Mary Lilly S Professor & HOD, Department of Pathology, Sree Balaji Medical College, Chennai 600044, Tamil Nadu, India
Azeem l Department of Pathology, Sree Balaji Medical College, Chennai 600044, Tamil Nadu, India
Kaushika null Department of Pathology, Sree Balaji Medical College, Chennai 600044, Tamil Nadu, India
Tanusha Ethamakula Department of Pathology, Sree Balaji Medical College, Chennai 600044, Tamil Nadu, India
Address for correspondence: Mary Lilly S, Professor & HOD, Department of Pathology, Sree Balaji Medical College, Chennai 600044, Tamil Nadu, India E-mail: marylillypath@gmail.com
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator
Azeem I, Lilly SM, Kaushika, et al. A rare and unusual renal tumour: a case report. Indian J Forensic Med Pathol. 2022;15(3):191-195.
Timeline
Received : June 07, 2022
Accepted : September 20, 2022
Published : September 30, 2022
Abstract
Introduction: Multilocular cystic renal cell neoplasm of low malignant potential is a rare histologically identified form of clear cell renal cell carcinoma included in 2016 Renal tumour classification of WHO. It is a low risk neoplasm with clear cells that have less expansile proliferation than other clear cell variants of renal cell carcinoma with no recurrence and metastasis with few exceptional cases. The incidence of multilocular cystic renal cell carcinoma is estimated to be 1-2 percent.6,12 Although the WHO classification of multilocular cystic renal cell carcinoma with low malignant potential was reported in 2004. The WHO 2016 categorization of renal cell tumour has been assessed as a special entity with no documented cases of metastasizing and recurrent tumour development. We present a rare clinical case of multilocular cystic renal cell neoplasm with low malignant potential, which should not be mistaken with other differential diagnoses such as cystic necrosis in conventional renal cell carcinoma, tubulo cystic renal cell carcinoma, multilocular cystic nephroma, clear cell variant of renal cell carcinoma and other benign multilocular renal tumors.
References
1. Tretiakova M, Mehta V, Kocherginsky M, Minor A, Shen SS, Sirintrapun SJ, Yao JL, Alvarado-Cabrero I, Antic T, Eggener SE, Picken MM, Paner GP. Predominantly cystic clear cell renal cell carcinoma and multilocular cystic renal neoplasm of low malignant potential form a low-grade spectrum. Virchows Arch. 2018 Jul;473(1):85- 93. doi: 10.1007/s00428-018-2371-8. Epub 2018 May 17. PMID: 29770853.
2. Li T, Chen J, Jiang Y, Ning X, Peng S, Wang J, He Q, Yang X, Gong K. Multilocular Cystic Renal Cell Neoplasm of Low Malignant Potential: A Series of 76 Cases. Clin Genitourin Cancer 2016;14:e553-e557.
3. González-Serrano, Adolfo, CortezBetancourt, Roberto, Alías-Melgar, Alejandro, Botello-Gómez, Pedro Jair, Ramírez-Garduño, Emilio, Trujillo-Vázquez, Eric Iván, TorresSantos, Yosimart, Mata-Martínez, José Antonio, Carreño- de la Rosa, Fernando. Multilocular Cystic Renal Cell Carcinoma or Cystic Nephroma?. (2016) Case Reports in Urology. doi:https:/a/doi.org/10.1155/2016/ 5304324.
4. Moch H, Humphrey PA, Ulbright TM, Reuter VE. WHO Classification of Tumours of the Urinary System and Male Genital Organ. Lyon, France: International Agency for Research on Cancer (IARC) Press, 2016.
5. Zhang W, Li Y, Lu Q, Zhuang J, Wang Q, Zhao H, Yu W, Kang E, Feng Z. [Clinicopathologic features and differential diagnosis of multilocular cystic renal cell carcinoma]. Zhonghua Bing Li Xue Za Zhi. 2014 Nov;43(11):723-7. Chinese. PMID: 25582248.
6. Chowdhury AR, Chakraborty D, Bhattacharya P, Dey RK. Multilocular cystic renal cell carcinoma a diagnostic dilemma: A case report in a 30-year-old woman. Urol Ann 2013;5:119-121.
7. Williamson SR, Halat S, Eble JN, Grignon DJ, Lopez-Beltran A, Montironi R, Tan PH, Wang M, Zhang S, Maclennan GT, Baldridge LA, Cheng L. Multilocular cystic renal cell carcinoma: similarities and differences in immunoprofile compared with clear cell renal cell carcinoma. Am J SurgPathol. 2012 Oct;36(10):1425-33. doi: 10.1097/ PAS.0b013e31825b37f0. PMID: 22982885.
8. von Teichman A, Compérat E, Behnke S, Storz M, Moch H, Schraml P. VHL mutations and dysregulation of pVHL- and PTENcontrolled pathways in multilocular cystic renal cell carcinoma. Mod Pathol2011;24:571–578.
9. Halat S, Eble JN, Grignon DJ, Lopez-Beltran A, Montironi R, Tan PH, et al. Multilocular cystic renal cell carcinoma is a subtype of clear cell renal cell carcinoma. Mod Pathol2010; 23:931–936.
10. Suzigan S et al. Multilocular cystic renal cell carcinoma: a report of 45 cases of low malignant potential renal tumors. Am J Clin Pathol 2006; 125: 217–222 [Crossref] [Medline] [Google Scholar].
11. Eble JN, Sauter G, Epstein JI, Sesterhnn IA. World Health Organization classification of tumours: pathology and genetics of tumours of the urinary system and male genital organs. IARC Press, Lyon, France, 2004. [Google Scholar].
12. Bloom TL, Gray Sears CL, Williams TR, Linfesty RL, Amling CL. Multilocular cystic renal cell carcinoma with osseous metaplasia in a 25-year-old woman. Urology 2003;61:462.
13. Nassir A, Jollimore J, Gupta R, Bell D, Norman R. Multilocular cystic renal cell carcinoma: a series of 12 cases Review of cases andliterature . Urology 2002; 60: 421–427 [Crossref] [Medline] [Google Scholar].
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator