Clear cell tumours: Difference between revisions
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[[Image:Hyalinizing clear cell carcinoma - high mag.jpg|thumb|right|[[Hyalinizing clear cell carcinoma]], a rare clear cell tumour. [[H&E stain]]. (WC/Nephron)]] | |||
'''Clear cell tumours''' are found in a number of organs. Thus, it is important to have a list of 'em in one's head so one doesn't misdiagnose something. | '''Clear cell tumours''' are found in a number of organs. Thus, it is important to have a list of 'em in one's head so one doesn't misdiagnose something. | ||
==Clear cell in the name== | ==Clear cell in the name== | ||
Skin | ===Skin=== | ||
*[[Clear cell carcinoma]] of the skin. | *[[Clear cell carcinoma]] of the skin. | ||
Gynecologic tract | ===Gynecologic tract=== | ||
*[[Clear cell carcinoma]] of the gynecologic tract. | *[[Clear cell carcinoma]] of the gynecologic tract. | ||
Genitourinary tract | ===Genitourinary tract=== | ||
*[[Clear cell renal cell carcinoma]]. | *[[Clear cell renal cell carcinoma]]. | ||
*[[Clear cell papillary renal cell carcinoma]]. | *[[Clear cell papillary renal cell carcinoma]]. | ||
Gastrointestinal tract | ===Gastrointestinal tract=== | ||
*Clear cell variant of [[hepatocellular carcinoma]].<ref name=pmid10955454>{{Cite journal | last1 = Murakata | first1 = LA. | last2 = Ishak | first2 = KG. | last3 = Nzeako | first3 = UC. | title = Clear cell carcinoma of the liver: a comparative immunohistochemical study with renal clear cell carcinoma. | journal = Mod Pathol | volume = 13 | issue = 8 | pages = 874-81 | month = Aug | year = 2000 | doi = 10.1038/modpathol.3880156 | PMID = 10955454 }}</ref> | *Clear cell variant of [[hepatocellular carcinoma]].<ref name=pmid10955454>{{Cite journal | last1 = Murakata | first1 = LA. | last2 = Ishak | first2 = KG. | last3 = Nzeako | first3 = UC. | title = Clear cell carcinoma of the liver: a comparative immunohistochemical study with renal clear cell carcinoma. | journal = Mod Pathol | volume = 13 | issue = 8 | pages = 874-81 | month = Aug | year = 2000 | doi = 10.1038/modpathol.3880156 | PMID = 10955454 }}</ref> | ||
Head and neck pathology | ===Head and neck pathology=== | ||
*Clear cell carcinoma of the [[salivary gland]] | *Clear cell carcinoma of the [[salivary gland]]:<ref name=pmid12033955>{{Cite journal | last1 = Wang | first1 = B. | last2 = Brandwein | first2 = M. | last3 = Gordon | first3 = R. | last4 = Robinson | first4 = R. | last5 = Urken | first5 = M. | last6 = Zarbo | first6 = RJ. | title = Primary salivary clear cell tumors--a diagnostic approach: a clinicopathologic and immunohistochemical study of 20 patients with clear cell carcinoma, clear cell myoepithelial carcinoma, and epithelial-myoepithelial carcinoma. | journal = Arch Pathol Lab Med | volume = 126 | issue = 6 | pages = 676-85 | month = Jun | year = 2002 | doi = 10.1043/0003-9985(2002)1260676:PSCCTA2.0.CO;2 | PMID = 12033955 }}</ref> | ||
**Clear cell myoepithelial carcinoma. | |||
**[[Hyalinizing clear cell carcinoma]]. | |||
Soft tissue pathology | ===Soft tissue pathology=== | ||
*[[Clear cell sarcoma]]. | *[[Clear cell sarcoma]]. | ||
== | ===Neuropathology=== | ||
*[[Clear cell meningioma]]. | |||
*[[Ependymoma|Clear cell ependymoma]]. | |||
==Tumours with clear/pale cytoplasm== | |||
*[[Chromophobe renal cell carcinoma]]. | *[[Chromophobe renal cell carcinoma]]. | ||
*[[Sebaceous carcinoma]]. | *[[Sebaceous carcinoma]]. | ||
*[[Seminoma]]/[[dysgerminoma]]/[[germinoma]]. | |||
*[[Paraganglioma]]. | |||
*[[Oligodendroglioma]]. | |||
*[[Neurocytoma]]. | |||
*[[Epithelial-myoepithelial carcinoma]]. | |||
