Abstract
Pathologists play critical roles in the clinical management and research of renal cell carcinoma (RCC). Careful assessment by pathologists of a cancer-harboring kidney specimen not only renders an accurate histological diagnosis and classification, but also provides information important for prognosis and therapeutic decisions. In addition, redundant tumor tissues not required for diagnosis could be procured for clinical trials, experimental therapies, and research. This chapter briefly describes how the RCC specimens are processed in pathology laboratories and how clinicians can facilitate such a process. In addition, important pathological and cytogenetic features of different subtypes of RCC will also be discussed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Eble, J., et al., Tumours of the Urinary System and Male Genital Organs. 2004, Lyon: IAPC Press. 9–88.
Argani, P., et al., Xp11 Translocation renal cell carcinoma in adults: expanded clinical, pathologic, and genetic spectrum. Am J Surg Pathol, 2007. 31(8): pp. 1149–60.
Cohen, D. and M. Zhou, Molecular genetics of familial renal cell carcinoma syndromes. Clin Lab Med, 2005. 25(2): pp. 259–77.
Murphy, W., D. Grignon, and E. Perlman, Tumors of the Kidney, Bladder, and Related Urinary Structures. 2004, Washington, DC: American Registry of Pathology.
de Peralta-Venturina, M., et al., Sarcomatoid differentiation in renal cell carcinoma: a study of 101 cases. Am J Surg Pathol, 2001. 25(3): pp. 275–84.
Gokden, N., et al., Renal cell carcinoma with rhabdoid features. Am J Surg Pathol, 2000. 24(10): pp. 1329–38.
Nassir, A., et al., Multilocular cystic renal cell carcinoma: a series of 12 cases and review of the literature. Urology, 2002. 60(3): pp. 421–7.
Suzigan, S., et al., Multilocular cystic renal cell carcinoma: a report of 45 cases of a kidney tumor of low malignant potential. Am J Clin Pathol, 2006. 125(2): pp. 217–22.
Delahunt, B., et al., Morphologic typing of papillary renal cell carcinoma: comparison of growth kinetics and patient survival in 66 cases. Hum Pathol, 2001. 32(6): pp. 590–5.
Vira, M.A., et al., Genetic basis of kidney cancer: a model for developing molecular-targeted therapies. BJU Int, 2007. 99(5 Pt B): pp. 1223–9.
Adley, B.P., et al., Birt—Hogg—Dube syndrome: clinicopathologic findings and genetic alterations. Arch Pathol Lab Med, 2006. 130(12): pp. 1865–70.
Pavlovich, C.P., et al., Renal tumors in the Birt—Hogg—Dube syndrome. Am J Surg Pathol, 2002. 26(12): pp. 1542–52.
Srigley, J.R. and J.N. Eble, Collecting duct carcinoma of kidney. Semin Diagn Pathol, 1998. 15(1): pp. 54–67.
Avery, R.A., et al., Renal medullary carcinoma: clinical and therapeutic aspects of a newly described tumor. Cancer, 1996. 78(1): pp. 128–32.
Davis, C.J., Jr., F.K. Mostofi, and I.A. Sesterhenn, Renal medullary carcinoma. The seventh sickle cell nephropathy. Am J Surg Pathol, 1995. 19(1): pp. 1–11.
Argani, P. and M. Ladanyi, Distinctive neoplasms characterised by specific chromosomal translocations comprise a significant proportion of paediatric renal cell carcinomas. Pathology, 2003. 35(6): pp. 492–8.
Argani, P. and M. Ladanyi, Translocation carcinomas of the kidney. Clin Lab Med, 2005. 25(2): pp. 363–78.
Argani, P., et al., Primary renal neoplasms with the ASPL-TFE3 gene fusion of alveolar soft part sarcoma: a distinctive tumor entity previously included among renal cell carcinomas of children and adolescents. Am J Pathol, 2001. 159(1): pp. 179–92.
