Mucinous Tubular and Spindle Cell Carcinoma of Kidney Occurring in a Patient with Pulmonary Adenocarcinoma

Park, Seog-Yun;Kang, Gyeong-Hoon;Ro, Jae Y.;Black, Jennifer;Chung, Jin-Soo;Lee, Kang-Hyun;Hong, Eun-Kyung;Park, Weon-Seo

  • Published : 2008.03.01

Abstract

Mucinous tubular and spindle cell carcinoma (MTSCC) is a rare type of kidney tumor that has only been recently described. Furthermore, a case of MTSCC associated with a simultaneous lung cancer in the same patient has never been reported in the literature. In this paper, we describe a kidney tumor that was detected during staging work-up in a 72-year-old lung cancer patient. The kidney tumor was removed and shown to exhibit histological and immunophenotypic features of MTSCC, completely distinct from the pulmonary adenocarcinoma. In addition, this case was unique because it was characterized by neuroendocrine differentiation as well as p53 and Ki-67 overexpression in tumor cells. Therefore, we report a case of MTSCC diagnosed in a patient with pulmonary adenocarcinoma and describe the detailed histologic and immunohistochemical features of MTSCC.

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References

  1. Eble JN, Sauter G, Epstein JI, Sesterhenn, ed. World Health Organization classification of tumors. Pathology and Genetics of Tumors of the Urinary System and Male Genital Organs. Lyon: International Agency for Research on Cancer (IARC) Press; 2004
  2. Aubert S, Duchene F, Augusto D, et al. Low-grade tubular myxoid renal tumors: a clinicopathological study of 3 cases. Int J Surg Pathol 2004; 12: 179-83 https://doi.org/10.1177/106689690401200216
  3. Hes O, Hora M, Perez-Montiel DM, et al. Spindle cell and cuboidal renal cell carcinoma (loopoma). 10 case reports. Cas Lek Cesk 2004; 143: 169-73
  4. Parwani AV, Husain AN, Epstein JI, Beckwith JB, Argani P. Lowgrade myxoid renal epithelial neoplasms with distal nephron differentiation. Hum Pathol 2001; 32: 506-12 https://doi.org/10.1053/hupa.2001.24320
  5. Paner GP, Srigley JR, Radhakrishnan A, et al. Immunohistochemical analysis of mucinous tubular and spindle cell carcinoma and papillary renal cell carcinoma of the kidney: significant immunophenotypic overlap warrants diagnostic caution. Am J Surg Pathol 2006; 30: 13-9 https://doi.org/10.1097/01.pas.0000180443.94645.50
  6. Sun W, McGregor DK, Ordonez NG, Ayala AG, Caraway NP. Fine needle aspiration cytology of a low grade myxoid renal epithelial neoplasm: a case report. Acta Cytol 2005; 49: 525-9 https://doi.org/10.1159/000326199
  7. Shen SS, Ro JY, Tamboli P, et al. Mucinous tubular and spindle cell carcinoma of kidney is probably a variant of papillary renal cell carcinoma with spindle cell features. Ann Diagn Pathol 2007; 11: 13-21 https://doi.org/10.1016/j.anndiagpath.2006.09.005
  8. Jung SJ, Yoon HK, Chung JI, Ayala AG, Ro JY. Mucinous tubular and spindle cell carcinoma of the kidney with neuroendocrine differentiation: report of two cases. Am J Clin Pathol 2006; 125: 99-104 https://doi.org/10.1309/B9GUVP5Y8P3YQPEE
  9. Ferlicot S, Allory Y, Comperat E, et al. Mucinous tubular and spindle cell carcinoma: a report of 15 cases and a review of the literature. Virchows Arch 2005; 447: 978-83 https://doi.org/10.1007/s00428-005-0036-x
  10. Blandamura S, Giacomelli L, Leo G, Segato P, Ninfo V. Nuclear maspin detection in renal cell tumours: possible diagnostic role and correlation with p53 status. Histopathology 2006; 49: 274-82 https://doi.org/10.1111/j.1365-2559.2006.02504.x
  11. Pinto AE, Monteiro P, Silva G, Ayres JV, Soares J. Prognostic biomarkers in renal cell carcinoma: relevance of DNA ploidy in predicting disease-related survival. Int J Biol Markers 2005; 20: 249-56 https://doi.org/10.1177/172460080502000408
  12. Brandal P, Lie AK, Bassarova A, et al. Genomic aberrations in mucinous tubular and spindle cell renal cell carcinomas. Mod Pathol 2006; 19: 186-94
  13. Onishi T OY, Suzuki H, Asano K, et al. Study on the clinical characteristics of double cancers associated with renal cell carcinoma. Nippon Hinyokika Gakkai Zasshi 1998; 89: 808-15 https://doi.org/10.5980/jpnjurol1989.89.808