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Published in: Diagnostic Pathology 1/2013

Open Access 01-12-2013 | Case Report

Thyroid-like follicular carcinoma of the kidney in a patient with nephrolithiasis and polycystic kidney disease: a case report

Published in: Diagnostic Pathology | Issue 1/2013

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Abstract

Abstract

Thyroid-like follicular carcinoma of the kidney (TLFC), a rare neoplasm with low malignant potential, is histologically similar to primary thyroid follicular carcinoma, but characteristically lacks thyroid immunohistochemical markers. We report a case of 34-year old patient with nephrolithiasis. Ultrasound revealed hepatorenal cysts consistent with adult type polycystic kidney disease (ATPKD) and a cytologically confirmed left kidney tumor. Nephrectomy specimen contained sharply demarcated lesion of unusual morphology. Tubular and cystic structures lined by mostly cuboidal cells and filled with amorphous eosinophillic material, reminiscent of follicular carcinoma of the thyroid gland, were diagnostic for TLFC. Thyroid markers were negative. To our knowledge this is the first report of TFLC associated to ATPKD. Brief review of previously published TFLCs, possible relationship between entities and differential diagnosis are discussed.

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Literature
1.
go back to reference World health organization classification of tumors. Pathology and genetics of tumors of the urinary system and male genital organs. Tumors of the kidney. Edited by: Eble JN, Sauter G, Epstein JI, Sesterhenn IA. 2004, Lyon: IARC Press, 9-87. World health organization classification of tumors. Pathology and genetics of tumors of the urinary system and male genital organs. Tumors of the kidney. Edited by: Eble JN, Sauter G, Epstein JI, Sesterhenn IA. 2004, Lyon: IARC Press, 9-87.
2.
go back to reference Srigley JR, Delahunt B: Uncommon and recently described renal carcinomas. Mod Pathol. 2009, 22: S2-S23.CrossRefPubMed Srigley JR, Delahunt B: Uncommon and recently described renal carcinomas. Mod Pathol. 2009, 22: S2-S23.CrossRefPubMed
3.
go back to reference Pei Y, Obaji J, Dupuis A, Paterson AD, Magistroni R, Dicks E, Parfrey P, Cramer B, Coto E, Torra R, San Millan JL, Gibson R, Breuning M, Peters D, Ravine D: Unified criteria for ultrasonographic diagnosis of ADPKD. J Am Soc Nephrol. 2009, 20: 205-212. 10.1681/ASN.2008050507.PubMedCentralCrossRefPubMed Pei Y, Obaji J, Dupuis A, Paterson AD, Magistroni R, Dicks E, Parfrey P, Cramer B, Coto E, Torra R, San Millan JL, Gibson R, Breuning M, Peters D, Ravine D: Unified criteria for ultrasonographic diagnosis of ADPKD. J Am Soc Nephrol. 2009, 20: 205-212. 10.1681/ASN.2008050507.PubMedCentralCrossRefPubMed
4.
go back to reference Srigley JR, Amin MB, Delahunt B, Campbell SC, Chang A, Grignon DJ, Humphrey PA, Leibovich BC, Montironi R, Renshaw AA, Reuter VE: Members of the cancer committee, college of american pathologists: protocol for the examination of specimens from patients with invasive carcinoma from renal tubular origin. Arch Pathol Lab Med. 2010, 134: e25-e30.PubMed Srigley JR, Amin MB, Delahunt B, Campbell SC, Chang A, Grignon DJ, Humphrey PA, Leibovich BC, Montironi R, Renshaw AA, Reuter VE: Members of the cancer committee, college of american pathologists: protocol for the examination of specimens from patients with invasive carcinoma from renal tubular origin. Arch Pathol Lab Med. 2010, 134: e25-e30.PubMed
5.
