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1. Fiorini F: [A 'pretty' surprise...]. G Ital Nefrol; 2005 Jul-Aug;22(4):372-5
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  • This is a clinical history of hypertensive chronic renal failure patients who first presented at our hypertension ambulatory for control.
  • The possibility of performing routine echography permitted the precocious diagnosis of bilateral kidney neoplasm and urothelial cancer.
  • [MeSH-major] Hypertension, Renal / etiology. Kidney Neoplasms / complications. Kidney Neoplasms / ultrasonography. Ultrasonography, Doppler
  • [MeSH-minor] Adenoma, Oxyphilic / ultrasonography. Aged. Carcinoma / ultrasonography. Diagnosis, Differential. Humans. Male. Treatment Outcome. Ultrasonography, Doppler, Color. Urologic Neoplasms / ultrasonography

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  • (PMID = 16267798.001).
  • [ISSN] 0393-5590
  • [Journal-full-title] Giornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia
  • [ISO-abbreviation] G Ital Nefrol
  • [Language] ita
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Italy
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2. Burger M, Denzinger S, Filbeck T, Hartmann A, Rössler W, Hammerschmied C: A metachronous, atypical, multifocal renal oncocytoma with a concomitant renal cell carcinoma of the contralateral side and bilateral multifocal oncocytomas: two case reports and review of literature. ScientificWorldJournal; 2005 Jul 20;5:545-9
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  • [Title] A metachronous, atypical, multifocal renal oncocytoma with a concomitant renal cell carcinoma of the contralateral side and bilateral multifocal oncocytomas: two case reports and review of literature.
  • We present one case of a metachronous, atypical, multifocal renal oncocytoma with a concomitant chromophobe renal cell carcinoma (RCC) of the contralateral side and one case of bilateral and multifocal oncocytomas.
  • Oncocytomas are benign renal tumours that rarely appear bilateral or multifocal or with coexisting RCC.
  • The first case was a 63 years old patient presenting with a history of nephrectomy for a pT1 G1 pN0 R0 papillary RCC 4 years prior to presentation, showed two tumours of a singular kidney.
  • The second case was a 62 years old patient presenting with multifocal and bilateral renal tumours of undeclared dignity upon imaging.
  • [MeSH-major] Adenoma, Oxyphilic / pathology. Carcinoma, Renal Cell / pathology. Kidney Neoplasms / pathology. Neoplasms, Second Primary / pathology
  • [MeSH-minor] Chromosome Deletion. Chromosomes, Human, Pair 1 / ultrastructure. Chromosomes, Human, Pair 10 / ultrastructure. DNA, Neoplasm / genetics. Diagnosis, Differential. Follow-Up Studies. Humans. Incidental Findings. Middle Aged. Nephrectomy / methods. Nucleic Acid Hybridization. Remission Induction

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  • (PMID = 16075151.001).
  • [ISSN] 1537-744X
  • [Journal-full-title] TheScientificWorldJournal
  • [ISO-abbreviation] ScientificWorldJournal
  • [Language] eng
  • [Publication-type] Case Reports; Comparative Study; Journal Article; Review
  • [Publication-country] England
  • [Chemical-registry-number] 0 / DNA, Neoplasm
  • [Number-of-references] 12
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3. de la Cruz Burgos R, Martel Villagrán J: [Renal oncocytoma. Fundamental radiologic manifestations and enhancement patterns in tri-phase helical CT]. Radiologia; 2007 Mar-Apr;49(2):109-14
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  • [Title] [Renal oncocytoma. Fundamental radiologic manifestations and enhancement patterns in tri-phase helical CT].
  • [Transliterated title] Oncocitoma renal. Manifestaciones radiológicas fundamentales y patrones de captación en tomografía computarizada helicoidal trifásica.
  • OBJECTIVE: Oncocytoma is a relatively uncommon benign kidney tumor.
  • To date, it has been impossible to differentiate this tumor from renal cell carcinoma radiologically, although few articles report on the use of tri-phase CT in this tumor.
  • We describe the triphasic CT findings in these tumors and evaluate whether some characteristics, although not sufficient to ensure the diagnosis, can suggest the possibility of oncocytoma.
  • The diagnosis was made after histological examination of surgical specimens in all cases.
  • CONCLUSIONS: Although oncocytoma cannot be differentiated from renal cell carcinoma with certainty, the possibility of oncocytoma should be suggested in the case of small tumors with a central scar, without necrosis or infiltration, and an enhancement pattern as described here.
  • [MeSH-major] Adenoma, Oxyphilic / radiography. Kidney Neoplasms / radiography. Tomography, Spiral Computed

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  • (PMID = 17403340.001).
  • [ISSN] 0033-8338
  • [Journal-full-title] Radiología
  • [ISO-abbreviation] Radiologia
  • [Language] spa
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] Spain
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4. Tan MH, Wong CF, Tan HL, Yang XJ, Ditlev J, Matsuda D, Khoo SK, Sugimura J, Fujioka T, Furge KA, Kort E, Giraud S, Ferlicot S, Vielh P, Amsellem-Ouazana D, Debré B, Flam T, Thiounn N, Zerbib M, Benoît G, Droupy S, Molinié V, Vieillefond A, Tan PH, Richard S, Teh BT: Genomic expression and single-nucleotide polymorphism profiling discriminates chromophobe renal cell carcinoma and oncocytoma. BMC Cancer; 2010;10:196
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  • [Title] Genomic expression and single-nucleotide polymorphism profiling discriminates chromophobe renal cell carcinoma and oncocytoma.
  • BACKGROUND: Chromophobe renal cell carcinoma (chRCC) and renal oncocytoma are two distinct but closely related entities with strong morphologic and genetic similarities.
  • While chRCC is a malignant tumor, oncocytoma is usually regarded as a benign entity.
  • The overlapping characteristics are best explained by a common cellular origin, and the biologic differences between chRCC and oncocytoma are therefore of considerable interest in terms of carcinogenesis, diagnosis and clinical management.
  • A cytogenetic alteration, loss of chromosome 1p, common to renal oncocytoma and chRCC has been identified, providing the opportunities for identifying novel tumor suppressor genes and we have identified a series of immunohistochemical markers that are clinically useful in discriminating chRCC and oncocytoma.
  • [MeSH-major] Adenoma, Oxyphilic / genetics. Biomarkers, Tumor / genetics. Carcinoma, Renal Cell / genetics. Chromosomes, Human, Pair 1. Gene Expression Profiling. Gene Expression Regulation, Neoplastic. Genetic Testing / methods. Kidney Neoplasms / genetics. Polymorphism, Single Nucleotide
  • [MeSH-minor] Aquaporin 6 / analysis. Cytogenetic Analysis. Diagnosis, Differential. Gene Dosage. Gene Regulatory Networks. Humans. Immunohistochemistry. Membrane Proteins / analysis. Nerve Tissue Proteins / analysis. Odds Ratio. Oligonucleotide Array Sequence Analysis. Predictive Value of Tests. Reproducibility of Results. Synaptogyrins. Tumor Suppressor Proteins / analysis


5. Dhalluin-Venier V, Fabre M, Jacquemin E, Rangheard AS, Pelletier G, Buffet C: Liver cell adenomas and portosystemic shunt. Gastroenterol Clin Biol; 2008 Feb;32(2):164-6
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  • [Title] Liver cell adenomas and portosystemic shunt.
  • We report the case of a young man who developed multiple liver cell adenomas 13 years after a mesentericocaval shunt.
  • Radiological findings did not provide diagnosis.
  • Histological findings of two biopsied nodules were compatible with liver cell adenoma.
  • Our patient had no known risk factors for liver cell adenomas.
  • We discuss the hypothesis that disturbed hepatic vascularisation could promote the development of liver cell adenomas.
  • [MeSH-major] Adenoma, Liver Cell / diagnosis. Liver Neoplasms / diagnosis. Portasystemic Shunt, Surgical
  • [MeSH-minor] Adult. Biopsy, Needle. Caroli Disease / diagnosis. Follow-Up Studies. Humans. Liver Cirrhosis / congenital. Male. Polycystic Kidney, Autosomal Recessive / diagnosis. Ultrasonography, Interventional

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  • (PMID = 18496891.001).
  • [ISSN] 0399-8320
  • [Journal-full-title] Gastroentérologie clinique et biologique
  • [ISO-abbreviation] Gastroenterol. Clin. Biol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] France
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6. Brunelli M, Gobbo S, Cossu-Rocca P, Cheng L, Ficarra V, Novara G, Menestrina F, Chilosi M, Martignoni G: Fluorescent cytogenetics of renal cell neoplasms. Pathologica; 2008 Dec;100(6):454-60
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  • [Title] Fluorescent cytogenetics of renal cell neoplasms.
  • Renal cell neoplasms are a heterogeneous group of tumours in terms of pathological features and prognostic behaviour.
  • The genetics of these tumours may aid in correct diagnosis and accurate assessment of prognosis.
  • In ambiguous cases it may be necessary to utilise new markers that are capable of further discerning renal cell neoplasms.
  • The addition of FISH to histological evaluation improves the diagnostic accuracy of core biopsies from renal masses, which may have an important impact in clinical management of many cases due to newer therapeutic approaches, including cryo- or radiofrequency ablation, nephron-sparing surgeries and target therapies.
  • [MeSH-major] Carcinoma, Renal Cell / pathology. In Situ Hybridization, Fluorescence. Kidney Neoplasms / pathology
  • [MeSH-minor] Adenocarcinoma, Mucinous / diagnosis. Adenocarcinoma, Mucinous / genetics. Adenocarcinoma, Mucinous / pathology. Adenoma / diagnosis. Adenoma / genetics. Adenoma / pathology. Adenoma, Oxyphilic / diagnosis. Adenoma, Oxyphilic / genetics. Adenoma, Oxyphilic / pathology. Adult. Aneuploidy. Carcinoma, Papillary / diagnosis. Carcinoma, Papillary / genetics. Carcinoma, Papillary / pathology. Child. Chromosome Aberrations. Chromosomes, Human / ultrastructure. Chromosomes, Human, X / ultrastructure. Humans. Kidney Failure, Chronic / complications. Translocation, Genetic

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  • (PMID = 19475886.001).
  • [ISSN] 0031-2983
  • [Journal-full-title] Pathologica
  • [ISO-abbreviation] Pathologica
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] Italy
  • [Number-of-references] 54
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7. Liniger B, Wolf RW, Fleischmann A, Kluwe W: Local resection of metanephric adenoma with kidney preservation. J Pediatr Surg; 2009 Aug;44(8):E21-3
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  • [Title] Local resection of metanephric adenoma with kidney preservation.
  • Metanephric adenoma (MA) is a rare renal neoplasm present at any age.
  • Today, 2 1/2 years after surgery, we can document a favorable clinical course and normal ultrasound findings in the follow-up of the operated kidney.
  • [MeSH-major] Adenoma / surgery. Kidney Neoplasms / surgery. Nephrectomy / methods

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  • (PMID = 19635287.001).
  • [ISSN] 1531-5037
  • [Journal-full-title] Journal of pediatric surgery
  • [ISO-abbreviation] J. Pediatr. Surg.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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8. Yukinawa N, Oba S, Kato K, Taniguchi K, Iwao-Koizumi K, Tamaki Y, Noguchi S, Ishii S: A multi-class predictor based on a probabilistic model: application to gene expression profiling-based diagnosis of thyroid tumors. BMC Genomics; 2006;7:190
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  • [Title] A multi-class predictor based on a probabilistic model: application to gene expression profiling-based diagnosis of thyroid tumors.
  • BACKGROUND: Although microscopic diagnosis has been playing the decisive role in cancer diagnostics, there have been cases in which it does not satisfy the clinical need.
  • Differential diagnosis of malignant and benign thyroid tissues is one such case, and supplementary diagnosis such as that by gene expression profile is expected.
  • RESULTS: With four thyroid tissue types, i.e., papillary carcinoma, follicular carcinoma, follicular adenoma, and normal thyroid, we performed gene expression profiling with adaptor-tagged competitive PCR, a high-throughput RT-PCR technique.
  • For differential diagnosis, we applied a novel multi-class predictor, introducing probabilistic outputs.
  • CONCLUSION: Molecular diagnosis of thyroid tissues is feasible by gene expression profiling, and the current level is promising towards the automatic diagnostic tool to complement the present medical procedures.
  • [MeSH-major] Bayes Theorem. Gene Expression Profiling. Models, Statistical. Thyroid Neoplasms / diagnosis
  • [MeSH-minor] Algorithms. Breast Neoplasms / genetics. Databases, Genetic. Esophageal Neoplasms / genetics. Female. Humans. Kidney Neoplasms / genetics. Leukemia / genetics. Male. Mesothelioma / genetics. Prostatic Neoplasms / genetics. Thyroid Gland / anatomy & histology

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  • (PMID = 16872506.001).
  • [ISSN] 1471-2164
  • [Journal-full-title] BMC genomics
  • [ISO-abbreviation] BMC Genomics
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Validation Studies
  • [Publication-country] England
  • [Other-IDs] NLM/ PMC1550728
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9. Matsuda K, Kousaka Y, Nagamine N, Tsunoda N, Taniyama H: Papillary renal adenoma of distal nephron differentiation in a horse. J Vet Med Sci; 2007 Jul;69(7):763-5
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  • [Title] Papillary renal adenoma of distal nephron differentiation in a horse.
  • A 20-year-old thoroughbred mare had a mass in the right kidney.
  • From these results, this case was diagnosed as papillary renal adenoma of distal nephron differentiation.

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  • (PMID = 17675811.001).
  • [ISSN] 0916-7250
  • [Journal-full-title] The Journal of veterinary medical science
  • [ISO-abbreviation] J. Vet. Med. Sci.
  • [Language] ENG
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Japan
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10. Hes O, Vanecek T, Perez-Montiel DM, Alvarado Cabrero I, Hora M, Suster S, Lamovec J, Curik R, Mandys V, Michal M: Chromophobe renal cell carcinoma with microcystic and adenomatous arrangement and pigmentation--a diagnostic pitfall. Morphological, immunohistochemical, ultrastructural and molecular genetic report of 20 cases. Virchows Arch; 2005 Apr;446(4):383-93
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  • [Title] Chromophobe renal cell carcinoma with microcystic and adenomatous arrangement and pigmentation--a diagnostic pitfall. Morphological, immunohistochemical, ultrastructural and molecular genetic report of 20 cases.
  • We present clinical, morphological, immunohistochemical, ultrastructural and molecular genetic features of 20 cases of a peculiar form of chromophobe renal cell carcinoma (CRCC) with morphology differing from that of conventional CRCC.
  • The important feature of pigmented microcystic chromophobe renal cell carcinoma is a relatively benign biological behavior and the absence of distant metastases and sarcomatoid transformation.
  • [MeSH-major] Adenoma, Oxyphilic / pathology. Carcinoma, Renal Cell / pathology. Kidney Neoplasms / pathology. Oxyphil Cells / ultrastructure
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. Cytoplasm / ultrastructure. DNA Mutational Analysis. Diagnosis, Differential. Female. Follow-Up Studies. Humans. Immunoenzyme Techniques. In Situ Hybridization, Fluorescence. Male. Middle Aged. Pigments, Biological

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  • (PMID = 15756595.001).
  • [ISSN] 0945-6317
  • [Journal-full-title] Virchows Archiv : an international journal of pathology
  • [ISO-abbreviation] Virchows Arch.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Pigments, Biological
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11. Pusiol T, Franceschetti I, Scialpi M, Piscioli I, Tardio ML: Electron microscopy: the gold standard in the differential diagnosis of chromophobe renal cell carcinoma and oncocytoma. Anal Quant Cytol Histol; 2010 Feb;32(1):58-60
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  • [Title] Electron microscopy: the gold standard in the differential diagnosis of chromophobe renal cell carcinoma and oncocytoma.


