Papillary adenoma of the kidney
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Papillary adenoma of the kidney | |
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Diagnosis in short | |
Papillary adenoma. H&E stain. | |
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Synonyms | papillary adenoma, renal papillary adenoma |
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LM | papillae typically with foam cells, +/-psammoma bodies, nuclei usu. low grade |
LM DDx | papillary renal cell carcinoma, metanephric adenoma |
IHC | AMACR +ve |
Gross | must be <=0.5 cm, cortical lesion |
Site | kidney - see kidney tumours |
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Associated Dx | often seen with papillary renal cell carcinoma |
Clinical history | often an incidental finding |
Prevalence | common |
Prognosis | benign |
Clin. DDx | other renal tumours |
Treatment | observation |
Papillary adenoma of the kidney, also renal papillary adenoma, is a benign kidney tumour related to papillary renal cell carcinoma.
General
- Benign.
- Considered a precursor for papillary renal cell carcinoma (PaRCC).[1]
- Stains like PaRCC.
- Found with an increased frequency within the content of PaRCC.
Microscopic
Features:
- Histomorphology of papillary renal cell carcinoma.
- Must be <=0.5 cm.[2][3]
- Diagnostic size cutoff - larger lesions are papillary renal cell carcinoma.
DDx:
Images
www:
IHC
- AMACR +ve.[1]
See also
References
- ↑ 1.0 1.1 Wang, KL.; Weinrach, DM.; Luan, C.; Han, M.; Lin, F.; Teh, BT.; Yang, XJ. (Feb 2007). "Renal papillary adenoma--a putative precursor of papillary renal cell carcinoma.". Hum Pathol 38 (2): 239-46. doi:10.1016/j.humpath.2006.07.016. PMID 17056094.
- ↑ Zhou, Ming; Magi-Galluzzi, Cristina (2006). Genitourinary Pathology: A Volume in Foundations in Diagnostic Pathology Series (1st ed.). Churchill Livingstone. pp. 288. ISBN 978-0443066771.
- ↑ 3.0 3.1 Algaba, F. (2008). "Renal adenomas: pathological differential diagnosis with malignant tumors.". Adv Urol: 974848. doi:10.1155/2008/974848. PMC 2563151. PMID 18846240. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2563151/.