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Erschienen in: Die Pathologie 3/2021

06.04.2021 | Nierenkarzinom | Schwerpunkt: Neue WHO-Klassifikationen und Digitales Lernen

Histologische Subtypen des Nierenzellkarzinoms

Übersicht und neue Entwicklungen

verfasst von: I. Polifka, A. Agaimy, H. Moch, Prof. Dr. A. Hartmann

Erschienen in: Die Pathologie | Ausgabe 3/2021

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Zusammenfassung

Hintergrund

Die Klassifikation des Nierenzellkarzinoms (NZK) unterlief innerhalb der letzten Jahre einen deutlichen Wandel.

Fragestellung

Kurze Übersicht zur Klassifikation des NZK mit Fokus auf neue Entwicklungen.

Material und Methoden

Es wurde eine Literaturrecherche und eine zusammenfassende Darstellung zur Klassifizierung des NZK durchgeführt. Aufkommende Entitäten wurden detailliert vorgestellt.

Ergebnisse

Zusätzlich zu den bereits anerkannten Entitäten der World Health Organisation (WHO) 2016 gibt es neue aufkommende Entitäten in der zukünftigen Klassifikation des NZK, die u. a. durch eine charakteristische Morphologie und Immunhistochemie sowie insbesondere durch eine spezifische molekulargenetische Veränderung definiert sind.

