Skip to main content

Molecular Targets in Renal Tumors: Pathologic Assessment

  • Chapter
Renal Cell Carcinoma
  • 629 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Eble, J., et al., Tumours of the Urinary System and Male Genital Organs. 2004, Lyon: IAPC Press. 9–88.

    Google Scholar 

  2. 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.

    Article  PubMed  Google Scholar 

  3. Cohen, D. and M. Zhou, Molecular genetics of familial renal cell carcinoma syndromes. Clin Lab Med, 2005. 25(2): pp. 259–77.

    Article  PubMed  Google Scholar 

  4. Murphy, W., D. Grignon, and E. Perlman, Tumors of the Kidney, Bladder, and Related Urinary Structures. 2004, Washington, DC: American Registry of Pathology.

    Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

  6. Gokden, N., et al., Renal cell carcinoma with rhabdoid features. Am J Surg Pathol, 2000. 24(10): pp. 1329–38.

    Article  PubMed  CAS  Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. 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.

    PubMed  Google Scholar 

  9. 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.

    Article  PubMed  CAS  Google Scholar 

  10. 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.

    Article  PubMed  CAS  Google Scholar 

  11. Adley, B.P., et al., Birt—Hogg—Dube syndrome: clinicopathologic findings and genetic alterations. Arch Pathol Lab Med, 2006. 130(12): pp. 1865–70.

    PubMed  Google Scholar 

  12. Pavlovich, C.P., et al., Renal tumors in the Birt—Hogg—Dube syndrome. Am J Surg Pathol, 2002. 26(12): pp. 1542–52.

    Article  PubMed  Google Scholar 

  13. Srigley, J.R. and J.N. Eble, Collecting duct carcinoma of kidney. Semin Diagn Pathol, 1998. 15(1): pp. 54–67.

    PubMed  CAS  Google Scholar 

  14. Avery, R.A., et al., Renal medullary carcinoma: clinical and therapeutic aspects of a newly described tumor. Cancer, 1996. 78(1): pp. 128–32.

    Article  PubMed  CAS  Google Scholar 

  15. 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.

    Article  PubMed  Google Scholar 

  16. 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.

    Article  PubMed  CAS  Google Scholar 

  17. Argani, P. and M. Ladanyi, Translocation carcinomas of the kidney. Clin Lab Med, 2005. 25(2): pp. 363–78.

    Article  PubMed  Google Scholar 

  18. 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.

    Article  PubMed  CAS  Google Scholar 

  19. Parwani, A.V., et al., Low-grade myxoid renal epithelial neoplasms with distal nephron differentiation. Hum Pathol, 2001. 32(5): pp. 506–12.

    Article  PubMed  CAS  Google Scholar 

  20. Rakozy, C., et al., Low-grade tubular-mucinous renal neoplasms: morphologic, immunohisto-chemical, and genetic features. Mod Pathol, 2002. 15(11): pp. 1162–71.

    Article  PubMed  CAS  Google Scholar 

  21. 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.

    Article  PubMed  CAS  Google Scholar 

  22. 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.

    Article  PubMed  Google Scholar 

  23. 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.

    Article  PubMed  Google Scholar 

  24. 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.

    Article  PubMed  CAS  Google Scholar 

  25. Park, W.H. and T. Eisen, Prognostic factors in renal cell cancer. BJU Int, 2007. 99(5 Pt B): pp. 1277–81.

    Article  PubMed  Google Scholar 

  26. Delahunt, B., et al., Fuhrman grading is not appropriate for chromophobe renal cell carcinoma. Am J Surg Pathol, 2007. 31(6): pp. 957–60.

    Article  PubMed  Google Scholar 

  27. 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.

    Article  PubMed  Google Scholar 

  28. 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.

    Article  PubMed  Google Scholar 

  29. 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.

    Article  PubMed  CAS  Google Scholar 

  30. Uzzo, R.G., et al., Renal cell carcinoma invading the urinary collecting system: implications for staging. J Urol, 2002. 167(6): pp. 2392–6.

    Article  PubMed  Google Scholar 

  31. 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.

    Article  PubMed  Google Scholar 

  32. 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.

    Article  PubMed  CAS  Google Scholar 

  33. 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.

    Article  PubMed  Google Scholar 

  34. 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.

    Article  PubMed  Google Scholar 

  35. 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.

    Article  PubMed  Google Scholar 

  36. 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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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)

Publish with us

Policies and ethics