Aggressive variants of chromophobe renal cell carcinoma

BACKGROUND Chromophobe renal cell carcinoma (RCC) is a distinctive subtype of RCC with a more favorable prognosis than clear cell RCC. We describe the pathologic features of 23 solitary cases and 2 cases with coexistent papillary RCCs, 7 of which developed metastases. METHODS Cases were retrieved fr...

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Veröffentlicht in:Cancer 1996-10, Vol.78 (8), p.1756-1761
Hauptverfasser: Renshaw, Andrew A., Henske, Elizabeth P., Loughlin, Kevin R., Shapiro, Charles, Weinberg, David S.
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container_end_page 1761
container_issue 8
container_start_page 1756
container_title Cancer
container_volume 78
creator Renshaw, Andrew A.
Henske, Elizabeth P.
Loughlin, Kevin R.
Shapiro, Charles
Weinberg, David S.
description BACKGROUND Chromophobe renal cell carcinoma (RCC) is a distinctive subtype of RCC with a more favorable prognosis than clear cell RCC. We describe the pathologic features of 23 solitary cases and 2 cases with coexistent papillary RCCs, 7 of which developed metastases. METHODS Cases were retrieved from the pathology files of our institutions. Clinical follow‐up was obtained from the medical records. DNA analysis was performed on Feulgen‐stained slides using image analysis. RESULTS Twenty‐five cases were identified. All cases had characteristic pathologic features, including diffuse cytoplasmic reactivity for Hale's colloidal iron. DNA ploidy analysis of ten cases revealed a diploid pattern in five, a hyperdiploid pattern in four, and a hypodiploid pattern in one. Follow‐up was available for 20 cases, and metastases developed in 7 (from 4 to 120 months after surgery). In 5 of these cases, the tumors were solitary and more than 8 cm in greatest dimension and metastases developed in the liver. In both cases with papillary RCCs in the same kidney, metastases developed in the lung, although which tumor metastasized is unknown. CONCLUSIONS Despite the overall favorable prognosis for chromophobe RCC, large tumors and those with coexistent papillary RCCs may produce in metastases. Cancer 1996;78:1756‐61.
doi_str_mv 10.1002/(SICI)1097-0142(19961015)78:8<1756::AID-CNCR16>3.0.CO;2-X
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We describe the pathologic features of 23 solitary cases and 2 cases with coexistent papillary RCCs, 7 of which developed metastases. METHODS Cases were retrieved from the pathology files of our institutions. Clinical follow‐up was obtained from the medical records. DNA analysis was performed on Feulgen‐stained slides using image analysis. RESULTS Twenty‐five cases were identified. All cases had characteristic pathologic features, including diffuse cytoplasmic reactivity for Hale's colloidal iron. DNA ploidy analysis of ten cases revealed a diploid pattern in five, a hyperdiploid pattern in four, and a hypodiploid pattern in one. Follow‐up was available for 20 cases, and metastases developed in 7 (from 4 to 120 months after surgery). In 5 of these cases, the tumors were solitary and more than 8 cm in greatest dimension and metastases developed in the liver. In both cases with papillary RCCs in the same kidney, metastases developed in the lung, although which tumor metastasized is unknown. CONCLUSIONS Despite the overall favorable prognosis for chromophobe RCC, large tumors and those with coexistent papillary RCCs may produce in metastases. Cancer 1996;78:1756‐61.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/(SICI)1097-0142(19961015)78:8&lt;1756::AID-CNCR16&gt;3.0.CO;2-X</identifier><identifier>PMID: 8859189</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adenocarcinoma - pathology ; Adult ; Aged ; Biological and medical sciences ; Carcinoma, Renal Cell - pathology ; chromophobe ; Female ; Flow Cytometry ; Humans ; Kidney Neoplasms - pathology ; Kidneys ; Male ; Medical sciences ; Middle Aged ; Neoplasm Metastasis ; Nephrology. Urinary tract diseases ; pathology ; Ploidies ; ploidy ; Prognosis ; renal cell carcinoma ; Urinary system involvement in other diseases. 