Schlussfolgerung

Eine genaue Klassifikation des NZK ermöglicht nicht nur eine verbesserte Prognoseeinschätzung und ggf. spezifische Therapieoption, sondern ist auch im Hinblick auf eine mögliche Assoziation zu einem Tumordispositionssyndrom klinisch von Bedeutung.
Literatur
1.
Zurück zum Zitat Delahunt B, Velickovic M, Grebe SK (2001) Evolving classification of renal cell neoplasia. Expert Rev Anticancer Ther 1:576–584PubMed Delahunt B, Velickovic M, Grebe SK (2001) Evolving classification of renal cell neoplasia. Expert Rev Anticancer Ther 1:576–584PubMed
2.
Zurück zum Zitat Kovacs G, Akhtar M, Beckwith BJ et al (1997) The Heidelberg classification of renal cell tumours. J Pathol 183:131–133PubMed Kovacs G, Akhtar M, Beckwith BJ et al (1997) The Heidelberg classification of renal cell tumours. J Pathol 183:131–133PubMed
3.
Zurück zum Zitat Störkel S, Van Den Berg E (1995) Morphological classification of renal cancer. World J Urol 13:153–158PubMed Störkel S, Van Den Berg E (1995) Morphological classification of renal cancer. World J Urol 13:153–158PubMed
4.
Zurück zum Zitat Srigley JR, Delahunt B, Eble JN et al (2013) The International Society of Urological Pathology (ISUP) vancouver classification of renal neoplasia. Am J Surg Pathol 37:1469–1489PubMed Srigley JR, Delahunt B, Eble JN et al (2013) The International Society of Urological Pathology (ISUP) vancouver classification of renal neoplasia. Am J Surg Pathol 37:1469–1489PubMed
5.
Zurück zum Zitat Moch H (2016) WHO classification 2016 and first S3 guidelines on renal cell cancer: what is important for the practice? Pathologe 37:127–133PubMed Moch H (2016) WHO classification 2016 and first S3 guidelines on renal cell cancer: what is important for the practice? Pathologe 37:127–133PubMed
6.
Zurück zum Zitat Moch H, Cubilla AL, Humphrey PA et al (2016) The 2016 WHO classification of tumours of the urinary system and Male genital organs—Part A: renal, penile, and testicular tumours. Eur Urol 70:93–105PubMed Moch H, Cubilla AL, Humphrey PA et al (2016) The 2016 WHO classification of tumours of the urinary system and Male genital organs—Part A: renal, penile, and testicular tumours. Eur Urol 70:93–105PubMed
7.
Zurück zum Zitat Perne C, Steinke-Lange V, Aretz S, Spier I (2020) Seltene Tumoren als Leitsymptom hereditärer Tumorsyndrome. Best Pract Onkol 12:557–558 Perne C, Steinke-Lange V, Aretz S, Spier I (2020) Seltene Tumoren als Leitsymptom hereditärer Tumorsyndrome. Best Pract Onkol 12:557–558
8.
Zurück zum Zitat Erlmeier F, Agaimy A, Hartmann A et al (2019) Pathologie und Molekularpathologie des Nierenzellkarzinoms. Onkologe 25:497–511 Erlmeier F, Agaimy A, Hartmann A et al (2019) Pathologie und Molekularpathologie des Nierenzellkarzinoms. Onkologe 25:497–511
9.
Zurück zum Zitat Trpkov K, Williamson SR, Gao Y et al (2019) Low-grade oncocytic tumour of kidney (CD117-negative, cytokeratin 7‑positive): a distinct entity? Histopathology 75:174–184PubMed Trpkov K, Williamson SR, Gao Y et al (2019) Low-grade oncocytic tumour of kidney (CD117-negative, cytokeratin 7‑positive): a distinct entity? Histopathology 75:174–184PubMed
10.
Zurück zum Zitat Trpkov K, Yilmaz A, Uzer D et al (2010) Renal oncocytoma revisited: a clinicopathological study of 109 cases with emphasis on problematic diagnostic features. Histopathology 57:893–906PubMed Trpkov K, Yilmaz A, Uzer D et al (2010) Renal oncocytoma revisited: a clinicopathological study of 109 cases with emphasis on problematic diagnostic features. Histopathology 57:893–906PubMed
11.
Zurück zum Zitat He H, Trpkov K, Martinek P et al (2018) “High-grade oncocytic renal tumor”: morphologic, immunohistochemical, and molecular genetic study of 14 cases. Virchows Arch 473:725–738PubMed He H, Trpkov K, Martinek P et al (2018) “High-grade oncocytic renal tumor”: morphologic, immunohistochemical, and molecular genetic study of 14 cases. Virchows Arch 473:725–738PubMed