go back to reference Amin MB, Gupta M, Hes O, McKenney JK, Michal M, Young AN, Paner GP, Junker K, Epstein JI: Primary thyroid-like follicular carcinoma of the kidney. Report of 6 cases of a histologically distinctive adult renal epithelial neoplasm. Am J Surg Pathol. 2009, 33: 393-400. 10.1097/PAS.0b013e31818cb8f5.CrossRefPubMed Amin MB, Gupta M, Hes O, McKenney JK, Michal M, Young AN, Paner GP, Junker K, Epstein JI: Primary thyroid-like follicular carcinoma of the kidney. Report of 6 cases of a histologically distinctive adult renal epithelial neoplasm. Am J Surg Pathol. 2009, 33: 393-400. 10.1097/PAS.0b013e31818cb8f5.CrossRefPubMed
6.
go back to reference Jung SJ, Chung JI, Park SH, Ayala AG, Ro JY: Thyroid follicular carcinoma-like tumor of kidney: a case report with morhologic, immunohistochemical and genetic analysis. Am J Surg Pathol. 2006, 30: 411-415.PubMed Jung SJ, Chung JI, Park SH, Ayala AG, Ro JY: Thyroid follicular carcinoma-like tumor of kidney: a case report with morhologic, immunohistochemical and genetic analysis. Am J Surg Pathol. 2006, 30: 411-415.PubMed
7.
go back to reference Sterlacci W, Verdorfer I, Gabriel M, Mikuz G: Thyroid follicular carcinoma-like renal tumor: a case report with morphologic, immunophenotypic, cytogenetic, and scintigraphic studies. Virchows Arch. 2008, 452: 91-95. 10.1007/s00428-007-0486-4.CrossRefPubMed Sterlacci W, Verdorfer I, Gabriel M, Mikuz G: Thyroid follicular carcinoma-like renal tumor: a case report with morphologic, immunophenotypic, cytogenetic, and scintigraphic studies. Virchows Arch. 2008, 452: 91-95. 10.1007/s00428-007-0486-4.CrossRefPubMed
8.
go back to reference Dhillon J, Tannir NM, Matin SF, Tamboli P, Czerniak BA, Guo CC: Thyroid-like folicular carcinoma of the kidney with metastases to the lung and retropritoneal lymph nodes. Hum Pathol. 2011, 42: 146-150. 10.1016/j.humpath.2010.01.026.PubMedCentralCrossRefPubMed Dhillon J, Tannir NM, Matin SF, Tamboli P, Czerniak BA, Guo CC: Thyroid-like folicular carcinoma of the kidney with metastases to the lung and retropritoneal lymph nodes. Hum Pathol. 2011, 42: 146-150. 10.1016/j.humpath.2010.01.026.PubMedCentralCrossRefPubMed
9.
go back to reference Alessandrini L, Fassan M, Gardiman MP, Guttilla A, Zattoni F, Galletti TP, Zattoni F: Thyroid-like follicular carcinoma of the kidney: report of two cases with detailed immunohistochemical profile and literature review. Virchows Arch. 2012, 461: 345-350. 10.1007/s00428-012-1298-8.CrossRefPubMed Alessandrini L, Fassan M, Gardiman MP, Guttilla A, Zattoni F, Galletti TP, Zattoni F: Thyroid-like follicular carcinoma of the kidney: report of two cases with detailed immunohistochemical profile and literature review. Virchows Arch. 2012, 461: 345-350. 10.1007/s00428-012-1298-8.CrossRefPubMed
10.
go back to reference Malde S, Sheikh I, Woodman I, Fish D, Bilagi P, Sheriff MKM: Primary thyroid-like follicular renal cell carcinoma: an emerging entity. Case Reports in Pathology. 2013, 5-10.1155/2013/687427. Article ID 687427 Malde S, Sheikh I, Woodman I, Fish D, Bilagi P, Sheriff MKM: Primary thyroid-like follicular renal cell carcinoma: an emerging entity. Case Reports in Pathology. 2013, 5-10.1155/2013/687427. Article ID 687427
11.
go back to reference Dhillon J, Mohanty SK, Krishnamurthy S: Cytologic diagnosis of thyroidlike folliculr carcinoma of the kidney: a case report. Diagn Cytopathol. 2012, 10.1002/dc.22930. Nov 16, [Epub ahead of print] Dhillon J, Mohanty SK, Krishnamurthy S: Cytologic diagnosis of thyroidlike folliculr carcinoma of the kidney: a case report. Diagn Cytopathol. 2012, 10.1002/dc.22930. Nov 16, [Epub ahead of print]
12.