12. Zhang J, Kang SK, Wang L, Touijer A, Hricak H: Distribution of renal tumor growth rates determined by using serial volumetric CT measurements. Radiology; 2009 Jan;250(1):137-44
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  • [Title] Distribution of renal tumor growth rates determined by using serial volumetric CT measurements.
  • PURPOSE: To retrospectively determine the distribution of growth rates across different sizes and subtypes of renal cortical tumors by assessing tumor volume and maximum tumor diameter at serial volumetric computed tomographic (CT) examinations.
  • RESULTS: Thirty-two clear cell carcinomas, 10 papillary carcinomas, six chromophobe carcinomas, four oncocytomas, and one angiomyolipoma were analyzed.
  • Faster-growing tumors were more likely to be clear cell carcinomas, those of higher grade had higher growth rates.
  • Small renal tumors (<or=3.5 cm) were similar to larger tumors in subtype and growth rate.
  • Age at diagnosis correlated negatively with renal tumor growth rate (P = .03).
  • CONCLUSION: Growth rates in renal tumors of different sizes, subtypes, and grades represent a wide range and overlap substantially.
  • Small renal tumors appear to be similar to larger ones in nature.
  • [MeSH-major] Cone-Beam Computed Tomography / methods. Kidney Cortex / radiography. Kidney Neoplasms / radiography
  • [MeSH-minor] Adenoma, Oxyphilic / pathology. Adenoma, Oxyphilic / radiography. Adenoma, Oxyphilic / surgery. Adult. Aged. Aged, 80 and over. Angiomyolipoma / pathology. Angiomyolipoma / radiography. Angiomyolipoma / surgery. Carcinoma, Papillary / pathology. Carcinoma, Papillary / radiography. Carcinoma, Papillary / surgery. Carcinoma, Renal Cell / pathology. Carcinoma, Renal Cell / radiography. Carcinoma, Renal Cell / surgery. Disease Progression. Female. Humans. Male. Mathematical Computing. Middle Aged. Neoplasm Staging. Prognosis. Retrospective Studies. Tumor Burden

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  • [Copyright] (c) RSNA, 2009.
  • [CommentIn] Radiology. 2013 Dec;269(3):949-50 [24261507.001]
  • [CommentIn] Radiology. 2009 Jul;252(1):314; author reply 314-5 [19561267.001]
  • [ErratumIn] Radiology. 2013 Dec;269(3):950
  • [ErratumIn] Radiology. 2009 Jul;252(1):318
  • (PMID = 19092093.001).
  • [ISSN] 1527-1315
  • [Journal-full-title] Radiology
  • [ISO-abbreviation] Radiology
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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13. Fan YH, Chang YH, Huang WJ, Chung HJ, Chen KK: Renal oncocytoma: clinical experience of Taipei Veterans General Hospital. J Chin Med Assoc; 2008 May;71(5):254-8
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  • [Title] Renal oncocytoma: clinical experience of Taipei Veterans General Hospital.
  • BACKGROUND: Renal oncocytoma has been reported mostly in the Western literature, and only a few cases have been reported in Eastern populations.
  • In the present study, we review the clinical course of renal oncocytoma in our institution.
  • METHODS: We obtained the files of 13 cases of renal oncocytoma between 1988 and 2006 from the pathological archives of Taipei Veterans General Hospital.
  • RESULTS: The study population comprised 10 men and 3 women, and the mean age at diagnosis was 59.6 years (range, 37-75 years).
  • Twelve patients (92%) were asymptomatic at presentation and were incidentally diagnosed to have renal tumor by sonography (9 patients), computed tomography (1 patient) or magnetic resonance imaging (2 patients), and 1 presented with hematuria.
  • The clinical impression of oncocytoma was made preoperatively in only 3 patients by imaging studies, and most of the patients (76.9%) were diagnosed with renal cell carcinoma before surgery.
  • All patients had unilateral solitary renal tumor; the right kidney was involved in 7 cases (54%) and the left in 6 (46%).
  • CONCLUSION: Renal oncocytoma has a benign clinical course with excellent long-term outcomes.
  • However, accurate preoperative diagnosis based only on imaging studies is difficult, and radical nephrectomy was performed for most of the patients in our series.
  • [MeSH-major] Adenoma, Oxyphilic / diagnosis. Kidney Neoplasms / diagnosis
  • [MeSH-minor] Adult. Aged. Carcinoma, Renal Cell / diagnosis. Female. Humans. Male. Middle Aged. Nephrectomy. Positron-Emission Tomography. Retrospective Studies

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  • (PMID = 18490230.001).
  • [ISSN] 1726-4901
  • [Journal-full-title] Journal of the Chinese Medical Association : JCMA
  • [ISO-abbreviation] J Chin Med Assoc
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] China (Republic : 1949- )
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14. Mazal PR, Exner M, Haitel A, Krieger S, Thomson RB, Aronson PS, Susani M: Expression of kidney-specific cadherin distinguishes chromophobe renal cell carcinoma from renal oncocytoma. Hum Pathol; 2005 Jan;36(1):22-8
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  • [Title] Expression of kidney-specific cadherin distinguishes chromophobe renal cell carcinoma from renal oncocytoma.
  • Distinguishing renal oncocytoma from chromophobe and other renal carcinomas is essential, considering their differing biological potentials.
  • Although renal oncocytoma is considered a benign tumor, chromophobe renal cell carcinoma has potentially malignant biological behavior.
  • We report a novel immunohistochemical approach based on the expression of a recently described kidney-specific cadherin (Ksp-cadherin) for the differential diagnosis of these 2 tumors.
  • We compared Ksp-cadherin expression in 212 renal tumors, including 102 clear cell renal carcinomas, 46 papillary renal cell carcinomas, 30 chromophobe carcinomas, 3 collecting duct carcinomas, and 31 oncocytomas.
  • We found that chromophobe renal cell carcinomas consistently (96.7% of cases) demonstrated a distinctive membrane pattern of Ksp-cadherin expression, whereas renal oncocytomas (3.2%), clear cell renal cell carcinomas (0%), papillary renal cell carcinomas (2.2%), and collecting duct carcinomas (0%) usually did not express Ksp-cadherin.
  • Whereas CK7 was detected in different types of renal cell carcinomas, Ksp-cadherin was expressed almost exclusively in chromophobe renal cell carcinomas.
  • Immunohistochemical analysis of Ksp-cadherin offers a fast, reliable approach for the distinguishing between renal oncocytoma and chromophobe renal cell carcinoma that is applicable for routine pathology laboratory studies without the need for time-consuming and costly ancillary studies.
  • [MeSH-major] Adenocarcinoma / metabolism. Adenocarcinoma, Papillary / metabolism. Adenoma, Oxyphilic / metabolism. Biomarkers, Tumor / analysis. Cadherins / biosynthesis. Kidney Neoplasms / metabolism
  • [MeSH-minor] Adenocarcinoma, Clear Cell / metabolism. Adenocarcinoma, Clear Cell / pathology. Adolescent. Adult. Aged. Aged, 80 and over. Blotting, Western. Carcinoma, Renal Cell / metabolism. Carcinoma, Renal Cell / pathology. Diagnosis, Differential. Humans. Immunohistochemistry. Middle Aged


15. Wong KK, Harris JR: Parathyroid adenoma presenting as paraneoplastic syndrome secondary to renal cell carcinoma. J Otolaryngol; 2005 Aug;34(4):280-1
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  • [Title] Parathyroid adenoma presenting as paraneoplastic syndrome secondary to renal cell carcinoma.
  • [MeSH-major] Adenoma / diagnosis. Carcinoma, Renal Cell / diagnosis. Kidney Neoplasms / diagnosis. Paraneoplastic Syndromes / diagnosis. Parathyroid Neoplasms / diagnosis
  • [MeSH-minor] Aged. Diagnosis, Differential. Humans. Hypercalcemia / etiology. Hyperparathyroidism / etiology. Kidney / pathology. Male. Referral and Consultation. Treatment Outcome


16. Lin F, Yang W, Betten M, Teh BT, Yang XJ, French Kidney Cancer Study Group: Expression of S-100 protein in renal cell neoplasms. Hum Pathol; 2006 Apr;37(4):462-70
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  • [Title] Expression of S-100 protein in renal cell neoplasms.
  • S-100 protein has been shown to have a broad distribution in human tissues, including renal tubules.
  • The potential utility of S-100 protein in renal cell neoplasms has not been extensively investigated.
  • Using an EnVision-Horseradish Peroxidase (HRP; Dako, Carpinteria, Calif) kit, we evaluated the diagnostic value of S-100 protein on tissue microarray sections from 175 cases of renal epithelial neoplasm (145 primary renal neoplasms and 30 metastatic renal cell carcinomas) and 24 non-neoplastic renal tissues.
  • Western blot using the same antibody (anti-S-100 protein) was performed on 10 cases of renal cell neoplasm.
  • The results demonstrated that nuclear and cytoplasmic staining pattern for S-100 protein was observed in 56 (69%) of 81 conventional (clear cell) renal cell carcinomas (RCCs), 10 (30%) of 33 papillary RCCs, 1 (6%) of 16 ChRCCs, and 13 (87%) of 15 oncocytomas.
  • Focal immunostaining was present in 22 (92%) of 24 normal renal tubules.
  • Western blotting demonstrated the S-100 protein expression in both renal cell neoplasm and normal renal tissue.
  • Importantly, 14.8% (12/81) of clear cell RCC and 13.3% (4/30) of metastatic RCC revealed an immunostaining profile of pancytokeratin (-)/S-100 protein (+).
  • [MeSH-major] Carcinoma, Renal Cell / metabolism. Kidney Neoplasms / metabolism. S100 Proteins / metabolism
  • [MeSH-minor] Adenoma, Oxyphilic / diagnosis. Adenoma, Oxyphilic / metabolism. Biomarkers, Tumor / metabolism. Blotting, Western. Cell Nucleus / metabolism. Cell Nucleus / pathology. Cytoplasm / metabolism. Cytoplasm / pathology. Diagnosis, Differential. Humans. Immunoenzyme Techniques. Kidney / anatomy & histology. Kidney / metabolism. Kidney / pathology. Neoplasm Staging. Tissue Array Analysis

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  • (PMID = 16564922.001).
  • [ISSN] 0046-8177
  • [Journal-full-title] Human pathology
  • [ISO-abbreviation] Hum. Pathol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biomarkers, Tumor; 0 / S100 Proteins
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17. D'Agostini F, Balansky R, Steele VE, Ganchev G, Pesce C, De Flora S: Preneoplastic and neoplastic lesions in the lung, liver and urinary tract of mice exposed to environmental cigarette smoke and UV light since birth. Int J Cancer; 2008 Dec 1;123(11):2497-502
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  • When the experiment was stopped, after 330 days, the number of lung adenomas was higher in ECS-exposed mice as compared to sham-exposed mice, but such increase was statistically significant only in mice co-exposed to smoke and halogen light mimicking solar irradiation.
  • In contrast, induction by ECS of alterations in the urinary tract, such as microadenomas and adenomas in renal pelvis and kidney, papillary hyperplasia of urothelium, and urinary bladder papillomas, were unrelated to the exposure time after birth.

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  • (PMID = 18770867.001).
  • [ISSN] 1097-0215
  • [Journal-full-title] International journal of cancer
  • [ISO-abbreviation] Int. J. Cancer
  • [Language] ENG
  • [Grant] None / None / / N01 CN053301; United States / NCI NIH HHS / CA / N01CN53301; United States / NCI NIH HHS / CN / N01 CN053301; United States / NCI NIH HHS / CN / N01-CN53301
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Tobacco Smoke Pollution
  • [Other-IDs] NLM/ NIHMS70896; NLM/ PMC2583251
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18. Acher-Chenebaux A, Maillard H, Potier A, Nzeyimana H, Cazals F, Celerier P: [Cutaneous calciphylaxis treated by autologous keratinocytes graft and subtotal parathyroidectomy]. Ann Dermatol Venereol; 2006 Mar;133(3):260-3
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  • [Transliterated title] Nécrose cutanée par calciphylaxie traitée par greffe de kératinocytes autologues et parathyroïdectomie partielle.
  • CASE REPORT: A 75-year-old woman with a 5-year history of dialysis-dependent chronic renal failure secondary to nephroangiosclerosis presented a very painful necrotic ulceration on her left leg.
  • Laboratory data showed high levels of calcium, phosphate and parathyroid hormone and imaging suggested parathyroidal adenoma.
  • Although cutaneous biopsy was not performed, the diagnosis of cutaneous necrosis due to calciphylaxis with tertiary hyperparathyroidism was established.
  • Prompt diagnosis is essential since this disease is disabling and life-threatening due to sepsis and ischemic complications.
  • [MeSH-minor] Aged. Dermatologic Surgical Procedures. Female. Humans. Kidney Failure, Chronic / therapy. Necrosis / etiology. Necrosis / surgery. Renal Dialysis. Skin / pathology. Transplantation, Autologous

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  • (PMID = 16800179.001).
  • [ISSN] 0151-9638
  • [Journal-full-title] Annales de dermatologie et de vénéréologie
  • [ISO-abbreviation] Ann Dermatol Venereol
  • [Language] fre
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] France
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19. Wu HH, Chang CT, Yen TH, Hung CC: A case of adrenal aldosteronoma with horseshoe kidney and duplicated inferior vena cava. Nephrol Dial Transplant; 2005 Dec;20(12):2858-60
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  • [Title] A case of adrenal aldosteronoma with horseshoe kidney and duplicated inferior vena cava.
  • [MeSH-major] Abnormalities, Multiple / diagnosis. Adrenal Cortex Neoplasms / diagnosis. Adrenocortical Adenoma / diagnosis. Kidney / abnormalities. Vena Cava, Inferior / abnormalities
  • [MeSH-minor] Adult. Diagnosis, Differential. Humans. Hypertension / diagnosis. Hypertension / etiology. Magnetic Resonance Imaging. Male

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  • (PMID = 16144847.001).
  • [ISSN] 0931-0509
  • [Journal-full-title] Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • [ISO-abbreviation] Nephrol. Dial. Transplant.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
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20. Gupta S, Bhowate R, Degwekar SS: Clinical and radiological findings related to tuberous sclerosis complex: a case report. J Contemp Dent Pract; 2008;9(4):85-91
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  • BACKGROUND: TSC is a rare neurocutaneous syndrome exhibiting multiple hamartomatous proliferations that may involve multiple organs such as the brain, kidney, heart, eyes, lungs and skin.
  • Associated findings were adenoma sebaceum (angiofibromas) on the face, a Shagreen patch on the lumbosacral region, ash leaf spots on the trunk, and subangual fibromas (Koenen's tumor) on the nails of fingers and toes.
  • The final diagnosis of TSC was made on the basis of the clinical findings of the skin, computerized tomography (CT) findings of the brain and kidney, ultrasonographic findings of kidney, and a histopathologic evaluation of the gingival growth which met the major and minor criteria required for a diagnosis of TSC.
  • The diagnosis and management of these patients varies depending on the specific presentation of the disease.
  • [MeSH-major] Gingival Diseases / diagnosis. Hamartoma / diagnosis. Tuberous Sclerosis / diagnosis
  • [MeSH-minor] Adolescent. Angiofibroma / diagnosis. Cuspid / pathology. Diagnosis, Differential. Facial Neoplasms / diagnosis. Female. Fibroma / diagnosis. Humans. Hyperpigmentation / diagnosis. Nail Diseases / diagnosis. Skin Neoplasms / diagnosis


21. Elaraj DM, Clark OH: Current status and treatment of primary hyperparathyroidism. Perm J; 2008;12(1):32-7
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  • In most cases, occurrence is sporadic rather than familial, and 80% to 85% of cases of sporadic primary HPT are caused by a solitary parathyroid adenoma.
  • The diagnosis is made by hypercalcemia with an inappropriately elevated parathyroid hormone (PTH) level and a 24-hour urine calcium excretion level that is normal or high.
  • Given the studies showing an improvement in quality-of-life measures, future risk for developing renal calculi, bone density, cardiovascular health, and risk of death, we believe that virtually all patients with primary HPT should undergo surgical resection.
  • Because most sporadic primary HPT is caused by a single gland adenoma, our preferred procedure has now changed from a bilateral neck exploration to a focused or unilateral approach, with similar rates of success in patients with a solitary tumor identified preoperatively.

