Renal oncocytoma pathophysiology: Difference between revisions
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==Gross Pathology== | ==Gross Pathology== | ||
On gross pathology, tan to brown surface color , well-encapsulated with a thick, well-defined, fibrous capsule, central scar, and homogeneous appearance without any hemorrhage or necrosis inside it in the tumor cut are characteristic findings of renal oncocytoma.<ref name="MochCubilla2016">{{cite journal|last1=Moch|first1=Holger|last2=Cubilla|first2=Antonio L.|last3=Humphrey|first3=Peter A.|last4=Reuter|first4=Victor E.|last5=Ulbright|first5=Thomas M.|title=The 2016 WHO Classification of Tumours of the Urinary System and Male Genital Organs—Part A: Renal, Penile, and Testicular Tumours|journal=European Urology|volume=70|issue=1|year=2016|pages=93–105|issn=03022838|doi=10.1016/j.eururo.2016.02.029}}</ref><ref name="AminCrotty1997">{{cite journal|last1=Amin|first1=Mahul B.|last2=Crotty|first2=Thomas B.|last3=Tickoo|first3=Satish K.|last4=Farrow|first4=George M.|title=Renal Oncocytoma: A Reappraisal of Morphologic Features with Clinicopathologic Findings in 80 Cases|journal=The American Journal of Surgical Pathology|volume=21|issue=1|year=1997|pages=1–12|issn=0147-5185|doi=10.1097/00000478-199701000-00001}}</ref><ref name="Perez-OrdonezHamed1997">{{cite journal|last1=Perez-Ordonez|first1=Bayardo|last2=Hamed|first2=Ghiath|last3=Campbell|first3=Steve|last4=Erlandson|first4=Robert|last5=Russo|first5=Paul|last6=Gaudin|first6=Paul|last7=Reuter|first7=Victor|journal=American Journal of Surgical Pathology|volume=21|issue=8|year=1997|pages=871–883|issn=01475185|doi=10.1097/00000478-199708000-00001}}</ref><ref name="TrpkovYilmaz2010">{{cite journal|last1=Trpkov|first1=Kiril|last2=Yilmaz|first2=Asli|last3=Uzer|first3=Dina|last4=Dishongh|first4=Kristin M|last5=Quick|first5=Charles M|last6=Bismar|first6=Tarek A|last7=Gokden|first7=Neriman|title=Renal oncocytoma revisited: a clinicopathological study of 109 cases with emphasis on problematic diagnostic features|journal=Histopathology|volume=57|issue=6|year=2010|pages=893–906|issn=03090167|doi=10.1111/j.1365-2559.2010.03726.x}}</ref><ref>{{Cite journal | On gross pathology, tan to brown surface color , well-encapsulated with a thick, well-defined, [[fibrous]] [[capsule]], central scar, and [[homogeneous]] appearance without any [[hemorrhage]] or [[necrosis]] inside it in the [[tumor]] cut are characteristic findings of renal oncocytoma.<ref name="MochCubilla2016">{{cite journal|last1=Moch|first1=Holger|last2=Cubilla|first2=Antonio L.|last3=Humphrey|first3=Peter A.|last4=Reuter|first4=Victor E.|last5=Ulbright|first5=Thomas M.|title=The 2016 WHO Classification of Tumours of the Urinary System and Male Genital Organs—Part A: Renal, Penile, and Testicular Tumours|journal=European Urology|volume=70|issue=1|year=2016|pages=93–105|issn=03022838|doi=10.1016/j.eururo.2016.02.029}}</ref><ref name="AminCrotty1997">{{cite journal|last1=Amin|first1=Mahul B.|last2=Crotty|first2=Thomas B.|last3=Tickoo|first3=Satish K.|last4=Farrow|first4=George M.|title=Renal Oncocytoma: A Reappraisal of Morphologic Features with Clinicopathologic Findings in 80 Cases|journal=The American Journal of Surgical Pathology|volume=21|issue=1|year=1997|pages=1–12|issn=0147-5185|doi=10.1097/00000478-199701000-00001}}</ref><ref name="Perez-OrdonezHamed1997">{{cite journal|last1=Perez-Ordonez|first1=Bayardo|last2=Hamed|first2=Ghiath|last3=Campbell|first3=Steve|last4=Erlandson|first4=Robert|last5=Russo|first5=Paul|last6=Gaudin|first6=Paul|last7=Reuter|first7=Victor|journal=American Journal of Surgical Pathology|volume=21|issue=8|year=1997|pages=871–883|issn=01475185|doi=10.1097/00000478-199708000-00001}}</ref><ref name="TrpkovYilmaz2010">{{cite journal|last1=Trpkov|first1=Kiril|last2=Yilmaz|first2=Asli|last3=Uzer|first3=Dina|last4=Dishongh|first4=Kristin M|last5=Quick|first5=Charles M|last6=Bismar|first6=Tarek A|last7=Gokden|first7=Neriman|title=Renal oncocytoma revisited: a clinicopathological study of 109 cases with emphasis on problematic diagnostic features|journal=Histopathology|volume=57|issue=6|year=2010|pages=893–906|issn=03090167|doi=10.1111/j.1365-2559.2010.03726.x}}</ref><ref>{{Cite journal | ||
