About: Renal cell carcinoma with leiomyomatous stroma-further immunohistochemical and molecular genetic characteristics of unusual entity     Goto   Sponge   NotDistinct   Permalink

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  • Renal cell carcinoma (RCC) with leiomyomatous stroma (RCCLS) is a recently recognized entity with indolent biological behavior. The diagnostic implication of absence/presence of VHL gene mutation, VHL hypermethylation, or/and loss of heterozygosity of chromosome 3p (LOH 3p) is widely discussed. Criteria for establishing a diagnosis of RCCLS are still lacking. Fifteen RCCLSs were retrieved from our registry. The cases were studied with consideration to the morphology, immunohistochemistry, and molecular genetics. All cases were composed of low-grade epithelial cells with clear cytoplasm arranged in nests intermingled with abundant leiomyomatous stroma. Age range of the patients was 33 to 78 years. The tumor size ranged from 1.5 to 11 cm. Six of the patients were males, and 9, females. Of the 15 tumors sent for molecular genetic testing, only 12 cases were analyzable. All cases were analyzable immunohistochemically. Of 12 of these cases, 5 showed complete absence of VHL gene mutation, VHL hypermethylation, and LOH 3p. Of theses cases,3 were positive for cytokeratin 7 (CK 7). All of the 5 cases were positive for carbonic anhydrase 9, vimentin, and CD10. The remaining 7 of 12 genetically analyzable cases were found to have had VHL hypermethylation, LOH 3p, VHL gene mutation, or a combination of the former 2 characteristics. These 7 cases were positive for vimentin. Variable reactivity was found for CK 7, carbonic anhydrase 9, alpha-methylacyl-CoA racemase, and CD10. In 1 of these 7 cases, gains on chromosomes 7 and 17 as well as hypermethylation of VHL gene were found. This case was considered as clear cell RCC with aberrant status of chromosomes 7 and 17. Conclusions: (1) Leiomyomatous stroma is not specific for the so called RCCLS. It can be seen also in otherwise typical clear cell RCCs. (2) There are no characteristic morphological/immunohistochemical features unique for %22RCCLS.%22
  • Renal cell carcinoma (RCC) with leiomyomatous stroma (RCCLS) is a recently recognized entity with indolent biological behavior. The diagnostic implication of absence/presence of VHL gene mutation, VHL hypermethylation, or/and loss of heterozygosity of chromosome 3p (LOH 3p) is widely discussed. Criteria for establishing a diagnosis of RCCLS are still lacking. Fifteen RCCLSs were retrieved from our registry. The cases were studied with consideration to the morphology, immunohistochemistry, and molecular genetics. All cases were composed of low-grade epithelial cells with clear cytoplasm arranged in nests intermingled with abundant leiomyomatous stroma. Age range of the patients was 33 to 78 years. The tumor size ranged from 1.5 to 11 cm. Six of the patients were males, and 9, females. Of the 15 tumors sent for molecular genetic testing, only 12 cases were analyzable. All cases were analyzable immunohistochemically. Of 12 of these cases, 5 showed complete absence of VHL gene mutation, VHL hypermethylation, and LOH 3p. Of theses cases,3 were positive for cytokeratin 7 (CK 7). All of the 5 cases were positive for carbonic anhydrase 9, vimentin, and CD10. The remaining 7 of 12 genetically analyzable cases were found to have had VHL hypermethylation, LOH 3p, VHL gene mutation, or a combination of the former 2 characteristics. These 7 cases were positive for vimentin. Variable reactivity was found for CK 7, carbonic anhydrase 9, alpha-methylacyl-CoA racemase, and CD10. In 1 of these 7 cases, gains on chromosomes 7 and 17 as well as hypermethylation of VHL gene were found. This case was considered as clear cell RCC with aberrant status of chromosomes 7 and 17. Conclusions: (1) Leiomyomatous stroma is not specific for the so called RCCLS. It can be seen also in otherwise typical clear cell RCCs. (2) There are no characteristic morphological/immunohistochemical features unique for %22RCCLS.%22 (en)
Title
  • Renal cell carcinoma with leiomyomatous stroma-further immunohistochemical and molecular genetic characteristics of unusual entity
  • Renal cell carcinoma with leiomyomatous stroma-further immunohistochemical and molecular genetic characteristics of unusual entity (en)
skos:prefLabel
  • Renal cell carcinoma with leiomyomatous stroma-further immunohistochemical and molecular genetic characteristics of unusual entity
  • Renal cell carcinoma with leiomyomatous stroma-further immunohistochemical and molecular genetic characteristics of unusual entity (en)
skos:notation
  • RIV/00216208:11140/14:10282508!RIV15-MSM-11140___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, P(ED2.1.00/03.0076)
http://linked.open...iv/cisloPeriodika
  • 5
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 42169
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11140/14:10282508
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Clear cell carcinoma; LOH 3p; VHL gene mutation; Leiomyomatous stroma; Renal cell carcinoma; Kidney (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [BC78EC09C1A3]
http://linked.open...i/riv/nazevZdroje
  • Annals of Diagnostic Pathology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 18
http://linked.open...iv/tvurceVysledku
  • Grossmann, Petr
  • Hes, Ondřej
  • Hora, Milan
  • Michal, Michal
  • Veselá, Pavla
  • Daum, Ondřej
  • Sperga, Maris
  • Branžovský, Jindřich
  • Bulimbasic, Stela
  • Dubová, Magdaléna
  • Kokošková, Bohuslava
  • Bauleth, Pele Kevin D'almeida
  • Pecková, Květoslava
  • Pivovarčíková, Kristýna
  • Perez Montiel, Delia
  • Rotterova, Pavla
http://linked.open...ain/vavai/riv/wos
  • 000342121600007
issn
  • 1092-9134
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.anndiagpath.2014.08.004
http://localhost/t...ganizacniJednotka
  • 11140
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