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  • (PMID = 21369510.001).
  • [ISSN] 1552-5767
  • [Journal-full-title] The Permanente journal
  • [ISO-abbreviation] Perm J
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Other-IDs] NLM/ PMC3042336
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22. Bhat S, Chandran V: Villous adenoma of the renal pelvis and ureter. Indian J Urol; 2010 Oct;26(4):598-9
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  • [Title] Villous adenoma of the renal pelvis and ureter.
  • Villous adenoma originating in the urinary tract is a rare condition.
  • Mucus-filled kidney (muconephrosis), one of the manifestations of this condition, occurs due to intestinal type of metaplastic changes occurring in the urothelium.
  • We are reporting the third case of muconephrosis due to villous adenomatous changes of the renal pelvis and ureter.

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  • (PMID = 21369402.001).
  • [ISSN] 1998-3824
  • [Journal-full-title] Indian journal of urology : IJU : journal of the Urological Society of India
  • [ISO-abbreviation] Indian J Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] India
  • [Other-IDs] NLM/ PMC3034078
  • [Keywords] NOTNLM ; Muconephrosis / villous adenoma
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23. Ivey BS, Devarajan K, Sundaram CP: Bilateral oncocytoma and the value of needle biopsy. Can J Urol; 2010 Apr;17(2):5131-4
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • INTRODUCTION: Renal oncocytoma represents a diagnostic challenge to urologists.
  • We present three patients with bilateral renal oncocytomas.
  • CASES: All three patients presented with bilateral renal masses and through surgical means, were diagnosed with oncocytoma.
  • Renal biopsies were used to diagnose oncocytoma in the contralateral kidney.
  • DISCUSSION: Considering oncocytoma represents up to 16% of renal masses, there is overtreatment of benign disease due the difficulty in distinguishing between histologies on radiographs.
  • Even when the diagnosis of oncocytoma is made, concurrent renal cell carcinoma can be found in a small subset of patients.
  • The value of renal biopsy in these patients thus becomes increasingly important.
  • Accuracy in establishing a diagnosis is better than 70% in most series.
  • Tissue acquisition remains a barrier to accurate diagnosis.
  • Although not routine, patients with bilateral masses or impaired renal function may be candidates for renal biopsy.
  • CONCLUSIONS: Oncocytoma in the setting of bilateral renal masses presents a difficult clinical scenario.
  • The clinician must exclude renal cell carcinoma from the differential diagnosis.
  • Renal biopsy represents a safe and accurate method towards that end so that patients can be followed radiographically.
  • [MeSH-major] Adenoma, Oxyphilic / pathology. Biopsy, Needle / methods. Kidney Neoplasms / pathology

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  • (PMID = 20398456.001).
  • [ISSN] 1195-9479
  • [Journal-full-title] The Canadian journal of urology
  • [ISO-abbreviation] Can J Urol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Canada
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24. Okoń K, Sińczak-Kuta A: Nuclear morphometry as a tool of limited capacity for distinguishing renal oncocytoma from chromophobe carcinoma. Pol J Pathol; 2008;59(1):9-13
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Nuclear morphometry as a tool of limited capacity for distinguishing renal oncocytoma from chromophobe carcinoma.
  • The principal types of renal tumors include malignant clear cell renal cell carcinoma, chromophobe carcinoma (ChRCC), papillary carcinoma and benign oncocytoma (RO) and adenoma.
  • Both oncocytoma and chromophobe carcinoma are characterized by a solid growth pattern of cell with abundant cytoplasm and in some cases may be difficult to distinguish based on histology only.
  • [MeSH-major] Adenoma, Oxyphilic / diagnosis. Carcinoma, Renal Cell / diagnosis. Cell Nucleus / pathology. Kidney Neoplasms / diagnosis
  • [MeSH-minor] Diagnosis, Differential. Female. Humans. Image Processing, Computer-Assisted. Male. Middle Aged

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  • (PMID = 18655365.001).
  • [ISSN] 1233-9687
  • [Journal-full-title] Polish journal of pathology : official journal of the Polish Society of Pathologists
  • [ISO-abbreviation] Pol J Pathol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Poland
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25. Skinnider BF, Folpe AL, Hennigar RA, Lim SD, Cohen C, Tamboli P, Young A, de Peralta-Venturina M, Amin MB: Distribution of cytokeratins and vimentin in adult renal neoplasms and normal renal tissue: potential utility of a cytokeratin antibody panel in the differential diagnosis of renal tumors. Am J Surg Pathol; 2005 Jun;29(6):747-54
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  • [Title] Distribution of cytokeratins and vimentin in adult renal neoplasms and normal renal tissue: potential utility of a cytokeratin antibody panel in the differential diagnosis of renal tumors.
  • Adult renal epithelial neoplasms (RENs) comprise several distinct clinicopathologic entities with potential prognostic and therapeutic differences.
  • Individual cases can show overlapping morphologic features, necessitating the use of ancillary methods.
  • RENs (including clear cell [conventional] renal cell carcinoma (RCC), papillary RCC, chromophobe RCC, renal oncocytoma, collecting duct carcinoma (CDC), renal medullary carcinoma (RMC), urothelial carcinoma, metanephric adenoma (MA), tubulocystic carcinoma (TC) (also known as low-grade collecting duct carcinoma), and mucinous tubular and spindle cell carcinoma) were immunostained for CK subtypes (CK5/CK6, 7, 8, 13, 14, 17, 18, 19, 20), high molecular weight CKs 1, 5, 10, 14 (HMWCK), and vimentin (Vim).
  • The expression pattern of normal kidney was also examined and correlated with RENs.
  • Clear cell RCCs typically showed a restricted expression pattern of CK8, CK18 and Vim.
  • [MeSH-major] Keratins / biosynthesis. Kidney / metabolism. Kidney Neoplasms / metabolism. Vimentin / biosynthesis
  • [MeSH-minor] Adult. Diagnosis, Differential. Humans

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  • [CommentIn] Am J Surg Pathol. 2006 Oct;30(10):1337 [17001169.001]
  • (PMID = 15897741.001).
  • [ISSN] 0147-5185
  • [Journal-full-title] The American journal of surgical pathology
  • [ISO-abbreviation] Am. J. Surg. Pathol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Vimentin; 68238-35-7 / Keratins
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26. Adley BP, Papavero V, Sugimura J, Teh BT, Yang XJ: Diagnostic value of cytokeratin 7 and parvalbumin in differentiating chromophobe renal cell carcinoma from renal oncocytoma. Anal Quant Cytol Histol; 2006 Aug;28(4):228-36
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  • [Title] Diagnostic value of cytokeratin 7 and parvalbumin in differentiating chromophobe renal cell carcinoma from renal oncocytoma.
  • STUDY DESIGN: CK7 and parvalbumin mRNA expression levels in 23 oncocytomas and 32 chromophobe renal cell carcinomas (RCCs) were examined using gene expression microarrays.
  • Negative or patchy staining (< 50% cells) for CK7 and/or parvalbumin strongly favors the diagnosis of oncocytoma.


27. Neuzillet Y, Lechevallier E, André M, Daniel L, Nahon O, Coulange C: [Outcome of oncocytomas diagnosed by percutaneous renal biopsy]. Prog Urol; 2006 Sep;16(4):435-8
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  • [Title] [Outcome of oncocytomas diagnosed by percutaneous renal biopsy].
  • OBJECTIVE: Renal oncocytoma is a benign tumour that is usually diagnosed postoperatively.
  • We studied the outcome of patients with renal oncocytoma diagnosed by percutaneous biopsy and not operated.
  • MATERIAL: From January 1998 to April 2004, on a series of 148 renal tumour biopsies performed in our centre, 15 showed oncocytoma.
  • RESULTS: The mean age of these patients at diagnosis was 57.6 +/- 14.4 years and the mean tumour diameter was 3.49 +/- 2.43 cm with a mean volume of 62.3 +/- 135.4 cm3.
  • Operated patients were younger (45.5 +/- 11.1 years vs 65.6 +/- 10.3 years) and had larger tumours at diagnosis (50 +/- 30.1 mm vs 27.3 +/- 10.5 mm).
  • [MeSH-major] Adenoma, Oxyphilic / pathology. Kidney Neoplasms / pathology

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  • (PMID = 17069035.001).
  • [ISSN] 1166-7087
  • [Journal-full-title] Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
  • [ISO-abbreviation] Prog. Urol.
  • [Language] fre
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] France
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28. Liu W, Tretiakova M, Kong J, Turkyilmaz M, Li YC, Krausz T: Expression of vitamin D3 receptor in kidney tumors. Hum Pathol; 2006 Oct;37(10):1268-78
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  • [Title] Expression of vitamin D3 receptor in kidney tumors.
  • The kidney is not only a primary vitamin D target organ but also is a key site of vitamin D metabolism.
  • Recent studies have shown that vitamin D has important physiologic effects on proliferation and differentiation in a variety of benign and malignant cells.
  • Our preliminary immunohistochemical study showed that vitamin D receptor (VDR) was highly expressed in renal distal tubules and collecting ducts, whereas the renal proximal tubules and glomeruli did not express VDR.
  • These observations led us to study the expression of VDR in various kidney tumors to determine the possible diagnostic utility of VDR.
  • Paraffin tissue microarray (TMA) blocks were constructed containing core cylinders from clear cell (52), papillary (35), chromophobe (20), sarcomatoid (20), and metastatic (59) renal cell carcinomas (RCCs).
  • In addition, 30 clear cell RCCs and 3 collecting duct carcinomas were also studied using conventional sections.
  • In contrast, VDR expression was focal/weak and present only in the peripheral regions of clear cell RCCs.
  • Overall, VDR is a discriminative marker for renal cell tumors.
  • In addition, the focal and much weaker VDR expression in clear cell RCCs makes VDR valuable in distinguishing clear cell RCC from other types of RCCs.
  • [MeSH-major] Adenoma, Oxyphilic / metabolism. Carcinoma, Renal Cell / metabolism. Kidney Neoplasms / metabolism. Receptors, Calcitriol / metabolism
  • [MeSH-minor] Aged. Aged, 80 and over. Biomarkers, Tumor / metabolism. Diagnosis, Differential. Female. Gene Expression. Humans. Immunoenzyme Techniques. Male. Middle Aged. RNA, Messenger / metabolism. Reverse Transcriptase Polymerase Chain Reaction. Tissue Array Analysis

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  • (PMID = 16949927.001).
  • [ISSN] 0046-8177
  • [Journal-full-title] Human pathology
  • [ISO-abbreviation] Hum. Pathol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biomarkers, Tumor; 0 / RNA, Messenger; 0 / Receptors, Calcitriol
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29. Jalpota Y, Tewari V, Madan R: Recurrent nephrogenic adenoma of urinary bladder in a renal allograft recipient--a case report. Indian J Pathol Microbiol; 2006 Apr;49(2):261-3
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  • [Title] Recurrent nephrogenic adenoma of urinary bladder in a renal allograft recipient--a case report.
  • Nephrogenic adenoma is a rare benign tumour-like lesion within the urothelial mucosa of the urinary tract.
  • It may be an incidental finding in bladder of a patient presenting with haematuria, dysuria and bladder growth after renal allograft transplant.
  • Definite diagnosis is established by histological examination of tumor.
  • Though it attains an extensive spread in bladder mucosa and has a high tendency to recur, the clinical course is benign.
  • [MeSH-major] Adenoma / pathology. Kidney Neoplasms. Neoplasm Recurrence, Local / pathology. Urinary Bladder Neoplasms / pathology
  • [MeSH-minor] Adult. Diagnosis, Differential. Humans

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  • (PMID = 16933732.001).
  • [ISSN] 0377-4929
  • [Journal-full-title] Indian journal of pathology & microbiology
  • [ISO-abbreviation] Indian J Pathol Microbiol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] India
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30. Brown AL, Odell EW, Mantle PG: DNA ploidy distribution in renal tumours induced in male rats by dietary ochratoxin A. Exp Toxicol Pathol; 2007 Oct;59(2):85-95
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  • [Title] DNA ploidy distribution in renal tumours induced in male rats by dietary ochratoxin A.
  • DNA ploidy distribution, measured in experimental renal tumours that occurred in twelve ageing male Fischer rats derived from carcinogenicity experiments on ochratoxin A (OTA) in response to chronic dietary exposure, was diploid in all renal adenomas and aneuploid in all carcinomas, correlating with their typical organised and disorganised histopathology, respectively.
  • Aneuploidy was also detected in renal tissue in which karyomegaly, induced by OTA, was analogous to that caused by the fungus Penicillium polonicum.
  • Thus, the experimental rat renal carcinoma could arise within an adenoma directly from certain persistent karyomegalic tubular epithelial cells long after their particular genetic damage has been caused during a protracted period of OTA insult.
  • [MeSH-major] Adenoma / genetics. Aneuploidy. Carcinogens / toxicity. Carcinoma / genetics. DNA, Neoplasm / genetics. Kidney Neoplasms / genetics. Ochratoxins / toxicity
  • [MeSH-minor] Animals. Cell Nucleus / pathology. Diet. Disease Models, Animal. Dose-Response Relationship, Drug. Male. Rats. Rats, Inbred F344

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  • (PMID = 17629687.001).
  • [ISSN] 0940-2993
  • [Journal-full-title] Experimental and toxicologic pathology : official journal of the Gesellschaft für Toxikologische Pathologie
  • [ISO-abbreviation] Exp. Toxicol. Pathol.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Carcinogens; 0 / DNA, Neoplasm; 0 / Ochratoxins; 1779SX6LUY / ochratoxin A
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31. Hard GC, Seely JC: Recommendations for the interpretation of renal tubule proliferative lesions occurring in rat kidneys with advanced chronic progressive nephropathy (CPN). Toxicol Pathol; 2005;33(6):641-9
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  • [Title] Recommendations for the interpretation of renal tubule proliferative lesions occurring in rat kidneys with advanced chronic progressive nephropathy (CPN).
  • There is little guidance in the literature on the spectrum of proliferative tubule lesions in the kidneys of aging rats affected with spontaneously occurring, chronic progressive nephropathy (CPN), or their interpretation.
  • Through accessing 2-year carcinogenicity studies in male F344 rats held in the Archives of the National Toxicology Program, NIEHS, a large number of cases of advanced CPN have been surveyed histopathologically for proliferative tubule lesions, and an attempt made to provide guidelines for discrimination of lesions common to the CPN process, from those representing precursors of neoplasia.
  • Several proliferative lesions were identified as common in advanced CPN with no apparent evidence supporting a role in renal tubule carcinogenesis.
  • It is recommended that these lesions be viewed generically as CPN tubule profiles, and not recorded separately from the diagnosis of CPN.
  • Criteria were developed to distinguish these CPN-associated lesions from atypical tubule hyperplasia, a precursor of adenoma, both of which were also represented in this survey of advanced CPN.
  • [MeSH-major] Adenoma / diagnosis. Aging / pathology. Carcinogens / toxicity. Kidney Diseases / diagnosis. Kidney Neoplasms / diagnosis. Kidney Tubules / pathology. Precancerous Conditions / diagnosis
  • [MeSH-minor] Animals. Carcinogenicity Tests. Chronic Disease. Diagnosis, Differential. Hyperplasia. Male. Practice Guidelines as Topic. Rats. Rats, Inbred F344. Risk Assessment. Staining and Labeling