12.
Zurück zum Zitat Mikami S, Kuroda N, Nagashima Y et al (2019) Classification of solid renal tumor with oncocytic/eosinophilic cytoplasm: is hybrid oncocytic/chromophobe renal tumor a subtype of oncocytoma, chromophobe renal cell carcinoma, or a distinct tumor entity? Ann Transl Med 7:S350–S350PubMedPubMedCentral Mikami S, Kuroda N, Nagashima Y et al (2019) Classification of solid renal tumor with oncocytic/eosinophilic cytoplasm: is hybrid oncocytic/chromophobe renal tumor a subtype of oncocytoma, chromophobe renal cell carcinoma, or a distinct tumor entity? Ann Transl Med 7:S350–S350PubMedPubMedCentral
13.
Zurück zum Zitat Petersson F, Gatalica Z, Grossmann P et al (2010) Sporadic hybrid oncocytic/chromophobe tumor of the kidney: a clinicopathologic, histomorphologic, immunohistochemical, ultrastructural, and molecular cytogenetic study of 14 cases. Virchows Arch 456:355–365PubMed Petersson F, Gatalica Z, Grossmann P et al (2010) Sporadic hybrid oncocytic/chromophobe tumor of the kidney: a clinicopathologic, histomorphologic, immunohistochemical, ultrastructural, and molecular cytogenetic study of 14 cases. Virchows Arch 456:355–365PubMed
14.
Zurück zum Zitat Ruiz-Cordero R, Rao P, Li L et al (2019) Hybrid oncocytic/chromophobe renal tumors are molecularly distinct from oncocytoma and chromophobe renal cell carcinoma. Mod Pathol 32:1698–1707PubMed Ruiz-Cordero R, Rao P, Li L et al (2019) Hybrid oncocytic/chromophobe renal tumors are molecularly distinct from oncocytoma and chromophobe renal cell carcinoma. Mod Pathol 32:1698–1707PubMed
16.
Zurück zum Zitat Kwon R, Argani P, Epstein JI et al Contemporary characterization and recategorization of adult unclassified renal cell carcinoma. Am J Surg Pathol 45:450–462 Kwon R, Argani P, Epstein JI et al Contemporary characterization and recategorization of adult unclassified renal cell carcinoma. Am J Surg Pathol 45:450–462
17.
Zurück zum Zitat Delahunt B, Cheville JC, Martignoni G et al (2013) The International Society of Urological Pathology (ISUP) grading system for renal cell carcinoma and other prognostic parameters. Am J Surg Pathol 37:1490–1504PubMed Delahunt B, Cheville JC, Martignoni G et al (2013) The International Society of Urological Pathology (ISUP) grading system for renal cell carcinoma and other prognostic parameters. Am J Surg Pathol 37:1490–1504PubMed
18.
Zurück zum Zitat Kristiansen G, Delahunt B, Srigley JR et al (2015) Vancouver classification of renal tumors: Recommendations of the 2012 consensus conference of the International Society of Urological Pathology (ISUP). Pathologe 36:310–316PubMed Kristiansen G, Delahunt B, Srigley JR et al (2015) Vancouver classification of renal tumors: Recommendations of the 2012 consensus conference of the International Society of Urological Pathology (ISUP). Pathologe 36:310–316PubMed
19.
Zurück zum Zitat Cheville JC, Lohse CM, Sukov WR et al (2012) Chromophobe renal cell carcinoma: the impact of tumor grade on outcome. Am J Surg Pathol 36:851–856PubMed Cheville JC, Lohse CM, Sukov WR et al (2012) Chromophobe renal cell carcinoma: the impact of tumor grade on outcome. Am J Surg Pathol 36:851–856PubMed
20.
Zurück zum Zitat Volpe A, Novara G, Antonelli A et al (2012) Chromophobe renal cell carcinoma (RCC): oncological outcomes and prognostic factors in a large multicentre series. BJU Int 110:76–83PubMed Volpe A, Novara G, Antonelli A et al (2012) Chromophobe renal cell carcinoma (RCC): oncological outcomes and prognostic factors in a large multicentre series. BJU Int 110:76–83PubMed
21.
