinical and pathobiological aspects. Histol Histopathol 18:935–942PubMed Kuroda N, Toi M, Hiroi M, Shuin T, Enzan H (2003) Review of renal oncocytoma with focus on clinical and pathobiological aspects. Histol Histopathol 18:935–942PubMed
23.
go back to reference Grignon DV, Eble JN (1998) Papillary and metanephric adenomas of the kidney. Semin Diagn Pathol 15:41–53PubMed Grignon DV, Eble JN (1998) Papillary and metanephric adenomas of the kidney. Semin Diagn Pathol 15:41–53PubMed
24.
go back to reference Wade Strong J, Ro JY (1996) Metanephric adenoma of the kidney: a newly characterized entity. Adv Anat Pathol 3:172–178CrossRef Wade Strong J, Ro JY (1996) Metanephric adenoma of the kidney: a newly characterized entity. Adv Anat Pathol 3:172–178CrossRef
25.
go back to reference Kuroda N, Toi M, Hiroi M, Enzan H (2003) Review of metanephric adenoma of the kidney with focus on clinical and pathobiological aspects. Histol Histopathol 18:253–257PubMed Kuroda N, Toi M, Hiroi M, Enzan H (2003) Review of metanephric adenoma of the kidney with focus on clinical and pathobiological aspects. Histol Histopathol 18:253–257PubMed
26.
go back to reference Sule N, Yakupoglu U, Shen SS, Krishnan B, Yang G, Lerner S, Sheikh-Hamad D, Troung LD (2005) Calcium oxalate deposition in renal cell carcinoma associated with acquired cystic kidney disease: a comprehensive study. Am J Surg Pathol 29:443–451PubMedCrossRef Sule N, Yakupoglu U, Shen SS, Krishnan B, Yang G, Lerner S, Sheikh-Hamad D, Troung LD (2005) Calcium oxalate deposition in renal cell carcinoma associated with acquired cystic kidney disease: a comprehensive study. Am J Surg Pathol 29:443–451PubMedCrossRef
27.
go back to reference Tickoo SK, dePeralta-Venturina MN, Harik LR, Worcester HD, Salama ME, Young AN, Moch H, Amin MB (2006) Spectrum of epithelial neoplasms in end-stage renal disease: an experience from 66 tumor-bearing kidneys with emphasis on histologic patterns distinct from those in sporadic adult renal neoplasia. Am J Surg Pathol 30:141–153PubMedCrossRef Tickoo SK, dePeralta-Venturina MN, Harik LR, Worcester HD, Salama ME, Young AN, Moch H, Amin MB (2006) Spectrum of epithelial neoplasms in end-stage renal disease: an experience from 66 tumor-bearing kidneys with emphasis on histologic patterns distinct from those in sporadic adult renal neoplasia. Am J Surg Pathol 30:141–153PubMedCrossRef
28.
go back to reference Kuroda N, Ohe C, Mikami S, Hes O, Michal M, Brunelli M, Martignoni G, Sato Y, Yoshino T, Kakehi Y, Shuin T, Lee GH (2011) Review of acquired cystic disease-associated renal cell carcinoma with focus on pathobiological aspects. Histol Histopathol 26:1215–1218PubMed Kuroda N, Ohe C, Mikami S, Hes O, Michal M, Brunelli M, Martignoni G, Sato Y, Yoshino T, Kakehi Y, Shuin T, Lee GH (2011) Review of acquired cystic disease-associated renal cell carcinoma with focus on pathobiological aspects. Histol Histopathol 26:1215–1218PubMed
29.
go back to reference Kuroda N, Tamura M, Taguchi T, Tominaga A, Hes O, Michal M, Ohara M, Hirouchi T, Mizuno K, Hayashi Y, Shuin T, Lee GH (2008) Sarcomatoid acquired cystic disease-associated renal cell carcinoma. Histol Histopathol 23:1327–1331PubMed Kuroda N, Tamura M, Taguchi T, Tominaga A, Hes O, Michal M, Ohara M, Hirouchi T, Mizuno K, Hayashi Y, Shuin T, Lee GH (2008) Sarcomatoid acquired cystic disease-associated renal cell carcinoma. Histol Histopathol 23:1327–1331PubMed
30.
