Difference between revisions of "Clear cell papillary renal cell tumour"

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*''Clear cell'' RCC: CK7 negative.  In this tumour it is the opposite - CK7 is positive.
*''Clear cell'' RCC: CK7 negative.  In this tumour it is the opposite - CK7 is positive.
*''Papillary'' RCC: AMACR positive.  In this tumour it is the opposite - AMACR is negative.
*''Papillary'' RCC: AMACR positive.  In this tumour it is the opposite - AMACR is negative.
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Left Kidney Mass, Core Biopsy:
    - CLEAR CELL TUBULOPAPILARY RENAL CELL CARCINOMA (clear cell
      papillary renal cell carcinoma), preliminary ISUP nucleolar
      grade 1 of 4, see comment.
Comment:
The tumour has a tubulocystic architecture and is composed of cuboidal cells with clear cytoplasm. The nuclei are reverse stratified.
The tumour stains as follows:
POSITIVE: PAX8 (diffuse), CK7 (strong, diffuse), CK34betaE12 (strong, diffuse), vimentin (diffuse, strong), EMA (moderately, diffuse).
NEGATIVE: CD10.
The findings are in keeping with clear cell tubulopapillary renal cell carcinoma.
These tumours have a highly favourable clinical behaviour.[1,2] The terms "clear cell papillary neoplasm of low malignant potential"[1] and "clear cell papillary (cyst)adenoma"[2] have been proposed as names that better reflect their biology.
1. Pathology. 2020 Nov 19;S0031-3025(20)30957-0. DOI: 10.1016/j.pathol.2020.10.002
2. Am J Surg Pathol. 2015 Dec;39(12):1621-34. DOI: 10.1097/PAS.0000000000000513
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==See also==
==See also==
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