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  • (PMID = 16207638.001).
  • [ISSN] 0192-6233
  • [Journal-full-title] Toxicologic pathology
  • [ISO-abbreviation] Toxicol Pathol
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Carcinogens
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32. Badmus TA, Adesunkanmi AR, Agbakwuru CA, Salako AA, Uhunmwagho O, Eziyi AK: Giant renal oncocytoma masquerading as infiltrating renal cell carcinoma: case report and literature review. Cent Afr J Med; 2006 Jan-Feb;52(1-2):16-9
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  • [Title] Giant renal oncocytoma masquerading as infiltrating renal cell carcinoma: case report and literature review.
  • Renal oncocytomas (RO) are tumours containing a population of cells with highly differentiated eosinophilic granular cytoplasm, extremely rich in mitochondria.
  • It is estimated they account for about 3 to 7% of all solid renocortical tumours that were previously regarded as renal cell carcinoma.
  • Based on their clinical behaviour and distinct pathologic features they are now regarded as benign renal tumours, often less than 5cm in diameter.
  • We present a case of giant renal oncocytoma in a patient with synchronous bladder tumour, with pre-operative clinical, urographic and ultrasound features of locally advanced renal cell carcinoma (RCC).
  • Findings at surgery included huge right renal tumour with infiltration to the duodenum; hepatic colic flexure; gall bladder; liver capsule and the greater omentum with small indurations at the base of the bladder.
  • There was no tumour extension to the renal vein, no peritoneal seedling, no nodal metastasis and no ascites.
  • In view of the difficulties at establishing pre-operative diagnosis in this disease and because nephron-sparing surgery is curative, especially for the well-circumscribed tumours, RO should be considered in the management of patients with features of infiltrating RCC.
  • [MeSH-major] Adenoma, Oxyphilic / diagnosis. Kidney Neoplasms / diagnosis
  • [MeSH-minor] Carcinoma, Renal Cell / diagnosis. Diagnosis, Differential. Female. Humans. Middle Aged


33. Coleman JF, Hansel DE: Benign Diseases of the Bladder. Surg Pathol Clin; 2008 Dec;1(1):129-58
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  • [Title] Benign Diseases of the Bladder.
  • Benign diseases of the bladder often present diagnostic challenges to practicing pathologists due to their diverse nature and ability to mimic a variety of epithelial or mesenchymal neoplasms.
  • Categories of benign bladder disease include infectious cystitis, noninfectious cystitis, reactive proliferative processes, and benign processes that secondarily involve the bladder.
  • An understanding of the key clinical and morphologic features of these lesions and the useful ancillary techniques specific for these entities is critical to the correct diagnosis of these lesions.
  • This article reviews the key features of these benign bladder diseases and highlights methods to distinguish these lesions from other benign and malignant processes involving the bladder.

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  • [Copyright] Copyright © 2008 Elsevier Inc. All rights reserved.
  • (PMID = 26837905.001).
  • [ISSN] 1875-9181
  • [Journal-full-title] Surgical pathology clinics
  • [ISO-abbreviation] Surg Pathol Clin
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Keywords] NOTNLM ; Amyloidosis / Benign bladder diseases / Bladder / Bladder pathology / Cystitis cystica / Cystitis glandularis / Ectopic prostatic tissue / Endometriosis / Eosinophilic cystitis / Fungal cystitis / Granulomatous cystitis / Histology / Infection / Inflammation / Interstitial cystitis / Malakoplakia / Mimickers / Nephrogenic adenoma / Pathology / Polyomavirus infection / Polypoid cystitis / Reactive response / Therapy-induced cystitis / Von Brunn's nests
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34. Hari Kumar K, Jha S, Jha R, Modi KD: Conns' syndrome - atypical presentations. Saudi J Kidney Dis Transpl; 2009 Mar;20(2):278-81
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  • Both the patients had a characteristic biochemical and imaging profile consistent with primary hyperaldosteronism and responded to surgical resection of adrenal adenoma.
  • [MeSH-major] Hyperaldosteronism / diagnosis
  • [MeSH-minor] Adrenalectomy / methods. Adult. Blood Pressure / physiology. Diagnosis, Differential. Electrocardiography. Follow-Up Studies. Humans. Male. Middle Aged. Mineralocorticoid Receptor Antagonists / therapeutic use. Potassium / blood. Potassium / urine. Potassium Compounds / therapeutic use. Spironolactone / therapeutic use. Tomography, X-Ray Computed

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  • (PMID = 19237819.001).
  • [ISSN] 1319-2442
  • [Journal-full-title] Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia
  • [ISO-abbreviation] Saudi J Kidney Dis Transpl
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Saudi Arabia
  • [Chemical-registry-number] 0 / Mineralocorticoid Receptor Antagonists; 0 / Potassium Compounds; 27O7W4T232 / Spironolactone; RWP5GA015D / Potassium
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35. Johnson MA, Jyotibasu D, Ravichandran P, Jeswanth S, Kannan DG, Surendran R: Retention mucocele of distal viable remnant tip of appendix: an unusually rare late surgical complication following incomplete appendectomy. World J Gastroenterol; 2006 Jan 21;12(3):489-92
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  • Ultrasonography showed a hypoechoic lesion in the right lumbar region anterior to the right kidney with internal echoes and fluid components.
  • On histopathological examination, mucinous cyst adenoma of appendix was confirmed.
  • This unusual complication is not described in the literature and we report it in order to highlight the fact that a high index of clinical and radiological suspicion is essential for the diagnosis of mucocele arising from a distal viable appendiceal remnant in a patient who has already undergone appendectomy presenting with recurrent abdominal pain.
  • [MeSH-major] Adenoma / diagnosis. Appendiceal Neoplasms / diagnosis. Appendix / pathology. Mucocele / diagnosis

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  • [Cites] Clin Radiol. 1999 Dec;54(12):826-32 [10619300.001]
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  • (PMID = 16489657.001).
  • [ISSN] 1007-9327
  • [Journal-full-title] World journal of gastroenterology
  • [ISO-abbreviation] World J. Gastroenterol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] China
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36. Gatto A, Falvo L, Sebastiani S, Roncolini G, Pinna G: Triple synchronous tumours of the urinary system with different histologies: a case report. Chir Ital; 2009 May-Jun;61(3):381-5
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  • We present the case report of a male patient with a diagnosis of synchronous kidney, bladder and prostate tumours with different histologies: renal oncocytoma, urothelial carcinoma of the bladder, and adenocarcinoma of the prostate.
  • One such marker recently identified is the prostate-specific membrane antigen (PSMA), present with high expression in carcinoma of the prostate and in the vascular endothelium of solid tumours; only overexpression of PSMA is to be regarded as diagnostic, inasmuch as this antigen is normally expressed in the renal tubular epithelium.
  • [MeSH-major] Cystectomy. Kidney Neoplasms / pathology. Neoplasms, Multiple Primary / pathology. Neoplasms, Multiple Primary / surgery. Nephrectomy. Prostatectomy. Prostatic Neoplasms / pathology. Urinary Bladder Neoplasms / pathology
  • [MeSH-minor] Adenocarcinoma / pathology. Adenoma, Oxyphilic / pathology. Aged. Carcinoma / pathology. Humans. Male. Risk Factors. Smoking / adverse effects. Treatment Outcome


37. Dubois LA, Gray DK, Tweedie EJ: Surgical images: soft tissue. Calcinosis cutis. Can J Surg; 2007 Jun;50(3):217-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [MeSH-minor] Acute Kidney Injury / etiology. Adenoma / diagnosis. Adenoma / surgery. Aged. Biopsy. Fatal Outcome. Female. Gangrene / etiology. Humans. Hyperparathyroidism / etiology. Hyperparathyroidism / surgery. Parathyroid Neoplasms / diagnosis. Parathyroid Neoplasms / surgery. Parathyroidectomy

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  • [Cites] Cutis. 2000 Jul;66(1):49-51 [10916692.001]
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  • (PMID = 17568495.001).
  • [ISSN] 0008-428X
  • [Journal-full-title] Canadian journal of surgery. Journal canadien de chirurgie
  • [ISO-abbreviation] Can J Surg
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Canada
  • [Other-IDs] NLM/ PMC2384288
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38. Gonzalvez Gasch AM, Mirete Ferrer C, Laveda Cano R, Satorres Rosas J: A case of a solid renal mass together with a cystic pancreatic lesion in a 50-year-old patient. JOP; 2005 Mar;6(2):172-7
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  • [Title] A case of a solid renal mass together with a cystic pancreatic lesion in a 50-year-old patient.
  • Microcystic adenomas are particularly rare among pancreatic cyst neoplasms.
  • They are benign lesions and can present as solitary pancreatic tumors or as a radiological manifestation combined with other cystic and tumoral lesions affecting different organs.
  • A computed tomography scan of the abdomen showed a 9-centimeter renal mass in the left kidney consistent with a renal-cell carcinoma as well as a cystic lesion the head of the pancreas.
  • The histopathological study of the cystic mass, following a computed tomography guided biopsy, showed a microcystic adenoma.
  • Therefore, further studies were performed so as to assess the relationship between both lesions and determine the final diagnosis.
  • CONCLUSIONS: Microcystic adenomas are exceedingly rare tumors among pancreatic cysts.
  • The combination of a solid renal mass and a pancreatic cystic lesion should lead to a broad differential diagnosis.
  • [MeSH-major] Adenoma / diagnosis. Carcinoma, Renal Cell / diagnosis. Kidney Neoplasms / diagnosis. Neoplasms, Multiple Primary / diagnosis. Pancreatic Neoplasms / diagnosis. von Hippel-Lindau Disease / diagnosis
  • [MeSH-minor] Cerebellar Neoplasms / diagnosis. Cerebellar Neoplasms / pathology. Diagnosis, Differential. Hemangioblastoma / complications. Hemangioblastoma / diagnosis. Hemangioblastoma / pathology. Hematuria / diagnosis. Hematuria / etiology. Hematuria / pathology. Humans. Magnetic Resonance Imaging. Male. Middle Aged. Spinal Cord Neoplasms / diagnosis. Spinal Cord Neoplasms / pathology. Tomography, X-Ray Computed


39. Snyder JM, Lipitz L, Skorupski KA, Shofer FS, Van Winkle TJ: Secondary intracranial neoplasia in the dog: 177 cases (1986-2003). J Vet Intern Med; 2008 Jan-Feb;22(1):172-7
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  • METHODS: Medical records were searched for a diagnosis of intracranial neoplasia in dogs who underwent complete postmortem examination.
  • Of these dogs, those with a diagnosis of primary intracranial neoplasia were excluded.
  • The average age at diagnosis was 9.6 +/- 3.0 years.
  • On postmortem examination, the same tumor that was in the brain was also present in the lung in 84 cases (47%), in the kidney in 62 cases (35%), and in the heart in 55 cases (31%).

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  • (PMID = 18289306.001).
  • [ISSN] 0891-6640
  • [Journal-full-title] Journal of veterinary internal medicine
  • [ISO-abbreviation] J. Vet. Intern. Med.
  • [Language] ENG
  • [Publication-type] Journal Article
  • [Publication-country] United States
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40. Galmiche L, Vasiliu V, Poirée S, Hélénon O, Casanova JM, Brousse N: [Diagnosis of renal metanephric adenoma: relevance of immunohistochemistry and biopsy]. Ann Pathol; 2007 Oct;27(5):365-8
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  • [Title] [Diagnosis of renal metanephric adenoma: relevance of immunohistochemistry and biopsy].
  • [Transliterated title] Diagnostic d'adénome métanéphrique rénal: Intérêt de l'immunohistochimie et apport de la biopsie.
  • Most renal tumors of the adult are carcinomas.
  • We report the case of a 45 year-old woman presenting with renal tumor.
  • A biopsy of the mass showed a metanephric adenoma.
  • Here we develop the interest of immunohistochemistry for differential diagnosis of metanephric adenoma and other "basophilic small cell tumors" of the kidney.
  • We also put the stress on the growing role of biopsy of renal tumor allowing optimal treatment.
  • [MeSH-major] Adenoma / pathology. Kidney Neoplasms / pathology

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  • (PMID = 18185471.001).
  • [ISSN] 0242-6498
  • [Journal-full-title] Annales de pathologie
  • [ISO-abbreviation] Ann Pathol
  • [Language] fre
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] France
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41. Xiao L, Lu XY, Zhu XZ, Jones TD, Cheng L: Metastasising pleomorphic adenoma of the parotid presenting as a solitary kidney mass. Pathology; 2008 Jan;40(1):87-9
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  • [Title] Metastasising pleomorphic adenoma of the parotid presenting as a solitary kidney mass.
  • [MeSH-major] Adenoma, Pleomorphic / diagnosis. Kidney Neoplasms / diagnosis. Parotid Neoplasms / diagnosis
  • [MeSH-minor] Aged. Diagnosis, Differential. Female. Humans. Kidney / pathology

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  • (PMID = 18038324.001).
  • [ISSN] 0031-3025
  • [Journal-full-title] Pathology
  • [ISO-abbreviation] Pathology
  • [Language] eng
  • [Publication-type] Case Reports; Letter
  • [Publication-country] England
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42. Nobili C, Franciosi C, Degrate L, Caprotti R, Romano F, Perego E, Trezzi R, Leone BE, Uggeri F: A case of pancreatic heterotopy of duodenal wall, intraductal papillary mucinous tumor and intraepithelial neoplasm of pancreas, papillary carcinoma of kidney in a single patient. Tumori; 2006 Sep-Oct;92(5):455-8
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  • [Title] A case of pancreatic heterotopy of duodenal wall, intraductal papillary mucinous tumor and intraepithelial neoplasm of pancreas, papillary carcinoma of kidney in a single patient.
  • We report a case of the contemporaneous presence of two histologically different pancreatic neoplasms, one renal cancer and one embryogenic duodenal anomaly in a single patient.
  • A 66-year-old man underwent ultrasound examination because of urinary disorders; a solid neoformation within the inferior pole of the left kidney was observed.
  • Computed tomography confirmed the renal lesion, but also a heterogeneous mass within the pancreatic head appeared without bile ducts dilatation.
  • A second CT scan confirmed the renal and biliary findings, but it revealed a modest enlargement of the pancreatic asymptomatic mass.
  • A resection of the left kidney inferior pole and a pylorus-preserving pancreaticoduodenectomy were performed.
  • Histopathologic analysis of the surgical specimen revealed mild differentiated papillary renal carcinoma, intraductal papillary mucinous adenoma of the pancreatic head, foci of intraepithelial pancreatic neoplasm and pancreatic heterotopy of duodenal muscular and submucosal layers.
  • [MeSH-major] Carcinoma, Pancreatic Ductal. Carcinoma, Papillary. Choristoma. Cystadenocarcinoma, Mucinous. Duodenal Diseases. Kidney Neoplasms. Neoplasms, Multiple Primary. Pancreas. Pancreatic Neoplasms
  • [MeSH-minor] Aged. Carcinoma, Renal Cell / diagnosis. Humans. Magnetic Resonance Imaging. Male. Nephrectomy / methods. Pancreaticoduodenectomy. Tomography, X-Ray Computed


