Nagashima, Yoji
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor and Division head
Article types Review article
Language Japanese
Peer review Peer reviewed
Presence of invitation Invited paper
Title Pathological diagnosis of renal tumors: up to date
Journal Formal name:Clinical Pathology
Volume, Issue, Page pp.568-577
Author and coauthor Nagashima Y, Aoki I, Kondo K, Nakaigawa N, Kishida T, Miyagi Y, Yao M.
Authorship Lead author,Corresponding author
Publication date 2014/06
Summary Renal cell carcinoma (RCC) is composed of heterogenous histological types, with
different clinical features and molecular biological characteristics. The
"General Rule for Clinical and Pathological Studies on RCC" was revised in 2011,
according to the World Health Organization system (WHO) (2004). Although most RCC
is clear cell RCC (approximately 70-80% of RCC), papillary and chromophobe RCCs
are occasionally encountered (approximately 10 and 5%, respectively). Collecting
duct carcinoma is a rare and highly aggressive adenocarcinoma derived from the
collecting duct. Additionally, several histological types have been introduced,
and "granular RCC" has been omitted as a diagnostic term. For precise diagnosis,
careful gross and histological evaluations are required along with
immunohistochemical and molecular biological analyses. Additionally, novel
histological types have recently been emerging, i.e., 6p21
translocation-associated RCC, dialysis-associated RCC, and tubulocystic
carcinoma. Furthermore, mimics of RCC are always considered as differential
diagnostic candidates, i.e., metanephric adenoma, epithelioid angiomyolipoma,
juxtaglomerular cell tumor, and carcinoid tumor.
PMID 25151776