go back to reference Tickoo SK, Reuter VE: Thyroid-like follicular carcinoma of the kidney. Diagnostic pathology: genitourinary. Edited by: Amin MB. 2010, Salt Lake City: Amirsys Publishing, Inc, 1-96-1-99. 1 Tickoo SK, Reuter VE: Thyroid-like follicular carcinoma of the kidney. Diagnostic pathology: genitourinary. Edited by: Amin MB. 2010, Salt Lake City: Amirsys Publishing, Inc, 1-96-1-99. 1
13.
go back to reference Angell SK, Pruthi R, Freiha FS: Primary thyroidlike carcinoma of the kidney. Urology. 1996, 48: 632-635. 10.1016/S0090-4295(96)00223-3.CrossRefPubMed Angell SK, Pruthi R, Freiha FS: Primary thyroidlike carcinoma of the kidney. Urology. 1996, 48: 632-635. 10.1016/S0090-4295(96)00223-3.CrossRefPubMed
14.
go back to reference Davis RI, Corson JM: Renal metastases from well differentiated follicular thyroid carcinoma. Cancer. 1979, 43: 265-268. 10.1002/1097-0142(197901)43:1<265::AID-CNCR2820430138>3.0.CO;2-E.CrossRefPubMed Davis RI, Corson JM: Renal metastases from well differentiated follicular thyroid carcinoma. Cancer. 1979, 43: 265-268. 10.1002/1097-0142(197901)43:1<265::AID-CNCR2820430138>3.0.CO;2-E.CrossRefPubMed
15.
go back to reference Xu H, Zeng W, Tang Y: Metastatic thyroid follicular carcinoma presenting as a primary tumor. Intern Med. 2012, 51: 2193-2196. 10.2169/internalmedicine.51.7495.CrossRefPubMed Xu H, Zeng W, Tang Y: Metastatic thyroid follicular carcinoma presenting as a primary tumor. Intern Med. 2012, 51: 2193-2196. 10.2169/internalmedicine.51.7495.CrossRefPubMed
16.
go back to reference Okada Y, Nonomura M, Terachi T: Unilateral and solitary renal metastasis from well differentiated thyroid carcinoma initially treated 22 ears before. Acta Urol Jpn. 1979, 25: 1043-1047. Okada Y, Nonomura M, Terachi T: Unilateral and solitary renal metastasis from well differentiated thyroid carcinoma initially treated 22 ears before. Acta Urol Jpn. 1979, 25: 1043-1047.
17.
go back to reference Johnson MW, Morretin LB, Sarles HE, Zaharopoulos P: Follicular carcinoma of the thyroid metastatic to the kidney 37 years afer resection of the primary tumor. J Urol. 1982, 127: 114-116.PubMed Johnson MW, Morretin LB, Sarles HE, Zaharopoulos P: Follicular carcinoma of the thyroid metastatic to the kidney 37 years afer resection of the primary tumor. J Urol. 1982, 127: 114-116.PubMed
18.
go back to reference Quiroga-Garza G, Piña-Oviedo S, Cuevas-Ocampo K, Goldfarb R, Schwartz MR, Ayala AG, Monzon FA: Synchronous clear cell renal cell carcinoma and tubulocystic carcinoma: genetic evidence of indepepndent ontogenesis and implications of chromosomal imbalances in tumor progression. Diagn Pathol. 2012, 7: 21-10.1186/1746-1596-7-21.PubMedCentralCrossRefPubMed Quiroga-Garza G, Piña-Oviedo S, Cuevas-Ocampo K, Goldfarb R, Schwartz MR, Ayala AG, Monzon FA: Synchronous clear cell renal cell carcinoma and tubulocystic carcinoma: genetic evidence of indepepndent ontogenesis and implications of chromosomal imbalances in tumor progression. Diagn Pathol. 2012, 7: 21-10.1186/1746-1596-7-21.PubMedCentralCrossRefPubMed
19.
go back to reference Richter M, Meyer W, Küster J, Middel P: Exophytic benign mixed epithelial stromal tumour of the kidney: case report of a rare tumour entity. Diagn Pathol. 2010, 5: 16-10.1186/1746-1596-5-16.PubMedCentralCrossRefPubMed Richter M, Meyer W, Küster J, Middel P: Exophytic benign mixed epithelial stromal tumour of the kidney: case report of a rare tumour entity. Diagn Pathol. 2010, 5: 16-10.1186/1746-1596-5-16.PubMedCentralCrossRefPubMed
20.
go back to reference Bonsib SM: Renal cystic diseases and renal neoplasms, a min-review. CJASN. 2009, 4: 1998-2007.PubMed Bonsib SM: Renal cystic diseases and renal neoplasms, a min-review. CJASN. 2009, 4: 1998-2007.PubMed
