Abstract:
:Poorly differentiated neuroendocrine carcinomas (PDNECs) of the kidney are extremely rare high-grade cancers accounting for only 42 cases reported in the literature. In this paper, we describe the morphological, immunohistochemical, ultrastructural, and for the first time, cytogenetic features of a renal PDNEC. In addition, we have reviewed the literature and compared the published clinicopathological data with our morphological and genetic results. The tumor arose within the kidney parenchyma and showed the typical histological features of a pure small cell PDNEC. Fluorescence in situ hybridization study demonstrated a complex chromosomal assessment indicative of a high degree of chromosome instability with gain of multiple chromosomes, loss of p53, and amplification of myc gene. These results suggest that renal PDNEC has a different genetic background to renal clear cell carcinoma, mainly characterized by the loss of the short arm of chromosome 3. Conversely, genetic alterations seem to resemble those of type 2 papillary renal cell carcinoma. The review of the literature demonstrated that PDNECs are associated with poor prognosis and that parenchymal tumors show some differences from those arising in the pelvis, in that parenchymal tumors are purely neuroendocrine while pelvic tumors are mostly mixed neuroendocrine-exocrine neoplasms.
journal_name
Endocr Patholjournal_title
Endocrine pathologyauthors
La Rosa S,Bernasconi B,Micello D,Finzi G,Capella Cdoi
10.1007/s12022-008-9054-ysubject
Has Abstractpub_date
2009-04-01 00:00:00pages
24-34issue
1eissn
1046-3976issn
1559-0097journal_volume
20pub_type
杂志文章,评审abstract::The association between papillary thyroid carcinoma (PTC) and Hashimoto's thyroiditis (HT) is controversial. In this study, we aimed to compare preoperative thyroid functions, ultrasonography (US) features, fine-needle aspiration biopsy (FNAB) results, and histopathological characteristics of PTC in patients with and ...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-015-9401-8
更新日期:2015-12-01 00:00:00
abstract::Tissue sections from 50 cases with thyroid tumors, composed of 11 follicular adenomas, 10 follicular carcinomas, 14 papillary carcinomas, 10 anaplastic carcinomas, and 5 medullary carcinomas, were immunohistochemically analyzed for representative neuroendocrine markers. Immunoexpression ratios of these neuroendocrine ...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1385/ep:12:3:291
更新日期:2001-10-01 00:00:00
abstract::Thyroperoxidase (TPO) is a thyroid-specific enzyme expressed by differentiated thyroid cells. Initial immunohistochemical studies claimed that TPO expression, detected by the monoclonal antibody mAb 47, may be a potentially important diagnostic tool in differentiating malignant from benign lesions. However, some recen...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1385/ep:17:1:53
更新日期:2006-04-01 00:00:00
abstract::In the majority of cases, Cushing's disease is the result of a small basophilic corticotroph microadenoma with an average size of less than 5 mm. Transsphenoidal microsurgery can cure patients with Cushing's disease; however, selective removal of the lesion requires precise preoperative localization. In this article, ...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/BF02739828
更新日期:1999-06-01 00:00:00
abstract::Papillary thyroid carcinoma (PTC) is the most common type of thyroid malignancy. Some PTCs with classical papillae can be totally or partially encapsulated, and these tumors are called "encapsulated" (conventional) variant of papillary thyroid carcinoma. We aimed to investigate the clinicopathological features of this...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-020-09650-1
更新日期:2021-01-04 00:00:00
abstract::Pediatric adrenocortical carcinoma is extremely rare with a prevalence of 0.3 per million. Adrenocortical neoplasms in children usually present with one of the endocrine abnormalities. Adrenocortical neoplasms cannot be easily diagnosed on cytopathology; hence, the cytomorphological features posing diagnostic dilemmas...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-010-9142-7
更新日期:2011-03-01 00:00:00
abstract::Hyalinizing trabecular tumor (HTT) is a rare thyroid tumor of follicular cell origin with a trabecular pattern of growth and marked intratrabecular hyalinization. This tumor is known to share morphological and architectural similarities with paraganglioma and medullary thyroid carcinoma, as well as the nuclear feature...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-007-9002-2
更新日期:2008-04-01 00:00:00
abstract::We report clinicopathological features of a large series of synchronous multiple pituitary neuroendocrine tumors (PitNETs) of different cell lineages. Retrospective review of pathology records from 2001 to 2016 identified 13 synchronous multiple PitNETs from 1055 PitNETs classified using pituitary cell-lineage transcr...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-018-9545-4
更新日期:2018-12-01 00:00:00
abstract::Solitary fibrous tumor was initially thought to be a pleura-based tumor. However, over the last two decades, its involvement in a variety of extrapleural sites gained recognition. Nonetheless, a primary involvement of the endocrine organs is rare, and in this report, we detail an instance where the tumor affected the ...