43. Plaut MA, El Mahou S, Popa L, Cantagrel A, Mazières B, Laroche M: Systemic vasculitis revealing a benign tumor: a paraneoplastic syndrome? Joint Bone Spine; 2006 Jul;73(4):462-4
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  • [Title] Systemic vasculitis revealing a benign tumor: a paraneoplastic syndrome?
  • Systemic vasculitis is a rare event in the course of malignant tumors and has not been described in association with benign tumors.
  • We report a case of renal oncocytoma in a patient who presented with digital necrosis, arthralgia, myalgia, and a decline in general health.
  • The symptoms resolved fully after tumor excision, supporting a diagnosis of paraneoplastic syndrome.
  • [MeSH-major] Adenoma, Oxyphilic / complications. Kidney Neoplasms / complications. Paraneoplastic Syndromes / complications. Vasculitis / etiology
  • [MeSH-minor] Biopsy. Diagnosis, Differential. Follow-Up Studies. Humans. Magnetic Resonance Imaging. Male. Middle Aged

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  • (PMID = 16807043.001).
  • [ISSN] 1297-319X
  • [Journal-full-title] Joint, bone, spine : revue du rhumatisme
  • [ISO-abbreviation] Joint Bone Spine
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] France
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44. Brunelli M, Eble JN, Zhang S, Martignoni G, Delahunt B, Cheng L: Eosinophilic and classic chromophobe renal cell carcinomas have similar frequent losses of multiple chromosomes from among chromosomes 1, 2, 6, 10, and 17, and this pattern of genetic abnormality is not present in renal oncocytoma. Mod Pathol; 2005 Feb;18(2):161-9
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  • [Title] Eosinophilic and classic chromophobe renal cell carcinomas have similar frequent losses of multiple chromosomes from among chromosomes 1, 2, 6, 10, and 17, and this pattern of genetic abnormality is not present in renal oncocytoma.
  • That chromophobe renal cell carcinoma has an uncommon eosinophilic variant has been recognized for more than a decade.
  • In sections stained with hematoxylin and eosin, the eosinophilic variant of chromophobe renal cell carcinoma and renal oncocytoma are similar in appearance.
  • While it is well established that chromophobe renal cell carcinoma and renal oncocytoma have different patterns of genetic anomalies, little is known of the genetics of the eosinophilic variant of chromophobe renal cell carcinoma.
  • This study was undertaken to elucidate the genetic lesions of eosinophilic chromophobe renal cell carcinoma and to compare them with those found in classic chromophobe renal cell carcinoma and in renal oncocytoma.
  • A total of 29 renal neoplasms--nine eosinophilic chromophobe renal cell carcinomas, 10 classic chromophobe renal cell carcinomas, and 10 oncocytomas--were investigated by fluorescence in situ hybridization on 5 microm paraffin-embedded tissue sections with centromeric probes for chromosomes 1, 2, 6, 10, and 17.
  • Chromophobe renal cell carcinomas frequently showed loss of chromosomes 1 (70% of classic, 67% of eosinophilic), 2 (90% classic, 56% eosinophilic), 6 (80% classic, 56% eosinophilic), 10 (60% classic, 44% eosinophilic), and 17 (90% classic, 78% eosinophilic); Among the classic chromophobe renal cell carcinomas, only one had no loss of any of the chromosomes, while 50% had loss of all five chromosomes.
  • Among the eosinophilic chromophobe renal cell carcinomas, one of nine had no loss and 44% had loss of all five chromosomes.
  • In conclusion, losses of chromosomes 1, 2, 6, 10, and 17 are frequent in both eosinophilic and classic chromophobe renal cell carcinomas.
  • When the differential diagnostic problem is oncocytoma vs eosinophilic chromophobe renal cell carcinoma, detection of losses of chromosomes 2, 6, 10, or 17 effectively excludes the diagnosis of oncocytoma and supports the diagnosis of chromophobe renal cell carcinoma.
  • [MeSH-major] Adenoma, Oxyphilic / pathology. Carcinoma, Renal Cell / pathology. Chromosome Aberrations. Kidney Neoplasms / pathology

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  • (PMID = 15467713.001).
  • [ISSN] 0893-3952
  • [Journal-full-title] Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
  • [ISO-abbreviation] Mod. Pathol.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] United States
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45. Mizumura Y, Mukaiyama Y, Osada H, Hida O, Nishimiya M, Nakamura Y: The reversed ratio of 1-84 PTH (whole PTH)/intact PTH in a patient on hemodialysis associated with primary hyperparathyroidism. Clin Nephrol; 2008 Apr;69(4):310-2
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  • We present a 57-year-old male with chronic renal failure on hemodialysis whose whole PTH was higher than intact PTH (the reversed ratio of whole PTH/intact PTH).
  • He showed one enlarged parathyroid gland by an ultrasonic test, CT examination and RI subtraction study.
  • The histologic examination revealed adenoma.
  • This indicates that, if patients with chronic renal failure showed the reversed ratio of whole PTH/intact PTH, the possibility that they could have primary hyperparathyroidism in addition to secondary hyperparathyroidism should be considered.
  • [MeSH-major] Hyperparathyroidism, Primary / blood. Parathyroid Hormone / blood. Renal Dialysis
  • [MeSH-minor] Adenoma / diagnosis. Humans. Kidney Failure, Chronic / therapy. Male. Middle Aged. Parathyroid Glands / surgery. Parathyroid Neoplasms / diagnosis. Parathyroidectomy


46. Rao Q, Zhou XJ: [Application of immunohistology in the diagnosis of kidney tumor]. Zhonghua Bing Li Xue Za Zhi; 2006 Apr;35(4):244-7
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  • [Title] [Application of immunohistology in the diagnosis of kidney tumor].
  • [MeSH-major] Carcinoma, Renal Cell / diagnosis. Immunohistochemistry / methods. Keratins / analysis. Kidney Neoplasms / diagnosis
  • [MeSH-minor] Adenoma, Oxyphilic / diagnosis. Adenoma, Oxyphilic / metabolism. Humans. Proto-Oncogene Proteins c-kit / analysis. Sensitivity and Specificity. WT1 Proteins / analysis. Wilms Tumor / diagnosis. Wilms Tumor / metabolism

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  • (PMID = 16776986.001).
  • [ISSN] 0529-5807
  • [Journal-full-title] Zhonghua bing li xue za zhi = Chinese journal of pathology
  • [ISO-abbreviation] Zhonghua Bing Li Xue Za Zhi
  • [Language] chi
  • [Publication-type] Journal Article; Review
  • [Publication-country] China
  • [Chemical-registry-number] 0 / WT1 Proteins; 68238-35-7 / Keratins; EC 2.7.10.1 / Proto-Oncogene Proteins c-kit
  • [Number-of-references] 21
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47. Bárcena C, Martínez MA, Ortega MP, Muñoz HG, Sárraga GU: Mitochondria with tubulovesicular cristae in renal oncocytomas. Ultrastruct Pathol; 2010 Dec;34(6):315-20
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  • [Title] Mitochondria with tubulovesicular cristae in renal oncocytomas.
  • Renal oncocytoma and chromophobe renal cell carcinoma (CRCC) are closely related tumors.
  • Ultrastructural examination of the mitochondria is a helpful procedure in the diagnosis of these neoplasms.
  • Renal oncocytomas show mitochondria with piled lamellar cristae, and CRCC exhibited mitochondria with tubulovesicular cristae.
  • In a series of 23 histologically diagnosed renal oncocytomas examined by electron microscopy, the authors found 5 tumors exhibiting more cells with mitochondria showing tubulovesicular cristae.
  • The authors believe these 5 cases present a submicroscopic appearance intermediate between renal oncocytoma and CRCC, although with benign clinical behavior.
  • [MeSH-major] Kidney Neoplasms / ultrastructure. Mitochondria / ultrastructure
  • [MeSH-minor] Adenoma, Oxyphilic / metabolism. Adenoma, Oxyphilic / ultrastructure. Biomarkers, Tumor / metabolism. Carcinoma, Renal Cell / diagnosis. Diagnosis, Differential. Female. Humans. Incidental Findings. Male. Microscopy, Electron, Transmission. Middle Aged

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  • (PMID = 21070162.001).
  • [ISSN] 1521-0758
  • [Journal-full-title] Ultrastructural pathology
  • [ISO-abbreviation] Ultrastruct Pathol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Biomarkers, Tumor; Oncocytoma, renal
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48. Skolarus TA, Serrano MF, Grubb RL 3rd, Katz MD, Bullock TL, Gao F, Humphrey PA, Kibel AS: Effect of reclassification on the incidence of benign and malignant renal tumors. J Urol; 2010 Feb;183(2):455-8
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  • [Title] Effect of reclassification on the incidence of benign and malignant renal tumors.
  • PURPOSE: The incidence of benign renal tumors has increased in recent years.
  • To further investigate the impact of histological reclassification we reexamined all excised renal masses using the 2004 WHO criteria and compared this histological classification to the prior criteria.
  • The percentages of benign lesions per year according to the prior histological and current WHO 2004 histological criteria were compared.
  • RESULTS: Of the 1,101 renal masses 132 (12.0%) and 165 (15.0%) were classified as benign using prior and current WHO criteria, respectively.
  • On average the WHO criteria diagnosed more benign tumors per year than the prior criteria (p = 0.004).
  • Linear regression demonstrated a similar, persistent increase in benign diagnoses per year of 0.69% (WHO) and 1.22% (prior) during the 14-year period (p = 0.33).
  • All masses reclassified as benign were oncocytoma (33).
  • CONCLUSIONS: Implementation of the 2004 WHO criteria is contributing to the increase in diagnosis of benign renal lesions, specifically oncocytoma.
  • Other factors, which remain to be delineated, are also contributing to the increase in the diagnosis of benign renal lesions.
  • [MeSH-major] Kidney Neoplasms / classification. Kidney Neoplasms / epidemiology
  • [MeSH-minor] Adenoma, Oxyphilic / classification. Adenoma, Oxyphilic / epidemiology. Adenoma, Oxyphilic / pathology. Adult. Aged. Aged, 80 and over. Humans. Incidence. Middle Aged

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  • [Copyright] Copyright 2010 American Urological Association. Published by Elsevier Inc. All rights reserved.
  • [CommentIn] J Urol. 2010 Sep;184(3):1222 [20650500.001]
  • [CommentIn] J Urol. 2010 Feb;183(2):459; discussion 459 [20006881.001]
  • [CommentIn] J Urol. 2010 Aug;184(2):804 [20639058.001]
  • (PMID = 20006852.001).
  • [ISSN] 1527-3792
  • [Journal-full-title] The Journal of urology
  • [ISO-abbreviation] J. Urol.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
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49. Lefèvre M, Couturier J, Sibony M, Bazille C, Boyer K, Callard P, Vieillefond A, Allory Y: Adult papillary renal tumor with oncocytic cells: clinicopathologic, immunohistochemical, and cytogenetic features of 10 cases. Am J Surg Pathol; 2005 Dec;29(12):1576-81
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  • [Title] Adult papillary renal tumor with oncocytic cells: clinicopathologic, immunohistochemical, and cytogenetic features of 10 cases.
  • We report a series of 10 oncocytic renal papillary tumors, with the aim of determining their clinicopathologic features.
  • All tumors were immunoreactive for alpha-methylacyl-coenzyme A racemase, vimentin, and CD10; 4 expressed renal cell carcinoma antigen and 3 cytokeratin 7.
  • Papillary architecture, necrosis, and immunohistochemical profiles argued against the diagnosis of oncocytoma and suggested our cases to be part of the papillary renal cell carcinoma group.
  • These results suggest that adult papillary renal tumors with oncocytic cells might be a distinct variant in the papillary renal cell carcinoma group.
  • [MeSH-major] Adenoma, Oxyphilic / pathology. Carcinoma, Papillary / pathology. Cytogenetics. Immunohistochemistry. Kidney Neoplasms / genetics. Kidney Neoplasms / pathology

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  • (PMID = 16327429.001).
  • [ISSN] 0147-5185
  • [Journal-full-title] The American journal of surgical pathology
  • [ISO-abbreviation] Am. J. Surg. Pathol.
  • [Language] eng
  • [Publication-type] Case Reports; Comparative Study; Journal Article
  • [Publication-country] United States
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50. Mete O, Kilicaslan I, Gulluoglu MG, Uysal V: Can renal oncocytoma be differentiated from its renal mimics? The utility of anti-mitochondrial, caveolin 1, CD63 and cytokeratin 14 antibodies in the differential diagnosis. Virchows Arch; 2005 Dec;447(6):938-46
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  • [Title] Can renal oncocytoma be differentiated from its renal mimics? The utility of anti-mitochondrial, caveolin 1, CD63 and cytokeratin 14 antibodies in the differential diagnosis.
  • Among the epithelial renal tumours with eosinophilic cytoplasm, the main differential diagnostic problem arises between renal oncocytomas (ROs) and eosinophilic variants of chromophobe renal cell carcinomas (RCCs).
  • We investigated the possible role of anti-mitochondrial (AMA), anti-caveolin 1 (CAV1), anti-CD63 (CD63) and anti-cytokeratin 14 (CK14) antibodies in the differential diagnosis of eosinophilic epithelial tumours and applied the Muller and Mowry modification of Hale's colloidal iron stain (HCI).
  • Thirty-five ROs and 77 eosinophilic RCCs (27 chromophobe, 28 clear cell and 22 papillary RCCs) were included in this study.
  • We showed CK14 antibody not to be useful in the differential diagnosis of the eosinophilic epithelial renal tumours.
  • [MeSH-major] Adenoma, Oxyphilic / metabolism. Adenoma, Oxyphilic / pathology. Biomarkers, Tumor / analysis. Kidney Neoplasms / metabolism. Kidney Neoplasms / pathology
  • [MeSH-minor] Antigens, CD / metabolism. Antigens, CD63. Carcinoma, Renal Cell / metabolism. Carcinoma, Renal Cell / pathology. Diagnosis, Differential. Female. Humans. Immunohistochemistry. Keratins / metabolism. Male. Middle Aged. Mitochondria / immunology. Platelet Membrane Glycoproteins / metabolism. Sensitivity and Specificity

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  • (PMID = 16133362.001).
  • [ISSN] 0945-6317
  • [Journal-full-title] Virchows Archiv : an international journal of pathology
  • [ISO-abbreviation] Virchows Arch.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Antigens, CD; 0 / Antigens, CD63; 0 / Biomarkers, Tumor; 0 / CD63 protein, human; 0 / Platelet Membrane Glycoproteins; 68238-35-7 / Keratins
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51. Volmar KE, Cummings TJ, Wang WH, Creager AJ, Tyler DS, Xie HB: Clear cell hidradenoma: a mimic of metastatic clear cell tumors. Arch Pathol Lab Med; 2005 May;129(5):e113-6
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  • [Title] Clear cell hidradenoma: a mimic of metastatic clear cell tumors.
  • Clear cell hidradenoma is a benign skin appendage tumor that may mimic conventional-type renal cell carcinoma.
  • Histologically, clear cell hidradenoma contains small ductular lumens, focal apocrine and squamoid change, and a less prominent vascular pattern than renal cell carcinoma.
  • Detailed clinical history, physical findings, and ancillary studies are essential for correct diagnosis and categorization of these tumors.
  • We report the rare case of a patient with renal cell carcinoma who underwent excision of an axillary clear cell hidradenoma, which was clinically suggestive of cutaneous metastatic disease.
  • [MeSH-major] Adenoma, Sweat Gland / diagnosis. Carcinoma, Renal Cell / diagnosis. Kidney Neoplasms / diagnosis. Neoplasms, Multiple Primary / diagnosis. Sweat Gland Neoplasms / diagnosis
  • [MeSH-minor] Axilla. Biomarkers, Tumor / analysis. Diagnosis, Differential. Humans. Immunohistochemistry. Lymph Nodes / pathology. Lymph Nodes / surgery. Male. Middle Aged. Mitotic Index. Neoplasm Metastasis / diagnosis. Treatment Outcome

