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Morphological diversity in SDH-deficient renal carcinomas: a three-case exploration of variant features and dedifferentiation
F. Sánta, A. Dabaghian, B. Pósfai, B. Vasas, L. Kaizer, A. Jenei, B. Scheich, V. Téglási, Z. Sápi, K. Bíró, A. Maráz, M. Stelios, H. Butz, P. Martínek, K. Pivovarčíková, Z. Melegh, M. Akgul, L. Kuthi
Jazyk angličtina Země Německo
Typ dokumentu kazuistiky, časopisecké články
Grantová podpora
5S340A202
Szent-Györgyi Albert Orvostudományi Kar, Szegedi Tudományegyetem
ÚNKP-23-2-SZTE-366
Magyarország Kormánya
NLK
ProQuest Central
od 2003-01-01 do Před 1 rokem
Medline Complete (EBSCOhost)
od 2011-01-01 do Před 1 rokem
Nursing & Allied Health Database (ProQuest)
od 2003-01-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 2003-01-01 do Před 1 rokem
- MeSH
- dediferenciace buněk MeSH
- dospělí MeSH
- fumarasa nedostatek genetika MeSH
- karcinom z renálních buněk * genetika patologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- nádorové biomarkery genetika analýza MeSH
- nádory ledvin * patologie genetika MeSH
- sukcinátdehydrogenasa * nedostatek genetika MeSH
- transkripční faktory BHLH-Zip genetika MeSH
- zárodečné mutace MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
Succinate dehydrogenase (SDH)-deficient renal cell carcinoma (RCC) is a rare subtype of renal neoplasm predominantly affecting younger individuals. It is characterized by germline mutations in SDHx genes, particularly type B. Histologically, SDH-deficient RCC features eosinophilic cytoplasmic cells forming solid nests or microcysts, sometimes entrapping normal tubules. We present three SDH-deficient RCC cases with overlapping morphological features with fumarate hydratase-deficient RCC and TFEB-rearranged RCC, an appearance that has not been previously described. All tumors lacked SDHB expression and harbored pathogenic SDHB mutations, with the germline nature confirmed in two cases. Metastasis developed in two patients. Our case set highlights the diagnostic challenges of molecularly defined renal tumors and expands the morphological spectrum of SDH-deficient RCC with unusual histological features. Clinically, these tumors appear to be aggressive.
Center for Urological Oncological Surgery National Institute of Oncology Budapest Hungary
Department of Molecular Genetics National Institute of Oncology Budapest Hungary
Department of Oncotherapy Albert Szent Györgyi Medical School University of Szeged Szeged Hungary
Department of Pathology Albert Szent Györgyi Medical School University of Szeged Szeged Hungary
Department of Pathology and Experimental Cancer Research Semmelweis University Budapest Hungary
Department of Pathology and Laboratory Medicine Albany Medical Center Albany NY USA
National Tumor Biology Laboratory National Institute of Oncology Budapest Hungary
Citace poskytuje Crossref.org
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- $a Succinate dehydrogenase (SDH)-deficient renal cell carcinoma (RCC) is a rare subtype of renal neoplasm predominantly affecting younger individuals. It is characterized by germline mutations in SDHx genes, particularly type B. Histologically, SDH-deficient RCC features eosinophilic cytoplasmic cells forming solid nests or microcysts, sometimes entrapping normal tubules. We present three SDH-deficient RCC cases with overlapping morphological features with fumarate hydratase-deficient RCC and TFEB-rearranged RCC, an appearance that has not been previously described. All tumors lacked SDHB expression and harbored pathogenic SDHB mutations, with the germline nature confirmed in two cases. Metastasis developed in two patients. Our case set highlights the diagnostic challenges of molecularly defined renal tumors and expands the morphological spectrum of SDH-deficient RCC with unusual histological features. Clinically, these tumors appear to be aggressive.
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