Difference between revisions of "Kidney tumours"

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==Collecting duct carcinoma==
==Collecting duct carcinoma==
===Epidemiology===
===General===
*Rare.
*Rare.
*Poor prognosis.
*Poor prognosis.
*Usu. central location.


===Microscopic===
===Microscopic===
Features:<ref name=Ref_GUP295>{{Ref GUP|295}}</ref>
Features:<ref name=Ref_GUP295>{{Ref GUP|295}}</ref>
*Tubular structures with tapered ends.
*Tubular structures with tapered ends.
**May be described as ''tubulopapillary''.
*[[Hobnail pattern]] - cell width smaller at basement membrane than free surface.<ref name=Ref_PBoD1018>{{Ref PBoD|1018}}</ref>
*High grade nuclear features (nuclear pleomorphism).
*High grade nuclear features (nuclear pleomorphism).
*High mitotic rate.
*High mitotic rate.
*[[Hobnail pattern]] - cell width smaller at basement membrane than free surface.<ref>{{Ref PBoD|1018}}</ref>
 
Notes:
*Benign urothelium must present to excluded urothelial carcinoma.
*Desmoplastic stroma may be prominent.


DDx:
DDx:
*[[Papillary renal cell carcinoma]] type 2.
*[[Papillary renal cell carcinoma]] - type 2.
*[[Urothelial carcinoma]].


===IHC===
===IHC===
48,833

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