journal_title:Endocrine pathology
pub_type: 杂志文章,评审
doi:10.1007/s12022-010-9113-z
更新日期:2010-06-01 00:00:00
abstract::There is evidence that programmed death-ligand 1 (PD-L1) is expressed by thyroid follicular epithelium in thyroiditis, but the role of PD-L1 in papillary thyroid carcinoma (PTC) is poorly understood. We aimed to determine whether (1) the presence of background chronic lymphocytic thyroiditis (CLT) or Hashimoto thyroid...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-018-9540-9
更新日期:2018-12-01 00:00:00
abstract::The term noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) was recently proposed to replace noninvasive follicular variant of papillary thyroid carcinoma (FVPTC) both to promote more conservative management of these tumors and spare patients the psychological burden of a cancer diagn...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-017-9476-5
更新日期:2017-06-01 00:00:00
abstract::Thyroid carcinoma is the most common malignancy of the endocrine system worldwide, but its molecular mechanisms remain unclear. Some diseases are associated with TEKT4 gene. However, its role in thyroid carcinoma has yet to be fully examined. This study was designed to investigate the function of TEKT4 in papillary th...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-018-9549-0
更新日期:2018-12-01 00:00:00
abstract::A cell fine of human medullary carcinoma of the thyroid, abundantly producing calcitonin (Ct) and related hormones, has proved remarkably useful as an endocrine tumor model for the study of the secretion mechanism. This cell line (TT cell) was used in studies to elucidate the dynamics of the release of Ct and chromogr...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/BF02915322
更新日期:1991-03-01 00:00:00
abstract::C cell hyperplasia is considered a precursor lesion for hereditary forms of medullary thyroid carcinoma. It has therefore been suggested as a morphological marker to distinguish hereditary from sporadic medullary thyroid carcinoma and to triage genetic testing in resource poor settings. However, numerous definitions f...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-019-9567-6
更新日期:2019-06-01 00:00:00
abstract::Twenty-one autopsy-obtained human pituitaries were studied by histology, immunocytochemistry, and in situ hybridization to elucidate the characteristics of squamous-cell nests in the pars tuberaiis. Histologically, squamous-cell nests were composed of aggregates of squamous epithelial cells or squamous epithelial cell...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/BF02915304
更新日期:1993-09-01 00:00:00
abstract::The presence, distribution, and morphological appearance of S-100 protein-immunoreactive cells in the human hypophysis were studied by immunocytochemistry. One hundred and twelve nonadenomatous pituitaries from fetuses to adults and pituitaries affected by several lesions including metastases, acute infarcts, and lymp...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/BF02921341
更新日期:1992-03-01 00:00:00
abstract::The adrenal gland is the body's primary source for epinephrine production and release, and the chromaffin cells that comprise the adrenal medulla possess all of the catecholamine biosynthetic machinery, including phenylethanolamine N-methyltransferase (PNMT), the enzyme synthesizing epinephrine from norepinephrine. In...
