A Case of Liver Metastasis From an Oncocytoma With a Focal Area of Chromophobe Renal Cell Carcinoma: A Wolf in Sheep's Clothing

In 2004, the World Health Organization classified the renal oncocytomas as benign neoplasms of the kidney. There are reports of subtypes of renal tumors, with similar histological morphology to oncocytoma, but with malignant potential, one of these tumors is the eosinophilic variant of chromophobe r...

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Veröffentlicht in:International journal of surgical pathology 2009-04, Vol.17 (2), p.158-162
Hauptverfasser: Aslam, Muhammad I., Spencer, Laura, Garcea, Guiseppe, Pollard, Chris, Metcalfe, Matthew S., Harrison, Rebecca F., Dennison, Ashley R.
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container_issue 2
container_start_page 158
container_title International journal of surgical pathology
container_volume 17
creator Aslam, Muhammad I.
Spencer, Laura
Garcea, Guiseppe
Pollard, Chris
Metcalfe, Matthew S.
Harrison, Rebecca F.
Dennison, Ashley R.
description In 2004, the World Health Organization classified the renal oncocytomas as benign neoplasms of the kidney. There are reports of subtypes of renal tumors, with similar histological morphology to oncocytoma, but with malignant potential, one of these tumors is the eosinophilic variant of chromophobe renal cell carcinoma. It is important to characterize the histological features and the subtype of tumor, as this predicts biological behavior and cancer-specific survival rate. A rare case of a liver metastasis from a focal area of eosinophilic variant of chromophobe renal cell carcinoma mixed in oncocytoma in a 69-year-old woman is reported. Although some renal tumors may contain oncocytoma and eosinophilic variant of chromophobe renal cell carcinoma histology, caution should be exercised while diagnosing oncocytomas in needle biopsies as there may be unsampled area of chromophobe carcinoma which has a potential for metastatic spread representing a wolf in sheep's clothing.
doi_str_mv 10.1177/1066896908318741
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subjects Adenoma, Oxyphilic - diagnosis
Adenoma, Oxyphilic - secondary
Aged
Biopsy, Needle
Carcinoma, Renal Cell - diagnosis
Carcinoma, Renal Cell - secondary
Female
Humans
Kidney Neoplasms - pathology
Liver Neoplasms - diagnosis
Liver Neoplasms - secondary
title A Case of Liver Metastasis From an Oncocytoma With a Focal Area of Chromophobe Renal Cell Carcinoma: A Wolf in Sheep's Clothing
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