21.
go back to reference Hajj P, Ferlicot S, Massoud W, Awad A, Hammoudi Y, Charpentier B, Durrbach A, Droupy S, Benoit G: Prevalence of renal cell carcinoma in patients with autosomal dominant polycystic kidney disease and chronic renal failure. Urology. 2009, 74: 631-634. 10.1016/j.urology.2009.02.078.CrossRefPubMed Hajj P, Ferlicot S, Massoud W, Awad A, Hammoudi Y, Charpentier B, Durrbach A, Droupy S, Benoit G: Prevalence of renal cell carcinoma in patients with autosomal dominant polycystic kidney disease and chronic renal failure. Urology. 2009, 74: 631-634. 10.1016/j.urology.2009.02.078.CrossRefPubMed
22.
go back to reference Na KY, Kim HS, Park YK, Chang SG, KIm YW: Multifocal renal cell carcinoma of different histological subtypes in autosomal dominant polycystic kidney disease. Korean J Pathol. 2012, 46: 382-386. 10.4132/KoreanJPathol.2012.46.4.382.PubMedCentralCrossRefPubMed Na KY, Kim HS, Park YK, Chang SG, KIm YW: Multifocal renal cell carcinoma of different histological subtypes in autosomal dominant polycystic kidney disease. Korean J Pathol. 2012, 46: 382-386. 10.4132/KoreanJPathol.2012.46.4.382.PubMedCentralCrossRefPubMed
23.
go back to reference Zhang Q, Ming J, Zhang S, Qiu X: Primary microneuroendocrine tumor arising in a horseshoe kidney with cyst: report of a case and review of literature. Diagn Pathol. 2012, 7: 126-10.1186/1746-1596-7-126.PubMedCentralCrossRefPubMed Zhang Q, Ming J, Zhang S, Qiu X: Primary microneuroendocrine tumor arising in a horseshoe kidney with cyst: report of a case and review of literature. Diagn Pathol. 2012, 7: 126-10.1186/1746-1596-7-126.PubMedCentralCrossRefPubMed
24.
go back to reference Ohe C, Kuroda N, Pan CC, Yang XJ, Kuroda N, Hes O, Michal M: A unique renal cell carcinoma with features of papillary renal cell carcinoma and thyroid-like carcinoma: a morphological, immunhistochemical and genetic study. Histopathology. 2010, 57: 494-497. 10.1111/j.1365-2559.2010.03631.x.CrossRefPubMed Ohe C, Kuroda N, Pan CC, Yang XJ, Kuroda N, Hes O, Michal M: A unique renal cell carcinoma with features of papillary renal cell carcinoma and thyroid-like carcinoma: a morphological, immunhistochemical and genetic study. Histopathology. 2010, 57: 494-497. 10.1111/j.1365-2559.2010.03631.x.CrossRefPubMed
25.
go back to reference Khoja HA, Almutawa A, Binmahfooz A, Aslam M, Ghazi AA, Almaiman S: Papillary thyroid carcinoma-like tumor of the kidney: a case report. Int J Surg Pathol. 2012, 20: 411-415. 10.1177/1066896911429942.CrossRefPubMed Khoja HA, Almutawa A, Binmahfooz A, Aslam M, Ghazi AA, Almaiman S: Papillary thyroid carcinoma-like tumor of the kidney: a case report. Int J Surg Pathol. 2012, 20: 411-415. 10.1177/1066896911429942.CrossRefPubMed
26.
go back to reference Fadare O, Lam S, Rubin C, Renshaw IL, Nerby CL: Papillary renal cell carcinoma with diffuse clear cells and thyroid-like macrofollicular areas. Ann Diagn Pathol. 2010, 14: 284-291. 10.1016/j.anndiagpath.2009.09.008.CrossRefPubMed Fadare O, Lam S, Rubin C, Renshaw IL, Nerby CL: Papillary renal cell carcinoma with diffuse clear cells and thyroid-like macrofollicular areas. Ann Diagn Pathol. 2010, 14: 284-291. 10.1016/j.anndiagpath.2009.09.008.CrossRefPubMed
Metadata
Title
Thyroid-like follicular carcinoma of the kidney in a patient with nephrolithiasis and polycystic kidney disease: a case report
Publication date
01-12-2013
Published in
Diagnostic Pathology / Issue 1/2013
Electronic ISSN: 1746-1596
DOI
https://doi.org/10.1186/1746-1596-8-108

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