| author = [[B. Perez-Ordonez]], [[G. Hamed]], [[S. Campbell]], [[R. A. Erlandson]], [[P. Russo]], [[P. B. Gaudin]] & [[V. E. Reuter]] | | author = [[B. Perez-Ordonez]], [[G. Hamed]], [[S. Campbell]], [[R. A. Erlandson]], [[P. Russo]], [[P. B. Gaudin]] & [[V. E. Reuter]] | ||
| title = Renal oncocytoma: a clinicopathologic study of 70 cases | | title = Renal oncocytoma: a clinicopathologic study of 70 cases | ||
| Line 144: | Line 144: | ||
| pmid = 2714326 | | pmid = 2714326 | ||
}}</ref> | }}</ref> | ||
==Microscopic Pathology== | ==Microscopic Pathology== | ||
On microscopic histopathological analysis, [feature1], [feature2], and [feature3] are characteristic findings of [disease name]. | On microscopic histopathological analysis, [feature1], [feature2], and [feature3] are characteristic findings of [disease name]. | ||
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==Microscopic Pathology== | ==Microscopic Pathology== | ||
* An epithelial tumor composed of oncocytes, large [[eosinophilic]] cells having small, round, benign-appearing [[nuclei]] with large [[nucleoli]] and excessive amounts of [[mitochondria]].<ref name="pmid2028856">{{cite journal |vauthors=Palmer WE, Chew FS |title=Renal oncocytoma |journal=AJR Am J Roentgenol |volume=156 |issue=6 |pages=1144 |year=1991 |pmid=2028856 |doi=10.2214/ajr.156.6.2028856 |url=http://www.ajronline.org/doi/abs/10.2214/ajr.156.6.2028856}}</ref> | * An epithelial tumor composed of oncocytes, large [[eosinophilic]] cells having small, round, benign-appearing [[nuclei]] with large [[nucleoli]] and excessive amounts of [[mitochondria]].<ref name="pmid2028856">{{cite journal |vauthors=Palmer WE, Chew FS |title=Renal oncocytoma |journal=AJR Am J Roentgenol |volume=156 |issue=6 |pages=1144 |year=1991 |pmid=2028856 |doi=10.2214/ajr.156.6.2028856 |url=http://www.ajronline.org/doi/abs/10.2214/ajr.156.6.2028856}}</ref> | ||
Revision as of 15:44, 12 June 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2] Shanshan Cen, M.D. [3]
Overview
The exact pathogenesis of [disease name] is not fully understood.
OR
It is thought that [disease name] is the result of / is mediated by / is produced by / is caused by either [hypothesis 1], [hypothesis 2], or [hypothesis 3].
OR
[Pathogen name] is usually transmitted via the [transmission route] route to the human host.
OR
Following transmission/ingestion, the [pathogen] uses the [entry site] to invade the [cell name] cell.
OR
[Disease or malignancy name] arises from [cell name]s, which are [cell type] cells that are normally involved in [function of cells].
OR
The progression to [disease name] usually involves the [molecular pathway].
OR
The pathophysiology of [disease/malignancy] depends on the histological subtype.
Pathophysiology
Physiology
The normal physiology of [name of process] can be understood as follows:
Pathogenesis
- The exact pathogenesis of [disease name] is not completely understood.
OR
- It is understood that [disease name] is the result of / is mediated by / is produced by / is caused by either [hypothesis 1], [hypothesis 2], or [hypothesis 3].
- [Pathogen name] is usually transmitted via the [transmission route] route to the human host.
- Following transmission/ingestion, the [pathogen] uses the [entry site] to invade the [cell name] cell.
- [Disease or malignancy name] arises from [cell name]s, which are [cell type] cells that are normally involved in [function of cells].
- The progression to [disease name] usually involves the [molecular pathway].
- The pathophysiology of [disease/malignancy] depends on the histological subtype.