Zurück zum Zitat Halat S, Eble JN, Grignon DJ et al (2010) Multilocular cystic renal cell carcinoma is a subtype of clear cell renal cell carcinoma. Mod Pathol 23:931–936PubMed Halat S, Eble JN, Grignon DJ et al (2010) Multilocular cystic renal cell carcinoma is a subtype of clear cell renal cell carcinoma. Mod Pathol 23:931–936PubMed
22.
Zurück zum Zitat Suzigan S, López-Beltrán A, Montironi R et al (2006) Multilocular cystic renal cell carcinoma: a report of 45 cases of a kidney tumor of low malignant potential. Am J Clin Pathol 125:217–222PubMed Suzigan S, López-Beltrán A, Montironi R et al (2006) Multilocular cystic renal cell carcinoma: a report of 45 cases of a kidney tumor of low malignant potential. Am J Clin Pathol 125:217–222PubMed
23.
Zurück zum Zitat Mehra R, Vats P, Cieslik M et al (2016) Biallelic alteration and dysregulation of the hippo pathway in mucinous tubular and spindle cell carcinoma of the kidney. Cancer Discov 6:1258–1266PubMedPubMedCentral Mehra R, Vats P, Cieslik M et al (2016) Biallelic alteration and dysregulation of the hippo pathway in mucinous tubular and spindle cell carcinoma of the kidney. Cancer Discov 6:1258–1266PubMedPubMedCentral
24.
Zurück zum Zitat Rupp NJ, Moch H (2020) Charakterisierung der unterschiedlichen Entitäten beim Nierenzellkarzinom. Urologe 59:135–141 Rupp NJ, Moch H (2020) Charakterisierung der unterschiedlichen Entitäten beim Nierenzellkarzinom. Urologe 59:135–141
25.
Zurück zum Zitat Sato Y, Yoshizato T, Shiraishi Y et al (2013) Integrated molecular analysis of clear-cell renal cell carcinoma. Nat Genet 45:860–867PubMed Sato Y, Yoshizato T, Shiraishi Y et al (2013) Integrated molecular analysis of clear-cell renal cell carcinoma. Nat Genet 45:860–867PubMed
27.
Zurück zum Zitat Agaimy A (2016) Succinate dehydrogenase (SDH)-deficient renal cell carcinoma. Pathologe 37:144–152PubMed Agaimy A (2016) Succinate dehydrogenase (SDH)-deficient renal cell carcinoma. Pathologe 37:144–152PubMed
28.
Zurück zum Zitat Gill AJ, Hes O, Papathomas T et al (2014) Succinate dehydrogenase (SDH)-deficient renal carcinoma: a morphologically distinct entity: a clinicopathologic series of 36 tumors from 27 patients. Am J Surg Pathol 38:1588–1602PubMedPubMedCentral Gill AJ, Hes O, Papathomas T et al (2014) Succinate dehydrogenase (SDH)-deficient renal carcinoma: a morphologically distinct entity: a clinicopathologic series of 36 tumors from 27 patients. Am J Surg Pathol 38:1588–1602PubMedPubMedCentral
29.
Zurück zum Zitat Agaimy A, Cheng L, Egevad L et al (2017) Rhabdoid and undifferentiated phenotype in renal cell carcinoma: analysis of 32 cases indicating a distinctive common pathway of dedifferentiation frequently associated with SWI/SNF complex deficiency. Am J Surg Pathol 41:253–262PubMed Agaimy A, Cheng L, Egevad L et al (2017) Rhabdoid and undifferentiated phenotype in renal cell carcinoma: analysis of 32 cases indicating a distinctive common pathway of dedifferentiation frequently associated with SWI/SNF complex deficiency. Am J Surg Pathol 41:253–262PubMed
30.
Zurück zum Zitat Agaimy A, Foulkes WD (2018) Hereditary SWI/SNF complex deficiency syndromes. Semin Diagn Pathol 35:193–198PubMed Agaimy A, Foulkes WD (2018) Hereditary SWI/SNF complex deficiency syndromes. Semin Diagn Pathol 35:193–198PubMed
31.
Zurück zum Zitat Cheng JX, Tretiakova M, Gong C et al (2008) Renal medullary carcinoma: rhabdoid features and the absence of INI1 expression as markers of aggressive behavior. Mod Pathol 21:647–652PubMed Cheng JX, Tretiakova M, Gong C et al (2008) Renal medullary carcinoma: rhabdoid features and the absence of INI1 expression as markers of aggressive behavior. Mod Pathol 21:647–652PubMed
32.