go back to reference Kuroda N, Tamura M, Hamaguchi N, Mikami S, Pan CC, Brunelli M, Martignoni G, Hes O, Michal M, Lee GH (2011) Acquired cystic disease-associated renal cell carcinoma with sarcomatoid change and rhabdoid features. Ann Diagn Pathol 15:462–466PubMedCrossRef Kuroda N, Tamura M, Hamaguchi N, Mikami S, Pan CC, Brunelli M, Martignoni G, Hes O, Michal M, Lee GH (2011) Acquired cystic disease-associated renal cell carcinoma with sarcomatoid change and rhabdoid features. Ann Diagn Pathol 15:462–466PubMedCrossRef
31.
go back to reference Ross H, Martignoni G, Argani P (2011) Renal cell carcinoma with clear cell and papillary features. Arch Pathol Lab Med 136:391–399CrossRef Ross H, Martignoni G, Argani P (2011) Renal cell carcinoma with clear cell and papillary features. Arch Pathol Lab Med 136:391–399CrossRef
32.
go back to reference Kuroda N, Shiotsu T, Kawada C, Shuin T, Hes O, Michal M, Ohe C, Mikami S, Pan CC (2011) Clear cell papillary renal cell carcinoma and clear cell renal cell carcinoma arising in acquired cystic disease of the kidney: an immunohistochemical and genetic study. Ann Diagn Pathol 15:282–285PubMedCrossRef Kuroda N, Shiotsu T, Kawada C, Shuin T, Hes O, Michal M, Ohe C, Mikami S, Pan CC (2011) Clear cell papillary renal cell carcinoma and clear cell renal cell carcinoma arising in acquired cystic disease of the kidney: an immunohistochemical and genetic study. Ann Diagn Pathol 15:282–285PubMedCrossRef
33.
go back to reference Argani P, Hawkins A, Griffin CA, Goldstein JD, Haas M, Beckwith JB, Mankinen CB, Perlman EJ (2001) A distinctive pediatric renal neoplasm characterized by epithelioid morphology, basement membrane production, focal HMB45 immunoreactivity, and t(6;11)(p21;q12) chromosome translocation. Am J Pathol 158:2089–2096PubMedCentralPubMedCrossRef Argani P, Hawkins A, Griffin CA, Goldstein JD, Haas M, Beckwith JB, Mankinen CB, Perlman EJ (2001) A distinctive pediatric renal neoplasm characterized by epithelioid morphology, basement membrane production, focal HMB45 immunoreactivity, and t(6;11)(p21;q12) chromosome translocation. Am J Pathol 158:2089–2096PubMedCentralPubMedCrossRef
34.
go back to reference Argani P, Laé M, Hutchinson B, Reuter VE, Collins MH, Perentesis J, Tomaszewski JE, Brooks JS, Acs G, Bridge JA, Vargas SO, Davis IJ, Fisher DE, Ladanyi M (2005) Renal carcinomas with the t(6;11)(p21;q12): clinicopathologic features and demonstration of the specific alpha-TFEB gene fusion by immunohistochemistry, RT-PCR, and DNA PCR. Am J Surg Pathol 29:230–240PubMedCrossRef Argani P, Laé M, Hutchinson B, Reuter VE, Collins MH, Perentesis J, Tomaszewski JE, Brooks JS, Acs G, Bridge JA, Vargas SO, Davis IJ, Fisher DE, Ladanyi M (2005) Renal carcinomas with the t(6;11)(p21;q12): clinicopathologic features and demonstration of the specific alpha-TFEB gene fusion by immunohistochemistry, RT-PCR, and DNA PCR. Am J Surg Pathol 29:230–240PubMedCrossRef
35.