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  • (PMID = 15859654.001).
  • [ISSN] 1543-2165
  • [Journal-full-title] Archives of pathology & laboratory medicine
  • [ISO-abbreviation] Arch. Pathol. Lab. Med.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biomarkers, Tumor
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52. Carchman E, Ogilvie J, Holst J, Yim J, Carty S: Appropriate surgical treatment of lithium-associated hyperparathyroidism. World J Surg; 2008 Oct;32(10):2195-9
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  • Among 16 patients with LAH, 12 (75%) had a single adenoma.
  • The use of QPTH allowed unilateral exploration in 8 of 12 patients with single adenoma.
  • [MeSH-minor] Adenoma / diagnosis. Adenoma / surgery. Bipolar Disorder / drug therapy. Female. Humans. Male. Middle Aged. Monitoring, Intraoperative / methods. Parathyroid Hormone / blood. Parathyroid Neoplasms / diagnosis. Parathyroid Neoplasms / surgery. Preoperative Care / methods. Prospective Studies. Recurrence. Retrospective Studies. Treatment Outcome

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  • (PMID = 18463919.001).
  • [ISSN] 0364-2313
  • [Journal-full-title] World journal of surgery
  • [ISO-abbreviation] World J Surg
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antimanic Agents; 0 / Lithium Compounds; 0 / Parathyroid Hormone
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53. He XL, Wang CN, Zhang JM: [Clear cell papillary cystadenoma of left mesosalpinx associated with von Hippel-Lindau disease: report of a case]. Zhonghua Bing Li Xue Za Zhi; 2009 May;38(5):349-50
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  • [Title] [Clear cell papillary cystadenoma of left mesosalpinx associated with von Hippel-Lindau disease: report of a case].
  • [MeSH-major] Adenocarcinoma, Clear Cell / pathology. Cystadenoma, Papillary / pathology. Fallopian Tube Neoplasms / pathology. von Hippel-Lindau Disease / pathology
  • [MeSH-minor] Adenoma / pathology. Adnexal Diseases / pathology. Adult. Carcinoma, Renal Cell / pathology. Carcinoma, Renal Cell / secondary. Diagnosis, Differential. Female. Follow-Up Studies. Humans. Keratin-7 / metabolism. Kidney Neoplasms / pathology. Kidney Neoplasms / secondary. Mucin-1 / metabolism

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  • (PMID = 19575884.001).
  • [ISSN] 0529-5807
  • [Journal-full-title] Zhonghua bing li xue za zhi = Chinese journal of pathology
  • [ISO-abbreviation] Zhonghua Bing Li Xue Za Zhi
  • [Language] chi
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] China
  • [Chemical-registry-number] 0 / Keratin-7; 0 / Mucin-1; Wolffian tumor
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54. Marabelle A, Campagne D, Déchelotte P, Chipponi J, Deméocq F, Kanold J: Focal nodular hyperplasia of the liver in patients previously treated for pediatric neoplastic diseases. J Pediatr Hematol Oncol; 2008 Jul;30(7):546-9
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  • However, patients previously treated for pediatric cancers are at greater risk of developing benign hepatic tumors, raising the problems of getting an accurate noninvasive diagnosis.
  • Only surgical resection led to positive diagnosis and prevented complications.
  • [MeSH-major] Adrenal Gland Neoplasms / complications. Focal Nodular Hyperplasia / diagnosis. Kidney Neoplasms / complications. Neuroblastoma / complications. Wilms Tumor / complications
  • [MeSH-minor] Adenoma / diagnosis. Adolescent. Adult. Biopsy, Needle. Bone Marrow Transplantation / adverse effects. Chromosomes, Human, Pair 7. Cicatrix / etiology. Diagnosis, Differential. Female. Graft vs Host Disease / pathology. Humans. Liver / pathology. Liver / radiography. Liver / ultrasonography. Liver Neoplasms / diagnosis. Liver Neoplasms / secondary. Male. Monosomy. Pancytopenia / complications. Pancytopenia / genetics. Pancytopenia / surgery. Remission Induction


55. Myśliwiec J, Rudy A, Siewko K, Myśliwiec P, Pułka M, Górska M: [Diagnostic difficulties in adrenal incidentaloma--analysis of 125 cases]. Endokrynol Pol; 2007 Sep-Oct;58(5):417-21
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  • Adenoma was confirmed in 25 patients (in 7 subclinical Cushing syndrome was diagnosed, in 2 Conn disease, in 16 inactive changes), phaeochromocytoma in 6 patients, cysts in 3, lipoma in 2, carcinoma in one, in 4 patients metastases (in 2 of kidney carcinoma, in 1 of malignant melanoma and in 1 of planocellular carcinoma) and in one oncocytoma.
  • [MeSH-major] Adrenal Gland Neoplasms / diagnosis. Adrenal Gland Neoplasms / surgery
  • [MeSH-minor] Adenoma / classification. Adenoma / diagnosis. Adenoma / surgery. Adrenalectomy. Diagnosis, Differential. Female. Humans. Incidental Findings. Male. Retrospective Studies

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  • (PMID = 18058737.001).
  • [ISSN] 0423-104X
  • [Journal-full-title] Endokrynologia Polska
  • [ISO-abbreviation] Endokrynol Pol
  • [Language] pol
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Poland
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56. Prasad SR, Surabhi VR, Menias CO, Raut AA, Chintapalli KN: Benign renal neoplasms in adults: cross-sectional imaging findings. AJR Am J Roentgenol; 2008 Jan;190(1):158-64
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  • [Title] Benign renal neoplasms in adults: cross-sectional imaging findings.
  • OBJECTIVE: A broad spectrum of benign renal neoplasms in adults shows characteristic ontogeny, histology, and tumor biology.
  • Benign renal tumors are classified into renal cell tumors, metanephric tumors, mesenchymal tumors, and mixed epithelial and mesenchymal tumors.
  • Select benign tumors show characteristic anatomic distribution and imaging features.
  • However, because of overlapping of findings between benign and malignant renal tumors, histologic evaluation may be required to establish a definitive diagnosis.
  • CONCLUSION: We attempt to provide a comprehensive, contemporary review of benign renal neoplasms that occur in adults, focusing on cross-sectional imaging characteristics.
  • [MeSH-major] Kidney Neoplasms / diagnosis
  • [MeSH-minor] Adenofibroma / diagnosis. Adenoma / diagnosis. Adenoma, Oxyphilic / diagnosis. Adult. Aged. Angiomyolipoma / diagnosis. Carcinoma, Renal Cell / diagnosis. Cross-Sectional Studies. Diagnosis, Differential. Female. Hemangioma / diagnosis. Humans. Leiomyoma / diagnosis. Magnetic Resonance Imaging. Male. Middle Aged. Tomography, X-Ray Computed

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  • (PMID = 18094306.001).
  • [ISSN] 1546-3141
  • [Journal-full-title] AJR. American journal of roentgenology
  • [ISO-abbreviation] AJR Am J Roentgenol
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 62
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57. Leroy X: [Diagnosis of eosinophilic tumors of the kidney]. Ann Pathol; 2009 Nov;29 Spec No 1:S45-8
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  • [Title] [Diagnosis of eosinophilic tumors of the kidney].
  • [Transliterated title] Diagnostic des tumeurs du rein à cellules éosinophiles.
  • [MeSH-major] Adenoma, Oxyphilic / diagnosis. Carcinoma, Renal Cell / diagnosis. Coloring Agents. Hydroxides. Kidney Neoplasms / diagnosis. Staining and Labeling / methods
  • [MeSH-minor] Angiomyolipoma / diagnosis. Angiomyolipoma / ultrastructure. Chromosomes, Human, X / ultrastructure. Cytoplasm / chemistry. Female. Humans. Juxtaglomerular Apparatus / ultrastructure. Male. Organic Chemicals. Translocation, Genetic

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  • (PMID = 19887250.001).
  • [ISSN] 0242-6498
  • [Journal-full-title] Annales de pathologie
  • [ISO-abbreviation] Ann Pathol
  • [Language] fre
  • [Publication-type] Journal Article; Review
  • [Publication-country] France
  • [Chemical-registry-number] 0 / Coloring Agents; 0 / Hydroxides; 0 / Organic Chemicals; 0 / colloidal iron hydroxide
  • [Number-of-references] 25
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58. Kahveci A, Ari E, Arikan H, Koc M, Tuglular S, Ozener C: Streptococcus bovis bacteremia related to colon adenoma in a chronic hemodialysis patient. Hemodial Int; 2010 Jan;14(1):91-3
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  • [Title] Streptococcus bovis bacteremia related to colon adenoma in a chronic hemodialysis patient.
  • Abstract We report the case of a 54-year-old hemodialysis patient who presented with recurrent fever due to Streptococcus bovis bacteremia related to colonic tubulovillous adenoma.
  • In this paper, we discussed the relation between S. bovis bacteremia, colonic adenomas, and hemodialysis.
  • Awareness of this association is critical for early diagnosis and management.
  • [MeSH-major] Adenoma / microbiology. Bacteremia / etiology. Colonic Neoplasms / microbiology. Kidney Failure, Chronic / therapy. Renal Dialysis / adverse effects. Streptococcal Infections / pathology. Streptococcus bovis / isolation & purification

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  • (PMID = 19758303.001).
  • [ISSN] 1542-4758
  • [Journal-full-title] Hemodialysis international. International Symposium on Home Hemodialysis
  • [ISO-abbreviation] Hemodial Int
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Canada
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59. Canavese C, Rizzo L, Aveta P, Cesarani F, Isolato G, Anselmetti G, Passarino G, Davini O, Pacchioni D, Cassoni P, Bergamo D, Stratta P: An asymptomatic patient with multiple solid renal masses: errors in diagnosis. Nephrol Dial Transplant; 2005 Oct;20(10):2274-8
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  • [Title] An asymptomatic patient with multiple solid renal masses: errors in diagnosis.
  • [MeSH-major] Adenoma, Oxyphilic / diagnosis. Kidney Neoplasms / diagnosis
  • [MeSH-minor] Biopsy. Diagnostic Errors. Humans. Male. Middle Aged. Prostatectomy. Pyelonephritis, Xanthogranulomatous / diagnosis. Pyelonephritis, Xanthogranulomatous / pathology

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  • (PMID = 16030054.001).
  • [ISSN] 0931-0509
  • [Journal-full-title] Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • [ISO-abbreviation] Nephrol. Dial. Transplant.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] England
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60. Popescu A, Orban-Schiopu AM, Becheanu G, Diculescu M: McKittrick-Wheelock syndrome - a rare cause of acute renal failure. Rom J Gastroenterol; 2005 Mar;14(1):63-6
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  • [Title] McKittrick-Wheelock syndrome - a rare cause of acute renal failure.
  • AIM: Fluid and electrolyte hypersecretion in the villous adenoma of the rectum is presented in the case of a 74 year old man presenting with a severe fluid imbalance.
  • At sigmoidoscopy, a 6/4 cm villous adenoma of the rectum was found.
  • The increased loss of volume, followed by exhaustion of the physiological compensation mechanisms, led to a life-threatening hypokalemia, as well as to acute renal failure.
  • Conservative treatment was followed by a temporary improvement of the renal function.
  • The surgical removal of the adenoma led to complete recovery of the symptoms.
  • CONCLUSION: The McKittrick-Wheelock syndrome can be a problem of difficult diagnosis, both for the gastroenterologist and also for the nephrologist.
  • [MeSH-major] Acute Kidney Injury / etiology. Adenoma / complications. Rectal Neoplasms / complications

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  • (PMID = 15800695.001).
  • [ISSN] 1221-4167
  • [Journal-full-title] Romanian journal of gastroenterology
  • [ISO-abbreviation] Rom J Gastroenterol
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Romania
  • [Chemical-registry-number] 0 / Electrolytes
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61. Fernando HS, Hawkyard SJ, Poon P, Musa M: Renal cell carcinoma with non-islet cell tumor hypoglycemia. Int J Urol; 2006 Jul;13(7):985-6
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  • [Title] Renal cell carcinoma with non-islet cell tumor hypoglycemia.
  • We report a case of an elderly gentleman with renal cell carcinoma presenting with the rare entity of non-islet cell tumor hypoglycemia (NICTH).
  • Non-islet cell tumor hypoglycemia syndrome is caused by the tumor producing insulin-like growth factor II, causing hypoglycemia.
  • [MeSH-major] Adenoma, Islet Cell / complications. Carcinoma, Renal Cell / complications. Hypoglycemia / etiology. Kidney Neoplasms / complications. Pancreatic Neoplasms / complications
  • [MeSH-minor] Aged, 80 and over. Diagnosis, Differential. Humans. Insulin-Like Growth Factor I / metabolism. Insulin-Like Growth Factor II / metabolism. Male


62. Meyer SK, Zorn M, Frank-Raue K, Büchler MW, Nawroth P, Weber T: Clinical impact of two different intraoperative parathyroid hormone assays in primary and renal hyperparathyroidism. Eur J Endocrinol; 2009 Feb;160(2):275-81
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  • [Title] Clinical impact of two different intraoperative parathyroid hormone assays in primary and renal hyperparathyroidism.
  • In renal HPT, intraoperative PTH assays can define whether parathyroid resection is adequate.
  • METHODS: Intraoperative PTH was measured with two different immunometric assays (Immulite Turbo DPC and ADVIA Centaur assay) in 91 patients undergoing parathyroidectomy for primary (n=57) and renal (n=34) hyperparathyroidism.
  • Both assays correctly identified six patients with persistent disease and another patient with a double adenoma in pHPT.
  • CONCLUSIONS: In patients undergoing parathyroidectomy for primary or renal HPT, PTH levels decreasing to the normal range indicated successful surgery in all of the patients as measured with the PTH-I assay.