==An exhaustive differential diagnosis for clear cell tumour== | |||
Adapted from ''Miller'' with modifications:<ref name=miller>Miller RT. (Sep 2013). ''Atlantic Diagnostic Immunohistochemistry Symposium''. St. John's, NL, Canada.</ref> | |||
{| class="wikitable sortable" | |||
! Tumour | |||
! Group | |||
! Notes/comments | |||
|- | |||
| [[Clear cell renal cell carcinoma]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Clear cell papillary renal cell carcinoma]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Xp11.2 translocation carcinoma]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Lung]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Pulmonary blastoma]] | |||
| Other | |||
| | |||
|- | |||
| [[Bladder]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Clear cell carcinoma of the salivary gland]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Breast]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Ovarian clear cell carcinoma]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Endometrial clear cell carcinoma]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Paratesticular tissues]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Adrenal]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Prostate]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Hepatocellular carcinoma]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[GI tract]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Pancreas]] | |||
| Clear cell carcinoma | |||
| | |||
|- | |||
| [[Clear cell squamous carcinoma]] | |||
| Other carcinomas | |||
| | |||
|- | |||
| [[Hyalinizing clear cell carcinoma of salivary gland]] | |||
| Other carcinomas | |||
| | |||
|- | |||
| [[Adnexal clear cell carcinoma with comedonecrosis]] | |||
| Other carcinomas | |||
| | |||
|- | |||
| [[Clear cell follicular carcinoma of thyroid]] | |||
| Other carcinomas | |||
| | |||
|- | |||
| [[Acinar cell carcinoma]] | |||
| Other carcinomas | |||
| | |||
|- | |||
| [[Cholangiocarcinoma]] | |||
| Other carcinomas | |||
|<ref>{{Cite journal | last1 = Haas | first1 = S. | last2 = Gütgemann | first2 = I. | last3 = Wolff | first3 = M. | last4 = Fischer | first4 = HP. | title = Intrahepatic clear cell cholangiocarcinoma: immunohistochemical aspects in a very rare type of cholangiocarcinoma. | journal = Am J Surg Pathol | volume = 31 | issue = 6 | pages = 902-6 | month = Jun | year = 2007 | doi = 10.1097/PAS.0b013e31802c0c8a | PMID = 17527078 }}</ref> | |||
|- | |||
| [[Atypical bile duct adenoma, clear cell type ]] | |||
| Epithelial lesion | |||
|<ref>{{Cite journal | last1 = Albores-Saavedra | first1 = J. | last2 = Hoang | first2 = MP. | last3 = Murakata | first3 = LA. | last4 = Sinkre | first4 = P. | last5 = Yaziji | first5 = H. | title = Atypical bile duct adenoma, clear cell type: a previously undescribed tumor of the liver. | journal = Am J Surg Pathol | volume = 25 | issue = 7 | pages = 956-60 | month = Jul | year = 2001 | doi = | PMID = 11420469 }}</ref> | |||
|- | |||
| [[Clear cell carcinoid]] | |||
| Clear cell neuroendocrine tumours | |||
| | |||
|- | |||
| [[Clear cell pancreatic endocrine neoplasm]] | |||
| Clear cell neuroendocrine tumours | |||
| | |||
|- | |||
| [[Clear cell medullary carcinoma of the thyroid]] | |||
| Clear cell neuroendocrine tumours | |||
| | |||
|- | |||
| [[Clear cell paraganglioma of prostate]] | |||
| Clear cell neuroendocrine tumours | |||
| | |||
|- | |||
| [[Clear cell lymphoma]] | |||
| Clear cell Hematolymphoid | |||
| | |||
|- | |||
| [[Clear cell myeloma]] | |||
| Clear cell Hematolymphoid | |||
| | |||
|- | |||
| [[Syncytial Hodgkin's lymphoma]] | |||
