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Hereditary Syndromes Associated with Kidney Tumors

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Kidney Cancer

Abstract

Hereditary renal cell carcinomas (HRCC) comprise about 2–4% of all renal cell carcinomas (RCC). With understanding of molecular basis of RCC, 10 HRCC syndromes have been recognized. All of them exhibit an autosomal dominant inheritance pattern. More common and well-known HRCC syndromes are von Hippel–Lindau (VHL), hereditary papillary RCC, Birt–Hogg–Dubé syndrome (BHD), hereditary leiomyomatosis RCC (HLRCC) syndrome, and tuberous sclerosis.

HRCC syndromes involve multiple clinical manifestations, histologic subtypes, genetic alterations, and molecular pathways. Morphologically, they may have some overlapping features among them and sporadic counterparts. The patients with HRCC syndromes are an important group requiring early screening and careful follow-up, and their relatives should be informed about disease-related morbidity and survival.

Although HRCC syndromes are rare and account for only a small portion of RCC, they carry profound biologic and clinical significance. The discovery of the genetic and molecular mechanism of these syndromes represents monumental scientific breakthrough.

These findings provide fundamental pathogenic insights into renal tumor oncogenesis in general and pave the way for modern molecule-targeted therapy. These findings also create a robust framework guiding the care of the affected patients and members of their family.

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Ozcan, A., Erdogan, S., Truong, L.D. (2020). Hereditary Syndromes Associated with Kidney Tumors. In: Divatia, M., Ozcan, A., Guo, C., Ro, J. (eds) Kidney Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-28333-9_11

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