Genetics
DNA diploidy is seen in 96% of patients with renal oncocytomas.[1][2][3]
The development of renal oncocytoma is the result of multiple genetic mutations such as:[4][5][6][7][8][9]
- Deletion of chromosome 1
- Deletion of the sex chromosome
- Translocation of chromosome 11q13
- Sporadic or no chromosomal alteration
Associated Conditions
Conditions associated with renal oncocytoma include:[10][11]
- Familial renal oncocytoma
- Birt-Hogg-Dube syndrome
Note: Birt-Hogg-Dube syndrome is an autosomal dominant syndrome which is presented with different types of dermatologic diseases and renal epithelial tumors such as renal oncocytoma and RCCs.
Gross Pathology
On gross pathology, tan to brown surface color , well-encapsulated with a thick, well-defined, fibrous capsule, central scar, and homogeneous appearance without any hemorrhage or necrosis inside it in the tumor cut are characteristic findings of renal oncocytoma.[12][13][14][15][16][17]
Microscopic Pathology
On microscopic histopathological analysis, [feature1], [feature2], and [feature3] are characteristic findings of [disease name].
Overview
On gross pathology, tan or mahogany brown, well circumscribed tumor, and central scar are characteristic findings of renal oncocytoma. On microscopic histopathological analysis, oncocytes and large eosinophilic cells are characteristic findings of renal oncocytoma.[18]
Pathogenesis
- Renal oncocytoma is thought to arise from the intercalated cells of collecting ducts of the kidney.[19]
Gross Pathology
- The tumors are tan or mahogany brown, well circumscribed, and contain a central scar. They may achieve a large size (up to 12 cm in diameter).[19]
Microscopic Pathology
- An epithelial tumor composed of oncocytes, large eosinophilic cells having small, round, benign-appearing nuclei with large nucleoli and excessive amounts of mitochondria.[18]
References
- ↑ M. R. Licht, A. C. Novick, R. R. Tubbs, E. A. Klein, H. S. Levin & S. B. Streem (1993). "Renal oncocytoma: clinical and biological correlates". The Journal of urology. 150 (5 Pt 1): 1380–1383. PMID 8411404. Unknown parameter
|month=ignored (help) - ↑ J. Hartwick, R. Warren; El-Naggar, Adel K.; Ro, Jae Y.; Srigley, John R.; Mclemore, Donia D.; Jones, Edward C.; Grignon, David J.; Thomas, M. Jane; Ayala, Alberto G. (1992). "Renal Oncocytoma and Granular Renal Cell Carcinoma: A Comparative Clinicopathologic and DNA Flow Cytometric Study". American Journal of Clinical Pathology. 98 (6): 587–593. doi:10.1093/ajcp/98.6.587. ISSN 1943-7722.
- ↑ L. Fuzesi, B. Gunawan, S. Braun, F. Bergmann, A. Brauers, P. Effert & C. Mittermayer (1998). "Cytogenetic analysis of 11 renal oncocytomas: further evidence of structural rearrangements of 11q13 as a characteristic chromosomal anomaly". Cancer genetics and cytogenetics. 107 (1): 1–6. PMID 9809026. Unknown parameter
|month=ignored (help) - ↑ L. Fuzesi, B. Gunawan, S. Braun, F. Bergmann, A. Brauers, P. Effert & C. Mittermayer (1998). "Cytogenetic analysis of 11 renal oncocytomas: further evidence of structural rearrangements of 11q13 as a characteristic chromosomal anomaly". Cancer genetics and cytogenetics. 107 (1): 1–6. PMID 9809026. Unknown parameter
|month=ignored (help) - ↑ Presti, Joseph C.; Moch, Holger; Reuter, Victor E.; Huynh, Danh; Waldman, Frederic M. (1996). "Comparative genomic hybridization for genetic analysis of renal oncocytomas". Genes, Chromosomes and Cancer. 17 (4): 199–204. doi:10.1002/(SICI)1098-2264(199612)17:4<199::AID-GCC1>3.0.CO;2-Z. ISSN 1045-2257.
- ↑ van den Berg, E.; Dijkhuizen, T.; Störkel, S.; Brutel de la Rivière, G.; Dam, A.; Mensink, H.J.A.; Oosterhuis, J.W.; de Jong, B. (1995). "Chromosomal changes in renal oncocytomas Evidence that t(5;11)(q35;q13) may characterize a second subgroup of oncocytomas". Cancer Genetics and Cytogenetics. 79 (2): 164–168. doi:10.1016/0165-4608(94)00142-X. ISSN 0165-4608.
- ↑ Thrash-Bingham, Catherine A.; Salazar, Hernando; Greenberg, Richard E.; Tartof, Kenneth D. (1996). "Loss of heterozygosity studies indicate that chromosome arm 1p harbors a tumor suppressor gene for renal oncocytomas". Genes, Chromosomes and Cancer. 16 (1): 64–67. doi:10.1002/(SICI)1098-2264(199605)16:1<64::AID-GCC9>3.0.CO;2-1. ISSN 1045-2257.