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  • (PMID = 19004983.001).
  • [ISSN] 1479-683X
  • [Journal-full-title] European journal of endocrinology
  • [ISO-abbreviation] Eur. J. Endocrinol.
  • [Language] ENG
  • [Publication-type] Clinical Trial; Comparative Study; Journal Article; Validation Studies
  • [Publication-country] England
  • [Chemical-registry-number] 0 / Parathyroid Hormone
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63. Browning L, Bailey D, Parker A: D2-40 is a sensitive and specific marker in differentiating primary adrenal cortical tumours from both metastatic clear cell renal cell carcinoma and phaeochromocytoma. J Clin Pathol; 2008 Mar;61(3):293-6
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  • [Title] D2-40 is a sensitive and specific marker in differentiating primary adrenal cortical tumours from both metastatic clear cell renal cell carcinoma and phaeochromocytoma.
  • BACKGROUND: The morphological similarities between the cells of clear cell renal cell carcinoma (CCRCC) and those of the adrenal cortex impose diagnostic difficulties, for example in the context of a solitary nodule in the adrenal gland in a patient with renal cell carcinoma (RCC).
  • METHODS: D2-40 antibody was applied to tissue sections from 10 normal adrenal glands, 15 renal carcinomas (13 clear cell, 2 papillary variants), 1 metastatic CCRCC in the adrenal gland, 6 adrenal cortical hyperplasias, 5 adrenal cortical adenomas, 3 adrenal cortical carcinomas, and 4 phaeochromocytomas.
  • [MeSH-major] Adrenal Cortex Neoplasms / diagnosis. Antibodies, Monoclonal / analysis. Biomarkers, Tumor / analysis. Carcinoma, Renal Cell / secondary. Kidney Neoplasms / secondary. Pheochromocytoma / diagnosis
  • [MeSH-minor] Adenoma / diagnosis. Adrenal Glands / immunology. Antibodies, Monoclonal, Murine-Derived. Carcinoma / diagnosis. Cytoplasm / immunology. Diagnosis, Differential. Humans. Immunohistochemistry


64. Mete O, Kapran Y, Güllüoğlu MG, Kiliçaslan I, Erbil Y, Senyürek YG, Dizdaroğlu F: Anti-CD10 (56C6) is expressed variably in adrenocortical tumors and cannot be used to discriminate clear cell renal cell carcinomas. Virchows Arch; 2010 May;456(5):515-21
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  • [Title] Anti-CD10 (56C6) is expressed variably in adrenocortical tumors and cannot be used to discriminate clear cell renal cell carcinomas.
  • In the evaluation of retroperitoneal masses, the practicing pathologist faces a dilemma when making a diagnosis based on histology given the often overlapping morphologic appearances of the adrenocortical carcinoma, renal cell carcinoma (RCC), and hepatocellular carcinoma (HCC).
  • CD10 is expressed in a membranous fashion in the vast majority of clear cell RCCs; therefore, it is widely used for distinction from its mimics.
  • We examined CD10 expression in 47 surgically resected adrenocortical tumors (26 adenomas and 21 carcinomas) and compared with 20 clear cell RCCs and 25 HCCs.
  • Twenty HCCs (80%), 18 RCCs (90%), 11 adrenocortical carcinomas (52%), and 18 adrenocortical adenomas (69%) were positive for CD10.
  • HCCs were characterized by a canalicular staining, and clear cell RCCs exhibited membranous or mixed membranous-cytoplasmic staining.
  • Four adrenocortical carcinomas and one adenoma also displayed the membranous staining pattern.
  • This suggests that CD10 does not seem to be a useful marker for discriminating clear cell RCCs from adrenocortical tumors since CD10 expression does not rule out the possibility of adrenocortical tumors.
  • This feature should be kept in mind when constructing an antibody panel for an epithelial tumor that involves the adrenal gland and kidney, especially in small biopsy specimens.
  • [MeSH-major] Adrenal Cortex Neoplasms / diagnosis. Carcinoma, Renal Cell / diagnosis. Kidney Neoplasms / diagnosis. Neprilysin / biosynthesis
  • [MeSH-minor] Adult. Antigens, Neoplasm / analysis. Carcinoma, Hepatocellular / diagnosis. Carcinoma, Hepatocellular / immunology. Female. Humans. Liver Neoplasms / diagnosis. Liver Neoplasms / immunology. Male. Middle Aged

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  • (PMID = 20390424.001).
  • [ISSN] 1432-2307
  • [Journal-full-title] Virchows Archiv : an international journal of pathology
  • [ISO-abbreviation] Virchows Arch.
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, Non-U.S. Gov't
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Antigens, Neoplasm; EC 3.4.24.11 / Neprilysin
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65. Lerut E, Roskams T, Joniau S, Oyen R, Achten R, Van Poppel H, Debiec-Rychter M: Metanephric adenoma during pregnancy: clinical presentation, histology, and cytogenetics. Hum Pathol; 2006 Sep;37(9):1227-32
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  • [Title] Metanephric adenoma during pregnancy: clinical presentation, histology, and cytogenetics.
  • Metanephric adenoma is a rare benign tumor of the kidney.
  • It is considered to be derived from embryonic renal tissue and to be the benign counterpart of the Wilms tumor.
  • At renal ultrasonography and magnetic resonance imaging, a hemorrhagic tumor of 10 cm in diameter originating from the right kidney was seen.
  • Based on the imaging findings, the diagnosis of a cystic renal cell carcinoma with recent hemorrhage was suggested, and a radical nephrectomy was performed.
  • Pathologic examination concluded to a metanephric adenoma.
  • To our knowledge, this is the first report on these chromosomal abnormalities in metanephric adenoma.
  • [MeSH-major] Adenoma / genetics. Adenoma / pathology. Kidney Neoplasms / genetics. Kidney Neoplasms / pathology. Pregnancy Complications / genetics. Pregnancy Complications / pathology
  • [MeSH-minor] Adult. Carcinoma, Renal Cell / pathology. Chromosome Aberrations. Diagnosis, Differential. Female. Humans. In Situ Hybridization, Fluorescence. Kidney / embryology. Kidney / pathology. Magnetic Resonance Imaging. Nephrectomy. Pregnancy. Ultrasonography. Wilms Tumor / pathology


66. Obulareddy SJ, Xin J, Truskinovsky AM, Anderson JK, Franklin MJ, Dudek AZ: Metanephric adenoma of the kidney: an unusual diagnostic challenge. Rare Tumors; 2010;2(2):e38
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  • [Title] Metanephric adenoma of the kidney: an unusual diagnostic challenge.
  • Although metanephric adenoma (MA) is a rare, benign neoplasm of epithelial cells, it is often difficult to distinguish this entity from other malignant neoplasms preoperatively.
  • We report a case of a large renal mass for which preoperative diagnosis was indeterminate, with the differential diagnosis including Wilm's tumor, MA, and papillary renal cell carcinoma (PRCC).

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  • (PMID = 21139840.001).
  • [ISSN] 2036-3613
  • [Journal-full-title] Rare tumors
  • [ISO-abbreviation] Rare Tumors
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Italy
  • [Other-IDs] NLM/ PMC2994510
  • [Keywords] NOTNLM ; Wilm’s tumor / differential diagnosis. / metanephric adenoma / papillary renal cell carcinoma
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67. Torres Gómez FJ, Torres Olivera FJ, García Escudero A: [Predominantly cystic renal metanephric adenoma. Case report]. Arch Esp Urol; 2006 Jan-Feb;59(1):90-3
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  • [Title] [Predominantly cystic renal metanephric adenoma. Case report].
  • [Transliterated title] Adenoma metanéfrico renal de predominio quístico. A propósito de un caso.
  • OBJECTIVES: Metanephric adenoma is a relatively unfrequent asymptomatic embryogenic renal tumor which is generally diagnosed by an abdominal diagnostic tests indicated for other reasons.
  • Differential diagnosis with benign and malignant tumors has to be performed.
  • METHODS/RESULTS: We report one case of metanephric adenoma with intense necrotic-hemorrhagic and cystic changes with a size not previously referred in the literature.
  • CONCLUSIONS: Cystic and hemorrhagic changes in benign renal tumors make differential diagnosis with malignant tumors mandatory Surgery is necessary in almost all cases and histologic study will give the diagnosis.
  • [MeSH-major] Adenoma / pathology. Kidney Neoplasms / pathology

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  • (PMID = 16568702.001).
  • [ISSN] 0004-0614
  • [Journal-full-title] Archivos españoles de urología
  • [ISO-abbreviation] Arch. Esp. Urol.
  • [Language] spa
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Spain
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68. National Toxicology Program: NTP technical report on the toxicology and carcinogenesis studies of beta-myrcene (CAS No. 123-35-3) in F344/N rats and B6C3F1 mice (Gavage studies). Natl Toxicol Program Tech Rep Ser; 2010 Dec;(557):1-163
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  • Right kidney and liver weights of dosed males and females were generally significantly greater than those of the vehicle controls.
  • In special study rats evaluated on day 23, the incidences and severities of chronic progressive nephropathy (CPN) and renal tubule degeneration were increased in 2 g/kg males.
  • At the end of the 3-month study, the incidences of renal tubule necrosis were significantly increased in all dosed groups of males and females.
  • The right kidney weights of 1 g/kg females and the liver weights of females administered 0.5 or 1 g/kg were significantly increased.
  • All 1 g/kg male rats died before the end of the study due to renal toxicity.
  • In the standard evaluation of the kidney, the incidence of renal tubule adenoma was significantly increased in 0.5 g/kg male rats, and the combined incidences of renal tubule adenoma or carcinoma were significantly increased in 0.25 and 0.5 g/kg males.
  • In both the extended evaluation and the combined standard and extended evaluations, the incidences of renal tubule adenoma and the combined incidences of renal tubule adenoma or carcinoma were significantly increased in the 0.25 and 0.5 g/kg groups of males.
  • The incidences of renal tubule nephrosis (nephrosis) were markedly increased in all dosed groups of both sexes except in 0.25 g/kg females.
  • The incidences of hyperplasia of the transitional epithelium lining the pelvis and overlying the renal papilla were significantly increased in all dosed groups of males and females.
  • Liver neoplasms included hepatocellular adenoma and hepatocellular carcinoma in males and females and hepatoblastoma in males.
  • The incidences of hepatocellular hypertrophy were significantly increased in 0.5 g/kg males and females, as was the incidence of mixed cell focus in 0.5 g/kg females.
  • CONCLUSIONS: Under the conditions of these 2-year gavage studies, there was clear evidence of carcinogenic activity of beta-myrcene in male F344/N rats based on increased incidences of renal tubule neoplasms.
  • There was equivocal evidence of carcinogenic activity of beta-myrcene in female F344/N rats based on increased incidences of renal tubule adenoma.
  • There was clear evidence of carcinogenic activity of beta-myrcene in male B6C3F1 mice based on increased incidences of hepatocellular adenoma, hepatocellular carcinoma, and hepatoblastoma.
  • There was equivocal evidence of carcinogenic activity of beta-myrcene in female B6C3F1 mice based on marginally increased incidences of hepatocellular adenoma and carcinoma.
  • Administration of beta-myrcene induced nonneoplastic lesions in the kidney of male and female rats, nose of male rats, and liver of male and female mice.
  • [MeSH-major] Adenoma / chemically induced. Carcinoma, Hepatocellular / chemically induced. Hepatoblastoma / chemically induced. Kidney Neoplasms / chemically induced. Liver Neoplasms / chemically induced. Monoterpenes / toxicity. Neoplasms, Experimental / chemically induced
  • [MeSH-minor] Animals. Carcinogenicity Tests. Female. Humans. Kidney / drug effects. Kidney / pathology. Longevity / drug effects. Male. Mice. Mice, Inbred Strains. Mutagenicity Tests. Nose / drug effects. Nose / pathology. Rats. Rats, Inbred F344. Toxicity Tests, Chronic

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  • (PMID = 21415873.001).
  • [ISSN] 0888-8051
  • [Journal-full-title] National Toxicology Program technical report series
  • [ISO-abbreviation] Natl Toxicol Program Tech Rep Ser
  • [Language] eng
  • [Publication-type] Journal Article; Technical Report
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Monoterpenes; 123-35-3 / beta-myrcene
  • [Investigator] Chan PC; Cesta MF; Sills RC; Bishop JB; Bristol DW; Bucher JR; Chhabra RS; Foster PM; Herbert RA; Hooth MJ; King-Herbert AP; Kissling GE; Malarkey DE; Roycroft JH; Sanders JM; Smith CS; Travlos GS; Walker NJ; Witt KL
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69. Yarak S, Floriano M, Decico JE, Konishi CT, Michalany NS, Enokihara MY, Tomimori-Yamashita J: First report of a fibro-adenoma in axillary mammary tissue of a renal transplant patient taking cyclosporin. Int J Dermatol; 2007 Apr;46(4):407-9
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  • [Title] First report of a fibro-adenoma in axillary mammary tissue of a renal transplant patient taking cyclosporin.
  • [MeSH-major] Axilla / pathology. Breast Neoplasms / diagnosis. Fibroadenoma / diagnosis. Kidney Transplantation
  • [MeSH-minor] Adult. Cyclosporine. Diagnosis, Differential. Female. Humans. Immunocompromised Host. Immunosuppressive Agents

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  • (PMID = 17442085.001).
  • [ISSN] 0011-9059
  • [Journal-full-title] International journal of dermatology
  • [ISO-abbreviation] Int. J. Dermatol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Immunosuppressive Agents; 83HN0GTJ6D / Cyclosporine
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70. Neuzillet Y, Lechevallier E: [Renal oncocytoma]. Prog Urol; 2006 Apr;16(2):105-11
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  • [Title] [Renal oncocytoma].
  • Due to its nonspecific clinical and radiological features, renal oncocytoma is usually diagnosed on the operative specimen.
  • Histological confirmation of the diagnosis is based on the distinction between oncocytoma and renal cell carcinoma (RCC), which can be difficult.
  • Description of cases in which RCC and oncocytoma are present in the same tumour and the hypothesis of a link between oncocytoma and RCC further complicate the diagnosis of this tumour by the urologist.
  • The authors reviewed the management of tumours suspected to be oncocytoma based on a review of the international literature concerning the diagnosis, natural history and treatment of renal oncocytoma.
  • [MeSH-major] Adenoma, Oxyphilic. Kidney Neoplasms

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  • (PMID = 16734229.001).
  • [ISSN] 1166-7087
  • [Journal-full-title] Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
  • [ISO-abbreviation] Prog. Urol.
  • [Language] fre
  • [Publication-type] English Abstract; Journal Article; Review
  • [Publication-country] France
  • [Number-of-references] 88
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71. Sontas BH, Ozyogurtcu H, Turna O, Arun S, Ekici H: Uterine leiomyoma in a spayed poodle bitch: a case report. Reprod Domest Anim; 2010 Jun;45(3):550-4
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  • Abdominal ultrasonography revealed a heterogeneous multicystic mass at the caudal abdomen and two masses with anechoic areas adjacent to the caudal pole of each kidney.
  • The left ovary had a cystic structure and the right ovary had a papillary cystic adenoma.
  • [MeSH-major] Dog Diseases / diagnosis. Hysterectomy / veterinary. Leiomyoma / veterinary. Uterine Neoplasms / veterinary
  • [MeSH-minor] Animals. Dogs. Female. Ovarian Neoplasms / diagnosis. Ovarian Neoplasms / surgery. Ovarian Neoplasms / veterinary. Ovariectomy / veterinary. Ultrasonography / veterinary

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  • (PMID = 19032428.001).
  • [ISSN] 1439-0531
  • [Journal-full-title] Reproduction in domestic animals = Zuchthygiene
  • [ISO-abbreviation] Reprod. Domest. Anim.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] Germany
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72. Terao H, Matsumoto T, Umemoto S, Onuki T, Kobayashi K, Ohgo Y, Nogcchi S, Kishi H, Tsuura Y, Nagashima Y: [Metanephric adenoma: report of two cases]. Hinyokika Kiyo; 2008 Sep;54(9):599-602
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  • [Title] [Metanephric adenoma: report of two cases].
  • We report 2 cases of metanephric adenoma a rare form of adenoma.
  • One case occurred in a 54-year-old male preoperatively diagnosed with renal cell carcinoma who underwent left partial nephrectomy for a tumor 2 cm in size.
  • Thus, the patient was diagnosed with metanephric adenoma.
  • The other case occurred in a 40-year-old male who underwent left nephroureterectomy for carcinoma of the renal pelvis.
  • Carcinoma of the left renal pelvis was diagnosed as pT3N0M0.
  • Incidental micronodules 2 mm in size and consisting of immature tubular structures were noted in the renal cortex.
  • In immunohistochemical staining, tumor cells were positive for CD57 and WT-1, and the patient was diagnosed with metanephric adenoma.
  • The aforementioned tumors frequently occur in middle-aged women and are often well-defined tumors that project from the renal surface outwards.
  • On angiography, they have a hypovascular pattern and resemble papillary renal carcinoma.
  • Preoperative differentiation of renal cell carcinoma and nephroblastoma is difficult.
  • [MeSH-major] Adenoma / diagnosis. Kidney Neoplasms / diagnosis
  • [MeSH-minor] Adult. Antigens, CD57 / analysis. Biomarkers, Tumor / analysis. Diagnosis, Differential. Humans. Kidney Pelvis. Male. Middle Aged. Neoplasm Staging. Nephrectomy. Tomography, X-Ray Computed. Ureter / surgery. WT1 Proteins / analysis

