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Expanding the clinicopathological spectrum of succinate dehydrogenase-deficient renal cell carcinoma with a focus on variant morphologies: a study of 62 new tumors in 59 patients
TL. Fuchs, F. Maclean, J. Turchini, AC. Vargas, S. Bhattarai, A. Agaimy, A. Hartmann, CS. Kao, C. Ellis, M. Bonert, X. Leroy, LP. Kunju, L. Schwartz, A. Matsika, SR. Williamson, P. Rao, M. Divatia, R. Guarch, F. Algaba, ML. Balancin, M. Zhou, H....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
NLK
Free Medical Journals
od 2000 do Před 1 rokem
ProQuest Central
od 2000-01-01 do 2022-12-31
Open Access Digital Library
od 2000-01-01
Nursing & Allied Health Database (ProQuest)
od 2000-01-01 do 2022-12-31
Health & Medicine (ProQuest)
od 2000-01-01 do 2022-12-31
ROAD: Directory of Open Access Scholarly Resources
od 1988
- MeSH
- dospělí MeSH
- hyperplazie MeSH
- imunohistochemie MeSH
- karcinom z renálních buněk * genetika patologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- nádory ledvin * genetika patologie MeSH
- nekróza MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- sukcinátdehydrogenasa genetika MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Most succinate dehydrogenase (SDH)-deficient renal cell carcinomas (RCCs) demonstrate stereotypical morphology characterized by bland eosinophilic cells with frequent intracytoplasmic inclusions. However, variant morphologic features have been increasingly recognized. We therefore sought to investigate the incidence and characteristics of SDH-deficient RCC with variant morphologies. We studied a multi-institutional cohort of 62 new SDH-deficient RCCs from 59 patients. The median age at presentation was 39 years (range 19-80), with a slight male predominance (M:F = 1.6:1). A relevant family history was reported in 9 patients (15%). Multifocal or bilateral tumors were identified radiologically in 5 patients (8%). Typical morphology was present at least focally in 59 tumors (95%). Variant morphologies were seen in 13 (21%) and included high-grade nuclear features and various combinations of papillary, solid, and tubular architecture. Necrosis was present in 13 tumors, 7 of which showed variant morphology. All 62 tumors demonstrated loss of SDHB expression by immunohistochemistry. None showed loss of SDHA expression. Germline SDH mutations were reported in all 18 patients for whom the results of testing were known. Among patients for whom follow-up data was available, metastatic disease was reported in 9 cases, 8 of whom had necrosis and/or variant morphology in their primary tumor. Three patients died of disease. In conclusion, variant morphologies and high-grade nuclear features occur in a subset of SDH-deficient RCCs and are associated with more aggressive behavior. We therefore recommend grading all SDH-deficient RCCs and emphasize the need for a low threshold for performing SDHB immunohistochemistry in any difficult to classify renal tumor, particularly if occurring at a younger age.
Anatomical Pathology Douglass Hanly Moir Pathology Sonic Healthcare Macquarie Park NSW Australia
Aquesta Pathology Toowong QLD Australia
Brigham and Women's Hospital and Harvard Medical School Boston MA USA
Cancer Diagnosis and Pathology Group Kolling Institute of Medical Research St Leonards NSW Australia
Complejo Hospitalario de Navarra Navarra Spain
Discipline of Pathology Macquarie Medical School Macquarie University Macquarie Park NSW Australia
Fundació Puigvert Universitat Autonoma de Barcelona Barcelona Spain
Houston Methodist Hospital Houston TX USA
Institut de Pathologie Centre de Biologie Pathologie CHRU Lille France
Lab Plus Auckland DHB Auckland New Zealand
Leeds Teaching Hospital Leeds UK
Mater Health Brisbane QLD Australia
McGill University Montreal Canada
McMaster University Hamilton Ontario Canada
Medical Faculty and University Hospital Plzen Charles University Prague Plzen Czech Republic
NHLS Bloemfontein Area Bloemfontein South Africa
NHS Lothian Edinburgh Scotland UK
Northwestern University Chicago IL USA
Oncocentro Foundation Sao Paulo Brazil
PathCare Mediclinic Bloemfontein Hospital Bloemfontein South Africa
Peking University Shenzhen Hospital Shenzhen China
Queen Elizabeth Hospital Kowloon Hong Kong SAR China
Robert J Tomsich Pathology and Laboratory Medicine Institute Cleveland Clinic Cleveland Ohio OH USA
St Teresa's Hospital Kowloon Hong Kong SAR China
Stanford University Medical Center Stanford CA USA
Sunshine Coast University Hospital Pathology Queensland Birtinya QLD Australia
Sydney Medical School The University of Sydney Sydney Australia
The University of Texas MD Anderson Cancer Center Houston TX USA
TissuPath Pathology Melbourne VIC Australia
Tufts Medical Center Boston MA USA
University of California San Francisco San Francisco CA USA
University of Michigan Ann Arbor MI USA
University of Pennsylvania Philadelphia PA USA
Citace poskytuje Crossref.org
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