- ↑ Dijkhuizen, T.; van den Berg, E.; Störkel, S.; de Vries, B.; van der Veen, A.Y.; Wilbrink, M.; Geurts van Kessel, A.; de Jong, B. (1997). "Renal oncocytoma with t(5;12;11), der(1)t(1;8) and add(19): "true" oncocytoma or chromophobe adenoma?". International Journal of Cancer. 73 (4): 521–524. doi:10.1002/(SICI)1097-0215(19971114)73:4<521::AID-IJC11>3.0.CO;2-C. ISSN 0020-7136.
- ↑ R. J. Sinke, T. Dijkhuizen, B. Janssen, D. Olde Weghuis, G. Merkx, E. van den Berg, E. Schuuring, A. M. Meloni, B. de Jong & A. Geurts van Kessel (1997). "Fine mapping of the human renal oncocytoma-associated translocation (5;11)(q35;q13) breakpoint". Cancer genetics and cytogenetics. 96 (2): 95–101. PMID 9216713. Unknown parameter
|month=ignored (help) - ↑ G. Weirich, G. Glenn, K. Junker, M. Merino, S. Storkel, I. Lubensky, P. Choyke, S. Pack, M. Amin, M. M. Walther, W. M. Linehan & B. Zbar (1998). "Familial renal oncocytoma: clinicopathological study of 5 families". The Journal of urology. 160 (2): 335–340. PMID 9679872. Unknown parameter
|month=ignored (help) - ↑ J. R. Toro, G. Glenn, P. Duray, T. Darling, G. Weirich, B. Zbar, M. Linehan & M. L. Turner (1999). "Birt-Hogg-Dube syndrome: a novel marker of kidney neoplasia". Archives of dermatology. 135 (10): 1195–1202. PMID 10522666. Unknown parameter
|month=ignored (help) - ↑ Moch, Holger; Cubilla, Antonio L.; Humphrey, Peter A.; Reuter, Victor E.; Ulbright, Thomas M. (2016). "The 2016 WHO Classification of Tumours of the Urinary System and Male Genital Organs—Part A: Renal, Penile, and Testicular Tumours". European Urology. 70 (1): 93–105. doi:10.1016/j.eururo.2016.02.029. ISSN 0302-2838.
- ↑ Amin, Mahul B.; Crotty, Thomas B.; Tickoo, Satish K.; Farrow, George M. (1997). "Renal Oncocytoma: A Reappraisal of Morphologic Features with Clinicopathologic Findings in 80 Cases". The American Journal of Surgical Pathology. 21 (1): 1–12. doi:10.1097/00000478-199701000-00001. ISSN 0147-5185.
- ↑ Perez-Ordonez, Bayardo; Hamed, Ghiath; Campbell, Steve; Erlandson, Robert; Russo, Paul; Gaudin, Paul; Reuter, Victor (1997). American Journal of Surgical Pathology. 21 (8): 871–883. doi:10.1097/00000478-199708000-00001. ISSN 0147-5185. Missing or empty
|title=(help) - ↑ Trpkov, Kiril; Yilmaz, Asli; Uzer, Dina; Dishongh, Kristin M; Quick, Charles M; Bismar, Tarek A; Gokden, Neriman (2010). "Renal oncocytoma revisited: a clinicopathological study of 109 cases with emphasis on problematic diagnostic features". Histopathology. 57 (6): 893–906. doi:10.1111/j.1365-2559.2010.03726.x. ISSN 0309-0167.
- ↑ B. Perez-Ordonez, G. Hamed, S. Campbell, R. A. Erlandson, P. Russo, P. B. Gaudin & V. E. Reuter (1997). "Renal oncocytoma: a clinicopathologic study of 70 cases". The American journal of surgical pathology. 21 (8): 871–883. PMID 9255250. Unknown parameter
|month=ignored (help) - ↑ F. Bertoni, C. Ferri, P. Bacchini, G. Corrado, A. Benati, D. Mannini & F. Corrado (1989). "Oncocytoma and low-grade oncocytic carcinoma of the kidney". European urology. 16 (2): 101–109. PMID 2714326.
- ↑ 18.0 18.1 Palmer WE, Chew FS (1991). "Renal oncocytoma". AJR Am J Roentgenol. 156 (6): 1144. doi:10.2214/ajr.156.6.2028856. PMID 2028856.
- ↑ 19.0 19.1 Velasquez G, Glass TA, D'Souza VJ, Formanek AG (1984). "Multiple oncocytomas and renal carcinoma". AJR Am J Roentgenol. 142 (1): 123–4. doi:10.2214/ajr.142.1.123. PMID 6606945.