Zurück zum Zitat Pawel BR (2018) SMARCB1-deficient tumors of childhood: a practical guide. Pediatr Dev Pathol 21:6–28PubMed Pawel BR (2018) SMARCB1-deficient tumors of childhood: a practical guide. Pediatr Dev Pathol 21:6–28PubMed
33.
Zurück zum Zitat Merino MJ, Torres-Cabala C, Pinto P et al (2007) The morphologic spectrum of kidney tumors in hereditary leiomyomatosis and renal cell carcinoma (HLRCC) syndrome. Am J Surg Pathol 31:1578–1585PubMed Merino MJ, Torres-Cabala C, Pinto P et al (2007) The morphologic spectrum of kidney tumors in hereditary leiomyomatosis and renal cell carcinoma (HLRCC) syndrome. Am J Surg Pathol 31:1578–1585PubMed
34.
Zurück zum Zitat Chen YB, Brannon AR, Toubaji A et al (2014) Hereditary leiomyomatosis and renal cell carcinoma syndrome-associated renal cancer: recognition of the syndrome by pathologic features and the utility of detecting aberrant succination by immunohistochemistry. Am J Surg Pathol 38:627–637PubMedPubMedCentral Chen YB, Brannon AR, Toubaji A et al (2014) Hereditary leiomyomatosis and renal cell carcinoma syndrome-associated renal cancer: recognition of the syndrome by pathologic features and the utility of detecting aberrant succination by immunohistochemistry. Am J Surg Pathol 38:627–637PubMedPubMedCentral
35.
Zurück zum Zitat Gill AJ, Pachter NS, Chou A et al (2011) Renal tumors associated with germline SDHB mutation show distinctive morphology. Am J Surg Pathol 35:1578–1585PubMed Gill AJ, Pachter NS, Chou A et al (2011) Renal tumors associated with germline SDHB mutation show distinctive morphology. Am J Surg Pathol 35:1578–1585PubMed
36.
Zurück zum Zitat Lehtonen HJ (2011) Hereditary leiomyomatosis and renal cell cancer: update on clinical and molecular characteristics. Fam Cancer 10:397–411PubMed Lehtonen HJ (2011) Hereditary leiomyomatosis and renal cell cancer: update on clinical and molecular characteristics. Fam Cancer 10:397–411PubMed
37.
Zurück zum Zitat Muller M, Guillaud-Bataille M, Salleron J et al (2018) Pattern multiplicity and fumarate hydratase (FH)/S-(2-succino)-cysteine (2SC) staining but not eosinophilic nucleoli with perinucleolar halos differentiate hereditary leiomyomatosis and renal cell carcinoma-associated renal cell carcinomas from kidney tumors without FH gene alteration. Mod Pathol 31:974–983PubMed Muller M, Guillaud-Bataille M, Salleron J et al (2018) Pattern multiplicity and fumarate hydratase (FH)/S-(2-succino)-cysteine (2SC) staining but not eosinophilic nucleoli with perinucleolar halos differentiate hereditary leiomyomatosis and renal cell carcinoma-associated renal cell carcinomas from kidney tumors without FH gene alteration. Mod Pathol 31:974–983PubMed
38.
Zurück zum Zitat Skala SL, Dhanasekaran SM, Mehra R (2018) Hereditary leiomyomatosis and renal cell carcinoma syndrome (HLRCC): a contemporary review and practical discussion of the differential diagnosis for HLRCC-associated renal cell carcinoma. Arch Pathol Lab Med 142:1202–1215PubMed Skala SL, Dhanasekaran SM, Mehra R (2018) Hereditary leiomyomatosis and renal cell carcinoma syndrome (HLRCC): a contemporary review and practical discussion of the differential diagnosis for HLRCC-associated renal cell carcinoma. Arch Pathol Lab Med 142:1202–1215PubMed
39.
Zurück zum Zitat Wyvekens N, Valtcheva N, Mischo A et al (2020) Novel morphological and genetic features of fumarate hydratase deficient renal cell carcinoma in HLRCC syndrome patients with a tailored therapeutic approach. Genes Chromosom Cancer 59:611–619PubMed Wyvekens N, Valtcheva N, Mischo A et al (2020) Novel morphological and genetic features of fumarate hydratase deficient renal cell carcinoma in HLRCC syndrome patients with a tailored therapeutic approach. Genes Chromosom Cancer 59:611–619PubMed
40.