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We describe the pathologic features of 23 solitary cases and 2 cases with coexistent papillary RCCs, 7 of which developed metastases. METHODS Cases were retrieved from the pathology files of our institutions. Clinical follow‐up was obtained from the medical records. DNA analysis was performed on Feulgen‐stained slides using image analysis. RESULTS Twenty‐five cases were identified. All cases had characteristic pathologic features, including diffuse cytoplasmic reactivity for Hale's colloidal iron. DNA ploidy analysis of ten cases revealed a diploid pattern in five, a hyperdiploid pattern in four, and a hypodiploid pattern in one. Follow‐up was available for 20 cases, and metastases developed in 7 (from 4 to 120 months after surgery). In 5 of these cases, the tumors were solitary and more than 8 cm in greatest dimension and metastases developed in the liver. In both cases with papillary RCCs in the same kidney, metastases developed in the lung, although which tumor metastasized is unknown. CONCLUSIONS Despite the overall favorable prognosis for chromophobe RCC, large tumors and those with coexistent papillary RCCs may produce in metastases. Cancer 1996;78:1756‐61.</description><subject>Adenocarcinoma - pathology</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Renal Cell - pathology</subject><subject>chromophobe</subject><subject>Female</subject><subject>Flow Cytometry</subject><subject>Humans</subject><subject>Kidney Neoplasms - pathology</subject><subject>Kidneys</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Metastasis</subject><subject>Nephrology. Urinary tract diseases</subject><subject>pathology</subject><subject>Ploidies</subject><subject>ploidy</subject><subject>Prognosis</subject><subject>renal cell carcinoma</subject><subject>Urinary system involvement in other diseases. 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Urinary tract diseases</topic><topic>pathology</topic><topic>Ploidies</topic><topic>ploidy</topic><topic>Prognosis</topic><topic>renal cell carcinoma</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Renshaw, Andrew A.</creatorcontrib><creatorcontrib>Henske, Elizabeth P.</creatorcontrib><creatorcontrib>Loughlin, Kevin R.</creatorcontrib><creatorcontrib>Shapiro, Charles</creatorcontrib><creatorcontrib>Weinberg, David S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Renshaw, Andrew A.</au><au>Henske, Elizabeth P.</au><au>Loughlin, Kevin R.</au><au>Shapiro, Charles</au><au>Weinberg, David S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aggressive variants of chromophobe renal cell carcinoma</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>1996-10-15</date><risdate>1996</risdate><volume>78</volume><issue>8</issue><spage>1756</spage><epage>1761</epage><pages>1756-1761</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>BACKGROUND Chromophobe renal cell carcinoma (RCC) is a distinctive subtype of RCC with a more favorable prognosis than clear cell RCC. We describe the pathologic features of 23 solitary cases and 2 cases with coexistent papillary RCCs, 7 of which developed metastases. METHODS Cases were retrieved from the pathology files of our institutions. Clinical follow‐up was obtained from the medical records. DNA analysis was performed on Feulgen‐stained slides using image analysis. RESULTS Twenty‐five cases were identified. All cases had characteristic pathologic features, including diffuse cytoplasmic reactivity for Hale's colloidal iron. DNA ploidy analysis of ten cases revealed a diploid pattern in five, a hyperdiploid pattern in four, and a hypodiploid pattern in one. Follow‐up was available for 20 cases, and metastases developed in 7 (from 4 to 120 months after surgery). In 5 of these cases, the tumors were solitary and more than 8 cm in greatest dimension and metastases developed in the liver. In both cases with papillary RCCs in the same kidney, metastases developed in the lung, although which tumor metastasized is unknown. CONCLUSIONS Despite the overall favorable prognosis for chromophobe RCC, large tumors and those with coexistent papillary RCCs may produce in metastases. Cancer 1996;78:1756‐61.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>8859189</pmid><doi>10.1002/(SICI)1097-0142(19961015)78:8&lt;1756::AID-CNCR16&gt;3.0.CO;2-X</doi><tpages>6</tpages></addata></record>
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subjects Adenocarcinoma - pathology
Adult
Aged
Biological and medical sciences
Carcinoma, Renal Cell - pathology
chromophobe
Female
Flow Cytometry
Humans
Kidney Neoplasms - pathology
Kidneys
Male
Medical sciences
Middle Aged
Neoplasm Metastasis
Nephrology. Urinary tract diseases
pathology
Ploidies
ploidy
Prognosis
renal cell carcinoma
Urinary system involvement in other diseases. Miscellaneous
title Aggressive variants of chromophobe renal cell carcinoma
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