|
|
Line 498: |
Line 498: |
| =Rare stuffs= | | =Rare stuffs= |
| ==Juxtaglomerular cell tumour== | | ==Juxtaglomerular cell tumour== |
| *[[AKA]] juxtaglomerular tumour, reninoma.<ref name=pmid18192852/> | | *[[AKA]] juxtaglomerular tumour, reninoma.<ref name=pmid18192852>{{Cite journal | last1 = Wong | first1 = L. | last2 = Hsu | first2 = TH. | last3 = Perlroth | first3 = MG. | last4 = Hofmann | first4 = LV. | last5 = Haynes | first5 = CM. | last6 = Katznelson | first6 = L. | title = Reninoma: case report and literature review. | journal = J Hypertens | volume = 26 | issue = 2 | pages = 368-73 | month = Feb | year = 2008 | doi = 10.1097/HJH.0b013e3282f283f3 | PMID = 18192852 }}</ref> |
| ===General===
| | {{Main|Juxtaglomerular cell tumour}} |
| *Rare.
| |
| *Etiology: increased renin.
| |
| | |
| Clinical:<ref name=pmid18192852>{{Cite journal | last1 = Wong | first1 = L. | last2 = Hsu | first2 = TH. | last3 = Perlroth | first3 = MG. | last4 = Hofmann | first4 = LV. | last5 = Haynes | first5 = CM. | last6 = Katznelson | first6 = L. | title = Reninoma: case report and literature review. | journal = J Hypertens | volume = 26 | issue = 2 | pages = 368-73 | month = Feb | year = 2008 | doi = 10.1097/HJH.0b013e3282f283f3 | PMID = 18192852 }}</ref>
| |
| *[[Hypertension]].
| |
| *Increased aldosterone.
| |
| **Causes hypokalemia.
| |
| *Increased plasma renin.
| |
| | |
| ===Microscopic===
| |
| Features:<ref name=pmid21191395/>
| |
| *Polygonal cells.
| |
| *Abundant granular, eosinophilic cytoplasm.<ref name=pmid436071/>
| |
| *Perinuclear halo.
| |
| | |
| DDx:
| |
| *[[Chromophobe renal cell carcinoma]], eosinophilic variant.
| |
| | |
| Image:
| |
| *[http://www.nature.com/ki/journal/v79/n2/fig_tab/ki2010445f1.html#figure-title Reninoma (nature.com)].<ref name=pmid21191395/>
| |
| | |
| ===Stains===
| |
| Cytoplasmic granules.<ref name=pmid436071>{{Cite journal | last1 = Hanna | first1 = W. | last2 = Tepperman | first2 = B. | last3 = Logan | first3 = AG. | last4 = Robinette | first4 = MA. | last5 = Colapinto | first5 = R. | last6 = Phillips | first6 = MJ. | title = Juxtaglomerular cell tumour (reninoma) with paroxysmal hypertension. | journal = Can Med Assoc J | volume = 120 | issue = 8 | pages = 957-9 | month = Apr | year = 1979 | doi = | PMID = 436071 PMC = 1819229 | URL = http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1819229/?tool=pubmed }}</ref>
| |
| *PAS +ve.
| |
| *PASD +ve.
| |
| | |
| ===IHC===
| |
| Features:<ref name=pmid21191395>{{Cite journal | last1 = Chao | first1 = CT. | last2 = Chang | first2 = FC. | last3 = Wu | first3 = VC. | last4 = Chen | first4 = JC. | title = Reninoma. | journal = Kidney Int | volume = 79 | issue = 2 | pages = 260 | month = Jan | year = 2011 | doi = 10.1038/ki.2010.445 | PMID = 21191395 }}</ref>
| |
| *Actin +ve.
| |
| *Cytokeratin -ve.
| |
| *HMB-45 -ve.
| |
| | |
| ===EM===
| |
| Features:
| |
| *Vesicles - contain renin.<ref name=upmc29>URL: [http://path.upmc.edu/cases/case29/micro.html http://path.upmc.edu/cases/case29/micro.html]. Accessed on: 18 December 2011.</ref>
| |
|
| |
|
| ==Renomedullary interstitial cell tumour== | | ==Renomedullary interstitial cell tumour== |