Zurück zum Zitat Dinatale RG, Gorelick AN, Makarov V et al (2019) Putative drivers of aggressiveness in TCEB1-mutant renal cell carcinoma: an emerging entity with variable clinical course. Eur Urol Focus 7:381–389PubMed Dinatale RG, Gorelick AN, Makarov V et al (2019) Putative drivers of aggressiveness in TCEB1-mutant renal cell carcinoma: an emerging entity with variable clinical course. Eur Urol Focus 7:381–389PubMed
41.
Zurück zum Zitat Hakimi AA, Tickoo SK, Jacobsen A et al (2015) TCEB1-mutated renal cell carcinoma: a distinct genomic and morphological subtype. Mod Pathol 28:845–853PubMedPubMedCentral Hakimi AA, Tickoo SK, Jacobsen A et al (2015) TCEB1-mutated renal cell carcinoma: a distinct genomic and morphological subtype. Mod Pathol 28:845–853PubMedPubMedCentral
43.
Zurück zum Zitat Hakimi AA, Tickoo SK, Jacobsen A et al (2015) TCEB1-mutated renal cell carcinoma: a distinct genomic and morphological subtype. Mod Pathol 28:845–853PubMedPubMedCentral Hakimi AA, Tickoo SK, Jacobsen A et al (2015) TCEB1-mutated renal cell carcinoma: a distinct genomic and morphological subtype. Mod Pathol 28:845–853PubMedPubMedCentral
44.
Zurück zum Zitat Shah RB, Stohr BA, Tu ZJ et al (2020) “Renal cell carcinoma with leiomyomatous stroma” harbor somatic mutations of TSC1, TSC2, MTOR, and/or ELOC (TCEB1): clinicopathologic and molecular characterization of 18 sporadic tumors supports a distinct entity. Am J Surg Pathol 44:571–581PubMed Shah RB, Stohr BA, Tu ZJ et al (2020) “Renal cell carcinoma with leiomyomatous stroma” harbor somatic mutations of TSC1, TSC2, MTOR, and/or ELOC (TCEB1): clinicopathologic and molecular characterization of 18 sporadic tumors supports a distinct entity. Am J Surg Pathol 44:571–581PubMed
45.
Zurück zum Zitat Argani P, Aulmann S, Karanjawala Z et al (2009) Melanotic Xp11 translocation renal cancers: a distinctive neoplasm with overlapping features of PEComa, carcinoma, and melanoma. Am J Surg Pathol 33:609–619PubMed Argani P, Aulmann S, Karanjawala Z et al (2009) Melanotic Xp11 translocation renal cancers: a distinctive neoplasm with overlapping features of PEComa, carcinoma, and melanoma. Am J Surg Pathol 33:609–619PubMed
46.
Zurück zum Zitat Argani P, Laé M, Ballard ET et al (2006) Translocation carcinomas of the kidney after chemotherapy in childhood. J Clin Oncol 24:1529–1534PubMed Argani P, Laé M, Ballard ET et al (2006) Translocation carcinomas of the kidney after chemotherapy in childhood. J Clin Oncol 24:1529–1534PubMed
47.
Zurück zum Zitat Bruder E, Moch H (2016) Das Translokationskarzinom. Pathologe 37:159–165PubMed Bruder E, Moch H (2016) Das Translokationskarzinom. Pathologe 37:159–165PubMed
48.
Zurück zum Zitat Wyvekens N, Rechsteiner M, Fritz C et al (2019) Histological and molecular characterization of TFEB-rearranged renal cell carcinomas. Virchows Arch 474:625–631PubMed Wyvekens N, Rechsteiner M, Fritz C et al (2019) Histological and molecular characterization of TFEB-rearranged renal cell carcinomas. Virchows Arch 474:625–631PubMed
49.
Zurück zum Zitat Debelenko LV, Raimondi SC, Daw N et al (2011) Renal cell carcinoma with novel VCL–ALK fusion: new representative of ALK-associated tumor spectrum. Mod Pathol 24:430–442PubMed Debelenko LV, Raimondi SC, Daw N et al (2011) Renal cell carcinoma with novel VCL–ALK fusion: new representative of ALK-associated tumor spectrum. Mod Pathol 24:430–442PubMed
50.
Zurück zum Zitat Kuroda N, Trpkov K, Gao Y et al (2020) ALK rearranged renal cell carcinoma (ALK-RCC): a multi-institutional study of twelve cases with identification of novel partner genes CLIP1, KIF5B and KIAA1217. Mod Pathol 33:2564–2579PubMed Kuroda N, Trpkov K, Gao Y et al (2020) ALK rearranged renal cell carcinoma (ALK-RCC): a multi-institutional study of twelve cases with identification of novel partner genes CLIP1, KIF5B and KIAA1217. Mod Pathol 33:2564–2579PubMed
