Acquired cystic disease-associated renal cell carcinoma with sarcomatoid change and rhabdoid features.

Abstract:

:Acquired cystic disease (ACD)-associated renal cell carcinoma (RCC) is a recently described entity. To the best of our knowledge, there are no reports of ACD-associated RCC with sarcomatoid and rhabdoid changes. In this article, we present the first case of such a tumor. A 56-year-old Japanese man has received long-term hemodialysis and had a history of right renal cancer. Following the discovery of metastatic cancer in the thoracic wall, detailed imaging studies revealed a mass in the left kidney. The histologic examination of the left renal tumor showed ACD-associated RCC with sarcomatoid change and rhabdoid features. Immunohistochemically, intracytoplasmic globular inclusions in rhabdoid cells were positive for vimentin and cytokeratin CAM5.2. The G-band karyotype showed the following changes: 46, X, +X. -Y[1]/43, idem, add(2)(q31), -6, -9, -14, -15, +16, -22, +mar1[6]/46, XY[2]/abnormal cell[11]. In conclusion, pathologists and urologists should be aware that rhabdoid features may occur in ACD-associated RCC and that the loss of chromosomes 9 and 14 may occur during the process of sarcomatoid change in ACD-associated RCC.

journal_name

Ann Diagn Pathol

authors

Kuroda N,Tamura M,Hamaguchi N,Mikami S,Pan CC,Brunelli M,Martignoni G,Hes O,Michal M,Lee GH

doi

10.1016/j.anndiagpath.2010.07.008

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

462-6

issue

6

eissn

1092-9134

issn

1532-8198

pii

S1092-9134(10)00123-1

journal_volume

15

pub_type

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