Difference between revisions of "Clear cell adenocarcinoma of the urethra"

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Note:
Note:
*similar to [[clear cell adenocarcinoma]] of the gynecologic tract - see ''[[clear cell carcinoma of the uterine cervix]]''.
*Described as morphologically similar to [[clear cell adenocarcinoma]] of the gynecologic tract<ref name=pmid23307189>{{Cite journal  | last1 = Alexiev | first1 = BA. | last2 = Tavora | first2 = F. | title = Histology and immunohistochemistry of clear cell adenocarcinoma of the urethra: histogenesis and diagnostic problems. | journal = Virchows Arch | volume = 462 | issue = 2 | pages = 193-201 | month = Feb | year = 2013 | doi = 10.1007/s00428-012-1363-3 | PMID = 23307189 }}</ref> - see ''[[clear cell carcinoma of the uterine cervix]]''.


DDx:
DDx:
*[[Nephrogenic adenoma]] - also has hobnailing.
*[[Clear cell tumours]].
*[[Clear cell tumours]].
**[[Clear cell adenocarcinoma]] of the gynecologic tract.
**[[Clear cell adenocarcinoma]] of the gynecologic tract.

Revision as of 18:59, 12 November 2014

Clear cell adenocarcinoma of the urethra, also primary urethral clear cell adenocarcinoma, is a very rare malignant tumour of the urethra.

General

  • Predominantly in women.[1]

Microscopic

Features:[1]

  • Clear cells - at least focally.
  • Hobnailing - classic feature.

Note:

DDx:

Images

www:

IHC

Features:

  • PAX8 +ve.
  • CK7 +ve.

Others:

  • CK20 -ve.
  • ER -ve.
  • PR -ve.
  • p53 -ve.
  • p63 -ve.

See also

References

  1. 1.0 1.1 1.2 Mehra, R.; Vats, P.; Kalyana-Sundaram, S.; Udager, AM.; Roh, M.; Alva, A.; Pan, J.; Lonigro, RJ. et al. (Mar 2014). "Primary urethral clear-cell adenocarcinoma: comprehensive analysis by surgical pathology, cytopathology, and next-generation sequencing.". Am J Pathol 184 (3): 584-91. doi:10.1016/j.ajpath.2013.11.023. PMID 24389164.
  2. Alexiev, BA.; Tavora, F. (Feb 2013). "Histology and immunohistochemistry of clear cell adenocarcinoma of the urethra: histogenesis and diagnostic problems.". Virchows Arch 462 (2): 193-201. doi:10.1007/s00428-012-1363-3. PMID 23307189.