51.
Zurück zum Zitat Smith NE, Deyrup AT, Mariño-Enriquez A et al (2014) VCL-ALK renal cell carcinoma in children with sickle-cell trait: the eighth sickle-cell nephropathy? Am J Surg Pathol 38:858–863PubMedPubMedCentral Smith NE, Deyrup AT, Mariño-Enriquez A et al (2014) VCL-ALK renal cell carcinoma in children with sickle-cell trait: the eighth sickle-cell nephropathy? Am J Surg Pathol 38:858–863PubMedPubMedCentral
52.
Zurück zum Zitat Sukov WR, Hodge JC, Lohse CM et al (2012) ALK alterations in adult renal cell carcinoma: frequency, clinicopathologic features and outcome in a large series of consecutively treated patients. Mod Pathol 25:1516–1525PubMed Sukov WR, Hodge JC, Lohse CM et al (2012) ALK alterations in adult renal cell carcinoma: frequency, clinicopathologic features and outcome in a large series of consecutively treated patients. Mod Pathol 25:1516–1525PubMed
53.
Zurück zum Zitat Guo J, Tretiakova MS, Troxell ML et al (2014) Tuberous sclerosis–associated renal cell carcinoma: a clinicopathologic study of 57 separate carcinomas in 18 patients. Am J Surg Pathol 38:1457–1467PubMed Guo J, Tretiakova MS, Troxell ML et al (2014) Tuberous sclerosis–associated renal cell carcinoma: a clinicopathologic study of 57 separate carcinomas in 18 patients. Am J Surg Pathol 38:1457–1467PubMed
54.
Zurück zum Zitat Tjota M, Chen H, Parilla M et al (2020) Eosinophilic renal cell tumors with a TSC and MTOR gene mutations are morphologically and Immunohistochemically heterogenous: clinicopathologic and molecular study. Am J Surg Pathol 44:943–954PubMed Tjota M, Chen H, Parilla M et al (2020) Eosinophilic renal cell tumors with a TSC and MTOR gene mutations are morphologically and Immunohistochemically heterogenous: clinicopathologic and molecular study. Am J Surg Pathol 44:943–954PubMed
55.
Zurück zum Zitat Trpkov K, Abou-Ouf H, Hes O et al (2017) Eosinophilic Solid and Cystic Renal Cell Carcinoma (ESC RCC): further morphologic and molecular characterization of ESC RCC as a distinct entity. Am J Surg Pathol 41:1299–1308PubMed Trpkov K, Abou-Ouf H, Hes O et al (2017) Eosinophilic Solid and Cystic Renal Cell Carcinoma (ESC RCC): further morphologic and molecular characterization of ESC RCC as a distinct entity. Am J Surg Pathol 41:1299–1308PubMed
56.
Zurück zum Zitat Trpkov K, Hes O, Bonert M et al (2016) Eosinophilic, solid, and cystic renal cell carcinoma: clinicopathologic study of 16 unique, sporadic neoplasms occurring in women. Am J Surg Pathol 40:60–71PubMed Trpkov K, Hes O, Bonert M et al (2016) Eosinophilic, solid, and cystic renal cell carcinoma: clinicopathologic study of 16 unique, sporadic neoplasms occurring in women. Am J Surg Pathol 40:60–71PubMed
57.
Zurück zum Zitat Smith SC, Sirohi D, Ohe C et al (2017) A distinctive, low-grade oncocytic fumarate hydratase-deficient renal cell carcinoma, morphologically reminiscent of succinate dehydrogenase-deficient renal cell carcinoma. Histopathology 71:42–52PubMed Smith SC, Sirohi D, Ohe C et al (2017) A distinctive, low-grade oncocytic fumarate hydratase-deficient renal cell carcinoma, morphologically reminiscent of succinate dehydrogenase-deficient renal cell carcinoma. Histopathology 71:42–52PubMed
Metadaten
Titel
Histologische Subtypen des Nierenzellkarzinoms
Übersicht und neue Entwicklungen
verfasst von
I. Polifka
A. Agaimy
H. Moch
Prof. Dr. A. Hartmann
Publikationsdatum
06.04.2021
Verlag
Springer Medizin
Erschienen in
Die Pathologie / Ausgabe 3/2021
Print ISSN: 2731-7188
Elektronische ISSN: 2731-7196
DOI
https://doi.org/10.1007/s00292-021-00937-6

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