Difference between revisions of "Renal oncocytosis"
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| Caption = | | Caption = | ||
| Synonyms = | | Synonyms = | ||
| Micro = | | Micro = any mixture of oncocytic tumours (see ''[[hybrid tumour]]'', ''[[chromophobe renal cell carcinoma]]'' and ''[[renal oncocytoma]]'') | ||
| Subtypes = | | Subtypes = | ||
| LMDDx = other [[renal tumours with eosinophilic cytoplasm]] | | LMDDx = other [[renal tumours with eosinophilic cytoplasm]] |
Revision as of 04:18, 4 December 2015
Renal oncocytosis | |
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Diagnosis in short | |
| |
LM | any mixture of oncocytic tumours (see hybrid tumour, chromophobe renal cell carcinoma and renal oncocytoma) |
LM DDx | other renal tumours with eosinophilic cytoplasm |
IHC | characteristic of the histologic appearance - stain like oncocytoma, ChRCC and hybrid tumour |
Gross | multiple brown kidney nodules (bilateral or unilateral) |
Grossing notes | total nephrectomy for tumour grossing, partial nephrectomy grossing |
Staging | kidney cancer staging |
Site | kidney - see kidney tumours |
| |
Syndromes | Birt–Hogg–Dubé syndrome |
| |
Clinical history | +/-chronic renal failure and hemodialysis |
Prevalence | rare |
Radiology | multiple renal tumours |
Clin. DDx | metastatic disease, multifocal renal cell carcinoma |
Renal oncocytosis is the presence of multiple oncocytic lesions within the kidney.[1]
General
- Rare.
- May be seen in the context of Birt–Hogg–Dubé syndrome or chronic renal failure or may be sporadic.[1]
- Chronic renal failure seen in 50% of cases in one series.[2]
Gross
- Multiple (unilateral or bilateral) brown-coloured nodules.[1]
Microscopic
Features:
- Any mixture of oncocytic tumours (hybrid tumour, chromophobe renal cell carcinoma, renal oncocytoma).
DDx:
- Hybrid tumour.
- Chromophobe renal cell carcinoma.
- Renal oncocytoma.
- Other renal tumours with eosinophilic cytoplasm.
IHC
- Characteristic of the histologic appearance.[1]
- Stain like renal oncocytomas, chromophobe renal cell carcinomas and hybrid tumours.
See also
References
- ↑ 1.0 1.1 1.2 1.3 Kuroda, N.; Tanaka, A.; Ohe, C.; Mikami, S.; Nagashima, Y.; Sasaki, T.; Inoue, K.; Hes, O. et al. (Nov 2012). "Review of renal oncocytosis (multiple oncocytic lesions) with focus on clinical and pathobiological aspects.". Histol Histopathol 27 (11): 1407-12. PMID 23018240.
- ↑ Adamy, A.; Lowrance, WT.; Yee, DS.; Chong, KT.; Bernstein, M.; Tickoo, SK.; Coleman, JA.; Russo, P. (Mar 2011). "Renal oncocytosis: management and clinical outcomes.". J Urol 185 (3): 795-801. doi:10.1016/j.juro.2010.10.068. PMID 21239013.