Biphasic Papillary Renal Cell Carcinoma Is a Rare Morphologic Variant with Frequent Multifocality: A Study of 28 Cases.
Identifieur interne : 005185 ( Ncbi/Merge ); précédent : 005184; suivant : 005186Biphasic Papillary Renal Cell Carcinoma Is a Rare Morphologic Variant with Frequent Multifocality: A Study of 28 Cases.
Auteurs : Kiril Trpkov [Canada] ; Daniel Athanazio [Canada] ; Cristina Magi-Galluzzi [États-Unis] ; Helene Yilmaz [États-Unis] ; David Clouston [Australie] ; Abbas Agaimy [Allemagne] ; Sean R. Williamson [États-Unis] ; Fadi Brimo [Canada] ; Jose I. Lopez [Espagne] ; Monika Ulamec [Croatie] ; Nathalie Rioux-Leclercq [France] ; Maysoun Kassem [France] ; Nilesh Gupta [États-Unis] ; Arndt Hartmann [Allemagne] ; Xavier Leroy [France] ; Samir Al Bashir [Jordanie] ; Asli Yilmaz [Canada] ; Ond Ej Hes [République tchèque]Source :
- Histopathology [ 1365-2559 ] ; 2017.
Abstract
To further characterize biphasic squamoid renal cell carcinoma (RCC), a recently proposed variant of papillary RCC.
DOI: 10.1111/his.13432
PubMed: 29119638
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<front><div type="abstract" xml:lang="en">To further characterize biphasic squamoid renal cell carcinoma (RCC), a recently proposed variant of papillary RCC.</div>
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<Day>08</Day>
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<Title>Histopathology</Title>
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<ArticleTitle>Biphasic Papillary Renal Cell Carcinoma Is a Rare Morphologic Variant with Frequent Multifocality: A Study of 28 Cases.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/his.13432</ELocationID>
<Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">To further characterize biphasic squamoid renal cell carcinoma (RCC), a recently proposed variant of papillary RCC.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">We identified 28 tumors from multiple institutions. They typically demonstrated two cell populations - larger cells with eosinophilic cytoplasm and higher-grade nuclei, surrounded by smaller, amphophilic cells with scanty cytoplasm. The dual morphology was variable (median 72.5% of tumor, range 5-100%); emperipolesis was found in all cases. Male-to-female ratio was 2:1, median age 55 years (range 39-86). Median tumor size was 2 cm (range 0.9-6.5). Pathologic stage pT1a was found in 21 cases, pT1b in 3, pT3a and pT3b in 1 patient each (2 not available). Multifocality was found in 32%: multifocal biphasic RCC in 1, biphasic + papillary RCC in 2, biphasic + clear cell RCC in 3, biphasic + low-grade urothelial carcinoma of renal pelvis in 1, and biphasic + Birt-Hogg-Dubé syndrome in 1 case. Positive immunostains included: PAX8, CK7, AMACR, EMA, and vimentin. Cyclin D1 was expressed only in the larger cells. Ki67 index was higher in the larger cells (median 5% vs. ≤1%). Negative stains included: CA9, CD117, GATA3, WT1, CK5/6 and CK20; CD10 and 34βE12 were variably expressed. Gains of chromosomes 7 and 17 were found in 2 evaluated cases. Follow-up was available for 23 patients (median 24 months, range 1-244): 19 were alive without disease, 1 was alive with recurrence, 1 died of disease (2 died of other causes).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Biphasic papillary RCC is a rare variant of papillary RCC, which is often multifocal. This article is protected by copyright. All rights reserved.</AbstractText>
<CopyrightInformation>This article is protected by copyright. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Trpkov</LastName>
<ForeName>Kiril</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>University of Calgary and Calgary Laboratory Services, Calgary, Alberta, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Athanazio</LastName>
<ForeName>Daniel</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>University of Calgary and Calgary Laboratory Services, Calgary, Alberta, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Magi-Galluzzi</LastName>
<ForeName>Cristina</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Cleveland Clinic, Cleveland, OH, US.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yilmaz</LastName>
<ForeName>Helene</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Cleveland Clinic, Cleveland, OH, US.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Clouston</LastName>
<ForeName>David</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Tissupath, Mount Waverley, VIC, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Agaimy</LastName>
<ForeName>Abbas</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Institute of Pathology, Friedrich-Alexander-University, Erlangen, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Williamson</LastName>
<ForeName>Sean R</ForeName>
<Initials>SR</Initials>
<AffiliationInfo><Affiliation>Henry Ford Health System, Detroit, MI, US.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Brimo</LastName>
<ForeName>Fadi</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>McGill University, Montreal, QC, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lopez</LastName>
<ForeName>Jose I</ForeName>
<Initials>JI</Initials>
<AffiliationInfo><Affiliation>Cruces University Hospital, BioCruces Institute, University of the Basque Country (UPV/EHU), Barakaldo, Bizkaia, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ulamec</LastName>
<ForeName>Monika</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>University Clinical Hospital Centre Sestre milosrdnice, Zagreb, Croatia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Rioux-Leclercq</LastName>
<ForeName>Nathalie</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Service d'Anatomie et Cytologie Pathologiques, CHU Pontchaillou, Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kassem</LastName>
<ForeName>Maysoun</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Service d'Anatomie et Cytologie Pathologiques, CHU Pontchaillou, Rennes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gupta</LastName>
<ForeName>Nilesh</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Henry Ford Health System, Detroit, MI, US.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hartmann</LastName>
<ForeName>Arndt</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Institute of Pathology, Friedrich-Alexander-University, Erlangen, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Leroy</LastName>
<ForeName>Xavier</ForeName>
<Initials>X</Initials>
<AffiliationInfo><Affiliation>Centre de Biologie Pathologie, Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Al Bashir</LastName>
<ForeName>Samir</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Jordan University of Science and Technology, Irbid, Jordan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yilmaz</LastName>
<ForeName>Asli</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>University of Calgary and Calgary Laboratory Services, Calgary, Alberta, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hes</LastName>
<ForeName>Ondřej</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>Charles University, Pilsen, Czech Republic.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2017</Year>
<Month>11</Month>
<Day>08</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Histopathology</MedlineTA>
<NlmUniqueID>7704136</NlmUniqueID>
<ISSNLinking>0309-0167</ISSNLinking>
</MedlineJournalInfo>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">alveolar</Keyword>
<Keyword MajorTopicYN="N">biphasic</Keyword>
<Keyword MajorTopicYN="N">immunohistochemistry</Keyword>
<Keyword MajorTopicYN="N">kidney</Keyword>
<Keyword MajorTopicYN="N">papillary renal cell carcinoma</Keyword>
<Keyword MajorTopicYN="N">solid variant of papillary renal cell carcinoma</Keyword>
<Keyword MajorTopicYN="N">squamoid</Keyword>
</KeywordList>
</MedlineCitation>
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<Month>11</Month>
<Day>10</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<Month>11</Month>
<Day>10</Day>
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<PubMedPubDate PubStatus="medline"><Year>2017</Year>
<Month>11</Month>
<Day>10</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PublicationStatus>aheadofprint</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">29119638</ArticleId>
<ArticleId IdType="doi">10.1111/his.13432</ArticleId>
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<li>Australie</li>
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<orgName><li>Université McGill</li>
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