| Clear cell Hematolymphoid | |||
| | |||
|- | |||
| [[Seminoma]] | |||
| [[Germ cell tumours]] | |||
| | |||
|- | |||
| [[Yolk sac tumour]] | |||
| Germ cell tumours | |||
| | |||
|- | |||
| [[Clear cell sex-cord stromal tumours]] | |||
| Other | |||
| [[Leydig cell tumour]] | |||
|- | |||
| [[Clear cell thymoma]] | |||
| Other | |||
| | |||
|- | |||
| [[Clear cell mesothelioma]] | |||
| Other | |||
| | |||
|- | |||
| [[Solid pseudopapillary tumour]] of pancreas | |||
| Other | |||
|<ref>{{Cite journal | last1 = Albores-Saavedra | first1 = J. | last2 = Simpson | first2 = KW. | last3 = Bilello | first3 = SJ. | title = The clear cell variant of solid pseudopapillary tumor of the pancreas: a previously unrecognized pancreatic neoplasm. | journal = Am J Surg Pathol | volume = 30 | issue = 10 | pages = 1237-42 | month = Oct | year = 2006 | doi = 10.1097/01.pas.0000209849.97787.e0 | PMID = 17001153 }}</ref> | |||
|- | |||
| [[Clear cell oncocytoma of salivary gland]] | |||
| Other epithelial clear cell tumours | |||
| | |||
|- | |||
| [[Chordoma]] | |||
| Other epithelial clear cell tumours | |||
| | |||
|- | |||
| [[Giant notochrodal hamartoma]] | |||
| Other epithelial clear cell tumours | |||
| | |||
|- | |||
| [[Clear cell melanoma]] | |||
| Melanoma | |||
| | |||
|- | |||
| Clear cell [[PEComa]]s - "sugar" tumor (lung, heart, pancreas, skin, soft tissue) | |||
| Other | |||
| | |||
|- | |||
| [[Clear cell sarcoma]] | |||
| mesenchymal tumours | |||
| | |||
|- | |||
| [[Clear cell dermatofibroma]] | |||
| mesenchymal tumours | |||
| | |||
|- | |||
| [[Clear cell atypical fibroxanthoma]] | |||
| mesenchymal tumours | |||
| | |||
|- | |||
| [[Clear cell meningioma]] | |||
| mesenchymal tumours | |||
|<ref>{{Cite journal | last1 = Carlotti | first1 = CG. | last2 = Neder | first2 = L. | last3 = Colli | first3 = BO. | last4 = dos Santos | first4 = MB. | last5 = Garcia | first5 = AS. | last6 = Elias | first6 = J. | last7 = Chimelli | first7 = LC. | title = Clear cell meningioma of the fourth ventricle. | journal = Am J Surg Pathol | volume = 27 | issue = 1 | pages = 131-5 | month = Jan | year = 2003 | doi = | PMID = 12502936 }}</ref> | |||
|- | |||
| [[Dermal clear cell mesenchymal neoplasm]] | |||
| mesenchymal tumours | |||
|<ref>{{Cite journal | last1 = Lazar | first1 = AJ. | last2 = Fletcher | first2 = CD. | title = Distinctive dermal clear cell mesenchymal neoplasm: clinicopathologic analysis of five cases. | journal = Am J Dermatopathol | volume = 26 | issue = 4 | pages = 273-9 | month = Aug | year = 2004 | doi = | PMID = 15249856 }} </ref> | |||
|- | |||
| [[GIST|Clear cell GIST]] | |||
| mesenchymal tumours | |||
| | |||
|- | |||
| [[Alveolar soft part sarcoma]] | |||
| mesenchymal tumours | |||
| | |||
|- | |||
| [[Reticular variant of perineurioma]] | |||
| mesenchymal tumours | |||
|EMA +ve | |||
|- | |||
| [[Lipidized fibrous histiocytoma]] | |||
| mesenchymal tumours | |||
|<ref>{{Cite journal | last1 = Iwata | first1 = J. | last2 = Fletcher | first2 = CD. | title = Lipidized fibrous histiocytoma: clinicopathologic analysis of 22 cases. | journal = Am J Dermatopathol | volume = 22 | issue = 2 | pages = 126-34 | month = Apr | year = 2000 | doi = | PMID = 10770432 }}</ref> | |||
|- | |||
| [[Clear cell dermatofibroma]] | |||
| mesenchymal tumours | |||
| | |||
|- | |||
| [[Clear cell or "lipidized" fibrous papule of the nose]] | |||
| mesenchymal tumours | |||
| | |||
|- | |||
|} | |||
==See also== | ==See also== | ||
*[[Clear cell carcinoma]]. | *[[Clear cell carcinoma]]. | ||
*[[Benign clear cell clusters of the kidney]]. | |||
==References== | ==References== | ||