go back to reference Petersson F, Vaněček T, Michal M, Martignoni G, Brunelli M, Halbhuber Z, Spagnolo D, Kuroda N, Yang XJ, Alvarado-Cabrero I, Hora M, Branžovský J, Trivunic S, Kacerovská D, Steiner P, Hes O (2012) A distinctive translocation of the kidney; “rosette forming”, t(6;11), HMB45-positive renal tumor: a histomorphologic, immunohistochemical, ultrastructural, and molecular genetic study of 4 cases. Hum Pathol 43:726–736PubMedCrossRef Petersson F, Vaněček T, Michal M, Martignoni G, Brunelli M, Halbhuber Z, Spagnolo D, Kuroda N, Yang XJ, Alvarado-Cabrero I, Hora M, Branžovský J, Trivunic S, Kacerovská D, Steiner P, Hes O (2012) A distinctive translocation of the kidney; “rosette forming”, t(6;11), HMB45-positive renal tumor: a histomorphologic, immunohistochemical, ultrastructural, and molecular genetic study of 4 cases. Hum Pathol 43:726–736PubMedCrossRef
36.
go back to reference Debelenko LV, Raimondi SC, Daw N, Shivakumar BR, Huang D, Nelson M, Bridge JA (2011) Renal cell carcinoma with novel VCL-ALK fusion: new representative of ALK-associated tumor spectrum. Mod Pathol 24:430–442PubMedCrossRef Debelenko LV, Raimondi SC, Daw N, Shivakumar BR, Huang D, Nelson M, Bridge JA (2011) Renal cell carcinoma with novel VCL-ALK fusion: new representative of ALK-associated tumor spectrum. Mod Pathol 24:430–442PubMedCrossRef
37.
go back to reference Mariño-Enríquez A, Ou W-B, Weldon CB, Fletcher JA, Pérez-Atayde AR (2011) ALK rearrangement in sickle cell trait-associated renal medullary carcinoma. Genes Chromosom Cancer 5:146–153CrossRef Mariño-Enríquez A, Ou W-B, Weldon CB, Fletcher JA, Pérez-Atayde AR (2011) ALK rearrangement in sickle cell trait-associated renal medullary carcinoma. Genes Chromosom Cancer 5:146–153CrossRef
38.
go back to reference Sugawara E, Togashi Y, Kuroda N, Sakata S, Hatano S, Asaka R, Yuasa T, Yonese J, Kitagawa M, Mano H, Ishikawa Y, Takeuchi K (2012) Identification of anaplastic lymphoma kinase fusions in renal cancer: large-scale immunohistochemical screening by the intercalated antibody-enhanced polymer method. Cancer 118:4427–4436PubMedCrossRef Sugawara E, Togashi Y, Kuroda N, Sakata S, Hatano S, Asaka R, Yuasa T, Yonese J, Kitagawa M, Mano H, Ishikawa Y, Takeuchi K (2012) Identification of anaplastic lymphoma kinase fusions in renal cancer: large-scale immunohistochemical screening by the intercalated antibody-enhanced polymer method. Cancer 118:4427–4436PubMedCrossRef
39.
go back to reference Sukov WR, Hodge JC, Lohse CM, Akre MK, Leibovich BC, Thompson RH, Cheville JC (2012) ALK alterations in adult renal cell carcinoma: frequency, clinicopathologic features and outcome in a large series of consecutively treated patients. Mod Pathol 25:1516–1525PubMedCrossRef Sukov WR, Hodge JC, Lohse CM, Akre MK, Leibovich BC, Thompson RH, Cheville JC (2012) ALK alterations in adult renal cell carcinoma: frequency, clinicopathologic features and outcome in a large series of consecutively treated patients. Mod Pathol 25:1516–1525PubMedCrossRef
Metadata
Title
Recent classification of renal epithelial tumors
Authors
Naoto Kuroda
Azusa Tanaka
Publication date
01-06-2014
Publisher
Springer Japan
Published in
Medical Molecular Morphology / Issue 2/2014
Print ISSN: 1860-1480
Electronic ISSN: 1860-1499
DOI
https://doi.org/10.1007/s00795-013-0033-0

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