journal_title:Endocrine pathology
pub_type: 杂志文章,评审
doi:10.1385/ep:14:1:25
更新日期:2003-04-01 00:00:00
abstract::Understanding the molecular mechanisms involved in thyroid cancer progression may provide targets for more effective treatment of aggressive thyroid cancers. Epithelial mesenchymal transition (EMT) is a major pathologic mechanism in tumor progression and is linked to the acquisition of stem-like properties of cancer c...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-013-9272-9
更新日期:2013-12-01 00:00:00
abstract::Chronic lymphocytic thyroiditis (CLT) has an epidemiological relationship to papillary thyroid carcinoma (PTC). The follicular epithelium in CLT can be markedly atypical, with cytologic changes ranging from oncocytic morphology to clearing and overlapping. At the molecular level, the association between CLT and PTC is...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1385/ep:17:3:235
更新日期:2006-10-01 00:00:00
abstract::Somatostatin type 2A receptor (sstr2A) has been shown to be directly involved in the transduction of antiproliferative effects and also to be the most predominant sstr subtype in human normal breast epithelium, as well as in human breast carcinoma. We investigated the immunoreactivity of sstr2A in 34 cases of human br...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1385/ep:11:1:57
更新日期:2000-04-01 00:00:00
abstract::A 41-yr-old patient with a history of von Hippel-Lindau (VHL) disease with previously removed bilateral pheochromocytomas and renal cell carcinoma presented with progressive obstructive jaundice due to multiple lesions in the pancreas. The pancreatectomy specimen showed a range of endocrine lesions including islet hyp...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1385/ep:15:2:141
更新日期:2004-07-01 00:00:00
abstract::The objective of this study was to evaluate the risk of malignancy (ROM) associated with atypia of undetermined significance (AUS) and suspicious follicular neoplasm (SFN) core needle biopsy (CNB) categories after further sub-classification. Data from 2267 thyroid nodules evaluated by ultrasound-guided CNB, from Janua...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-019-9577-4
更新日期:2019-06-01 00:00:00
abstract::Pheochromocytomas and paragangliomas are neuroendocrine neoplasias of neural crest origin. Genetic mutations that are characterized in other human neoplasms are rarely seen in these tumors. About 10% of the patients with pheochromocytomas and paragangliomas present with a family history of von Hippel-Lindau disease (V...
journal_title:Endocrine pathology
pub_type: 杂志文章,评审
doi:10.1385/ep:14:4:329
更新日期:2003-01-01 00:00:00
abstract::An adenoma resected from a 49-yr-old woman was clinically nonfunctioning but immunopositive for adrenocorticotropic hormone (ACTH) in a few cells. Electron microscopy demonstrated a vacuolar change in Golgi complexes known as "honeycomb Golgi." Recurrent adenoma resected 11 mo later was positive for ACTH in more cells...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1385/ep:13:2:125
更新日期:2002-07-01 00:00:00
abstract::Efforts to understand the pathobiology of pheochromocytomas and extra-adrenal paragangliomas have been spurred by genetic and gene expression profiling studies showing genotype-phenotype correlations in familial pheochromocytoma/paraganglioma syndromes and in some sporadic tumors. The current challenge is to relate ca...
journal_title:Endocrine pathology
pub_type: 杂志文章,评审
doi:10.1007/s12022-006-0003-3
更新日期:2006-01-01 00:00:00
abstract::Regulatory T cells (Tregs) are immunosuppressive immune cells that play an important role in tumor development. Suppression of Treg function is considered to be an effective strategy for cancer therapy. Glycoprotein A repetitions predominant (GARP) has been found on the surface of activated Tregs. GARP has been recent...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-018-9557-0
更新日期:2019-03-01 00:00:00
abstract::We describe a consistently present, previously unrecognized, population of monocytes in pheochromocytomas and paragangliomas. Although sustentacular cells are generally recognized as a common component of these tumors, differential immunohistochemical staining for CD163 and S100 shows that monocytes can in fact be mor...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-019-9575-6
更新日期:2019-06-01 00:00:00
abstract::Nodular corticotrope hyperplasia is a rare pathology causing Cushing's syndrome owing to a primary pituitary disease or ectopic CRH production. In this study, we evaluated the laboratory and pathological findings and results of transsphenoidal pituitary surgery in four patients with Cushing's disease. Dynamic tests of...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/BF02914989
更新日期:1995-04-01 00:00:00
abstract::Transcription factors play specific roles in the development and differentiation of normal pituitary tissues and pituitary adenoma. The transcription factor, muscle segment homeobox 1 (MSX1), which belongs to the homeobox gene family, binds the promoter region of the glycoprotein hormone alpha-subunit (SU) in TSH-prod...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1007/s12022-008-9021-7
更新日期:2008-04-01 00:00:00
abstract::The relationship between chronic lymphocytic thyroiditis (CLT) and papillary thyroid carcinoma (PTC) is a subject of controversy. Some investigators suggest a causal relationship, whereas others regard the two as only a coincidental occurrence. An additional complicating factor is the presence of atypical nuclei frequ...
journal_title:Endocrine pathology
pub_type: 杂志文章
doi:10.1385/ep:13:4:321
更新日期:2002-01-01 00:00:00