Parwani, A.V., et al., Low-grade myxoid renal epithelial neoplasms with distal nephron differentiation. Hum Pathol, 2001. 32(5): pp. 506–12.
Rakozy, C., et al., Low-grade tubular-mucinous renal neoplasms: morphologic, immunohisto-chemical, and genetic features. Mod Pathol, 2002. 15(11): pp. 1162–71.
Medeiros, L.J., et al., Oncocytoid renal cell carcinoma after neuroblastoma: a report of four cases of a distinct clinicopathologic entity. Am J Surg Pathol, 1999. 23(7): pp. 772–80.
Cheville, J.C., et al., Comparisons of outcome and prognostic features among histologic subtypes of renal cell carcinoma. Am J Surg Pathol, 2003. 27(5): pp. 612–24.
Patard, J.J., et al., Prognostic value of histologic subtypes in renal cell carcinoma: a multi-center experience. J Clin Oncol, 2005. 23(12): pp. 2763–71.
Upton, M.P., et al., Histologic predictors of renal cell carcinoma response to interleukin-2-based therapy. J Immunother, 2005. 28(5): pp. 488–95.
Park, W.H. and T. Eisen, Prognostic factors in renal cell cancer. BJU Int, 2007. 99(5 Pt B): pp. 1277–81.
Delahunt, B., et al., Fuhrman grading is not appropriate for chromophobe renal cell carcinoma. Am J Surg Pathol, 2007. 31(6): pp. 957–60.
Amin, M.B., et al., Prognostic impact of histologic subtyping of adult renal epithelial neoplasms: an experience of 405 cases. Am J Surg Pathol, 2002. 26(3): pp. 281–91.
Tollefson, M.K., et al., Ki-67 and coagulative tumor necrosis are independent predictors of poor outcome for patients with clear cell renal cell carcinoma and not surrogates for each other. Cancer, 2007. 110(4): pp. 783–90.
Lam, J.S., et al., Clinicopathologic and molecular correlations of necrosis in the primary tumor of patients with renal cell carcinoma. Cancer, 2005. 103(12): pp. 2517–25.
Uzzo, R.G., et al., Renal cell carcinoma invading the urinary collecting system: implications for staging. J Urol, 2002. 167(6): pp. 2392–6.
Palapattu, G.S., et al., Collecting system invasion in renal cell carcinoma: impact on prognosis and future staging strategies. J Urol, 2003. 170(3): pp. 768–72; discussion 772.
Terrone, C., et al., Prognostic value of the involvement of the urinary collecting system in renal cell carcinoma. Eur Urol, 2004. 46(4): pp. 472–6.
Goncalves, P.D., et al., Low clinical stage renal cell carcinoma: relevance of microvascular tumor invasion as a prognostic parameter. J Urol, 2004. 172(2): pp. 470–4.
Ishimura, T., et al., Microscopic venous invasion in renal cell carcinoma as a predictor of recurrence after radical surgery. Int J Urol, 2004. 11(5): pp. 264–8.
Castilla, E.A., et al., Prognostic importance of resection margin width after nephron-sparing surgery for renal cell carcinoma. Urology, 2002. 60(6): pp. 993–7.
Sutherland, S.E., et al., Does the size of the surgical margin in partial nephrectomy for renal cell cancer really matter? J Urol, 2002. 167(1): pp. 61–4.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Humana Press, a part of Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Zhou, M. (2009). Molecular Targets in Renal Tumors: Pathologic Assessment. In: Bukowski, R.M., Figlin, R.A., Motzer, R.J. (eds) Renal Cell Carcinoma. Humana Press. https://doi.org/10.1007/978-1-59745-332-5_3
Download citation
DOI: https://doi.org/10.1007/978-1-59745-332-5_3
Publisher Name: Humana Press
Print ISBN: 978-1-58829-737-2
Online ISBN: 978-1-59745-332-5
eBook Packages: MedicineMedicine (R0)