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  • (PMID = 18975573.001).
  • [ISSN] 0018-1994
  • [Journal-full-title] Hinyokika kiyo. Acta urologica Japonica
  • [ISO-abbreviation] Hinyokika Kiyo
  • [Language] jpn
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Japan
  • [Chemical-registry-number] 0 / Antigens, CD57; 0 / Biomarkers, Tumor; 0 / WT1 Proteins
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73. Nakane K, Yuhara K, Kanimoto Y: [Renal adenoma treated with partial nephrectomy: a case report]. Hinyokika Kiyo; 2007 Jul;53(7):473-5
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  • [Title] [Renal adenoma treated with partial nephrectomy: a case report].
  • We report a case of renal adenoma which was diagnosed as renal cell carcinoma preoperatively.
  • A 78-year-old man, who had been under observation for bladder cancer for 4 years, was incidentally found to have a small right renal tumor at follow-up computed tomography (CT).
  • Enhanced CT demonstrated a tumor which was hypervascular, 10 x 10 mm size, at the lower pole of the right kidney.
  • The preoperative diagnosis was renal cell carcinoma, cT1aN0M0, and we performed right partial nephrectomy.
  • The histopathorogical finding was renal adenoma.
  • Renal adenomas are benign tumors and not uncommon in autopsy cases.
  • However, when they are detected clinically, it is difficult to distinguish them from renal cell carcinoma preoperatively.
  • [MeSH-major] Adenoma / surgery. Kidney Neoplasms / surgery. Nephrectomy
  • [MeSH-minor] Aged. Carcinoma, Renal Cell. Diagnosis, Differential. Humans. Male. Tomography, X-Ray Computed

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  • (PMID = 17702180.001).
  • [ISSN] 0018-1994
  • [Journal-full-title] Hinyokika kiyo. Acta urologica Japonica
  • [ISO-abbreviation] Hinyokika Kiyo
  • [Language] jpn
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Japan
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74. Ye H, Yoon GS, Epstein JI: Intrarenal ectopic adrenal tissue and renal-adrenal fusion: a report of nine cases. Mod Pathol; 2009 Feb;22(2):175-81
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  • [Title] Intrarenal ectopic adrenal tissue and renal-adrenal fusion: a report of nine cases.
  • Intrarenal ectopic adrenal tissue and renal-adrenal fusion are rare findings in the adult population.
  • We reviewed seven cases of intrarenal adrenal tissue and two cases of renal-adrenal fusion.
  • Ectopic adrenal tissue was identified at the superior pole of the kidney in all but one case, which was located in the mid-portion of the kidney.
  • Ectopic adrenal tissue varied in its growth from subcapsular lesions that were plaque-like (n=3), wedge-shaped (n=2), or spherical (n=1) to irregular nests deep in the renal parenchyma (n=1).
  • In six cases, adrenal tissue focally extended into renal parenchyma in an infiltrative manner.
  • In one case, intrarenal adrenal tissue mimicked low-grade clear cell renal cell carcinoma.
  • In another case, an adrenocortical adenoma adherent to the kidney resembled renal invasion by adrenocortical carcinoma.
  • This study summarizes key morphological features of intrarenal ectopic adrenal tissue and renal-adrenal fusion along with histological pitfalls and its differential diagnoses.
  • [MeSH-major] Adrenal Glands. Choristoma / pathology. Kidney / pathology. Kidney Diseases / pathology
  • [MeSH-minor] Adrenal Cortex Neoplasms / pathology. Adrenocortical Adenoma / pathology. Adrenocortical Carcinoma / pathology. Adult. Aged. Biopsy. Carcinoma, Renal Cell / pathology. Diagnosis, Differential. Female. Humans. Kidney Neoplasms / pathology. Male. Middle Aged

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  • (PMID = 18820668.001).
  • [ISSN] 1530-0285
  • [Journal-full-title] Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
  • [ISO-abbreviation] Mod. Pathol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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75. Buła G, Waler J, Niemiec A, Koziołek H, Bichalski W, Gawrychowski J: Diagnosis of metastatic tumours to the thyroid gland by fine needle aspiration biopsy. Endokrynol Pol; 2010 Sep-Oct;61(5):427-9
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  • [Title] Diagnosis of metastatic tumours to the thyroid gland by fine needle aspiration biopsy.
  • RESULTS: Among 7 patients with thyroid metastases from renal clear cell carcinoma, as diagnosed postoperatively, cytology of the thyroid material obtained through FNA revealed follicular tumour in 3 (43%) patients, tumour cells in 2 (28.5%) and atypical cells in the other 2 (28.5%).
  • Intraoperative histopathology confirmed the presence of metastasis from renal clear cell carcinoma (1) and indicated thyroid medullary cancer (1), follicular tumour (4), or trabecular adenoma with necrosis (1).
  • Examination of biopsy specimen revealed epithelial cells accompanied by cell atypia in one patient with thyroid metastasis from lung cancer.
  • CONCLUSIONS: Follicular tumour diagnosed by fine needle aspiration biopsy in patients after treatment for other cancers, especially renal clear cell carcinoma, should alert the surgeon to the possibility that it could be a metastasis of this cancer to the thyroid gland.
  • [MeSH-major] Adenocarcinoma, Clear Cell / pathology. Adenocarcinoma, Clear Cell / secondary. Adenocarcinoma, Follicular / pathology. Adenocarcinoma, Follicular / secondary. Thyroid Neoplasms / pathology. Thyroid Neoplasms / secondary
  • [MeSH-minor] Adenoma / pathology. Aged. Aged, 80 and over. Biopsy, Fine-Needle. Carcinoma, Neuroendocrine. Female. Humans. Kidney Neoplasms / pathology. Lung Neoplasms / pathology. Male. Middle Aged. Monitoring, Intraoperative / methods

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  • (PMID = 21049452.001).
  • [ISSN] 0423-104X
  • [Journal-full-title] Endokrynologia Polska
  • [ISO-abbreviation] Endokrynol Pol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] Poland
  • [Chemical-registry-number] Thyroid cancer, medullary
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76. Gigli F, Zattoni F, Zamboni G, Valotto C, Bernardin L, Mucelli RP, Zattoni F: [Correlation between pathologic features and perfusion CT of renal cancer: a feasibility study]. Urologia; 2010 Oct-Dec;77(4):223-31
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  • [Title] [Correlation between pathologic features and perfusion CT of renal cancer: a feasibility study].
  • [Transliterated title] Correlazione tra le caratteristiche anatomopatologiche e di TC con perfusione della neoplasia renale: studio di fattibilità.
  • The purpose of the present job is to test the correlations existing between perfusion data and pathologic features in the evaluation of vascularization in kidney cancer.
  • METHODS: 6 patients with clinical diagnosis of renal tumor awaiting surgical treatment underwent preoperatively pCT scans.
  • Moreover, clear cell RCC of different Fuhrman grades showed statistically significant differences in perfusion values (T test).
  • The possibility of identifying preoperatively tumor histotype can be of particular relevance in patients with small renal tumors, suitable for minimally-invasive surgery or active surveillance program.
  • [MeSH-major] Carcinoma, Renal Cell / diagnostic imaging. Kidney Neoplasms / diagnostic imaging. Perfusion Imaging. Tomography, X-Ray Computed / methods
  • [MeSH-minor] Adenoma, Oxyphilic / blood supply. Adenoma, Oxyphilic / diagnostic imaging. Adenoma, Oxyphilic / pathology. Adult. Aged. Feasibility Studies. Female. Humans. Image Processing, Computer-Assisted. Male. Microcirculation. Middle Aged. Patient Selection. Renal Circulation

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  • (PMID = 21234864.001).
  • [ISSN] 1724-6075
  • [Journal-full-title] Urologia
  • [ISO-abbreviation] Urologia
  • [Language] ita
  • [Publication-type] Journal Article; Validation Studies
  • [Publication-country] United States
  • [Chemical-registry-number] Oncocytoma, renal
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77. Okada A, Sasaki S, Fujiyoshi Y, Niimi K, Kurokawa S, Umemoto Y, Kohri K: A case of oncocytic papillary renal cell carcinoma. Int J Urol; 2009 Sep;16(9):765-7
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  • [Title] A case of oncocytic papillary renal cell carcinoma.
  • Papillary renal cell carcinomas (RCC) are the second most frequently identified pathological subtypes of RCC.
  • Occasionally, papillary RCC demonstrate pathological characteristics of renal oncocytomas (RO), benign renal tumors.
  • [MeSH-major] Adenoma, Oxyphilic / pathology. Carcinoma, Papillary / pathology. Carcinoma, Renal Cell / pathology. Kidney Neoplasms / pathology
  • [MeSH-minor] Aged, 80 and over. Biomarkers, Tumor / analysis. Chromosomes, Human, Pair 7. Diagnosis, Differential. Female. Humans. Immunohistochemistry. In Situ Hybridization, Fluorescence. Karyotyping. Racemases and Epimerases. Treatment Outcome


78. Patel NP, Geisinger KR, Zagoria RJ, Bergman S: Fine needle aspiration biopsy of metanephric adenoma: a case report. Acta Cytol; 2009 May-Jun;53(3):327-31
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  • [Title] Fine needle aspiration biopsy of metanephric adenoma: a case report.
  • BACKGROUND: Metanephric adenoma (MA) is a rare, benign renal neoplasm.
  • Regarding treatment, radioflrequency ablation (RFA) is an emerging alternative to surgical resection of renal neoplasms in appropriately selected patients.
  • CASE: A 49-year-old woman had a 3.3-cm cortical mass in the left kidney.
  • The aspirate smears displayed multiple aggregates of benign-appearing, tightly packed and overlapping nuclei surrounded by basement membrane- type material.
  • Although the differential diagnosis included adult Wilms' tumor and papillary renal cell carcinoma, the bland morphology and IHC staining pattern strongly favored a neoplasm consistent with MA.
  • CONCLUSION: FNAB can be used to diagnose most renal neoplasms.
  • A diagnosis of MA can be suggested on FNAB in the context of appropriate cytomorphology, IHC staining and cytogenetic analysis.
  • [MeSH-major] Adenoma / pathology. Kidney Neoplasms / pathology
  • [MeSH-minor] Antigens, CD57 / analysis. Biomarkers, Tumor / analysis. Biopsy, Fine-Needle. Carcinoma, Renal Cell / diagnosis. Carcinoma, Renal Cell / secondary. Catheter Ablation / methods. Diagnosis, Differential. Female. Humans. Middle Aged. Minimally Invasive Surgical Procedures. Treatment Outcome. WT1 Proteins / analysis. Wilms Tumor / diagnosis

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  • (PMID = 19534278.001).
  • [ISSN] 0001-5547
  • [Journal-full-title] Acta cytologica
  • [ISO-abbreviation] Acta Cytol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antigens, CD57; 0 / Biomarkers, Tumor; 0 / WT1 Proteins
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79. Duval H, Rioux-Leclercq N, Bauville E, Al Jaradi M, Burtin F: [Multinodular-adenomatoid tumor of the uterus in a patient with a renal allograft]. Ann Pathol; 2008 Sep;28(4):308-10
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  • [Title] [Multinodular-adenomatoid tumor of the uterus in a patient with a renal allograft].
  • [Transliterated title] Tumeur adénomatoïde multinodulaire de l'utérus chez une patiente avec allogreffe rénale.
  • A case of diffuse-adenomatoid tumor of the uterus occurring in a 43-year-old patient with a renal-allograft transplant is reported.
  • The diagnosis was supported by the adenomatoid and angiomatoid histologic patterns and the mesothelial immunophenotype.
  • Diffuse-adenomatoid tumor of the uterus is a rare and benign lesion, usually reported in patients with immunodeficiency and renal transplant.
  • [MeSH-major] Adenoma / pathology. Kidney Transplantation / pathology. Uterine Neoplasms / pathology

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  • (PMID = 18928872.001).
  • [ISSN] 0242-6498
  • [Journal-full-title] Annales de pathologie
  • [ISO-abbreviation] Ann Pathol
  • [Language] fre
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] France
  • [Chemical-registry-number] 0 / Calbindin 2; 0 / S100 Calcium Binding Protein G
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80. Johnson NB, Johnson MM, Selig MK, Nielsen GP: Use of electron microscopy in core biopsy diagnosis of oncocytic renal tumors. Ultrastruct Pathol; 2010 Aug;34(4):189-94
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  • [Title] Use of electron microscopy in core biopsy diagnosis of oncocytic renal tumors.
  • The distinction between oncocytoma and chromophobe renal cell carcinoma, important clinically, may be challenging, especially as the tissue sample size decreases.
  • The aim of this study was to examine the value of electron microscopy in differentiating between oncocytoma and chromophobe renal cell carcinoma on formalin fixed paraffin embedded needle core biopsies.
  • Twenty renal needle core biopsies were evaluated.
  • [MeSH-major] Adenoma, Oxyphilic / ultrastructure. Kidney Neoplasms / ultrastructure
  • [MeSH-minor] Aged. Aged, 80 and over. Biopsy. Carcinoma, Renal Cell / ultrastructure. Cytoplasmic Vesicles / ultrastructure. Diagnosis, Differential. Female. Humans. Male. Microscopy, Electron, Transmission / methods. Middle Aged. Mitochondria / ultrastructure. Predictive Value of Tests

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  • (PMID = 20594037.001).
  • [ISSN] 1521-0758
  • [Journal-full-title] Ultrastructural pathology
  • [ISO-abbreviation] Ultrastruct Pathol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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81. Gassler N, Haferkamp A, Flechtenmacher C, Hohenfellner M, Schirmacher P, Autschbach F: [Renal oncocytoma with metastasis from breast carcinoma: a contribution to the differential diagnosis of tumourous lesions of the kidney]. Pathologe; 2006 May;27(3):217-21
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  • [Title] [Renal oncocytoma with metastasis from breast carcinoma: a contribution to the differential diagnosis of tumourous lesions of the kidney].
  • The case of a renal oncocytoma involvement by metastasis from breast carcinoma in a 83-year-old woman is reported.
  • In conclusion, metastasis of breast carcinoma to a benign renal tumour is very rare.
  • [MeSH-major] Adenoma, Oxyphilic / secondary. Breast Neoplasms / pathology. Kidney Neoplasms / secondary. Neoplasm Metastasis
  • [MeSH-minor] Aged, 80 and over. Diagnosis, Differential. Female. Humans

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  • [Cites] Int J Surg Pathol. 2003 Apr;11(2):127-35 [12754635.001]
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  • (PMID = 16642392.001).
  • [ISSN] 0172-8113
  • [Journal-full-title] Der Pathologe
  • [ISO-abbreviation] Pathologe
  • [Language] ger
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Germany
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82. Chen VH, Mayes JM, Madden JF, Stein AJ, Mouraviev V, Polascik TJ: The effect of cryoablation on the histologic interpretation of intraoperative biopsy of small clear cell renal carcinoma and renal oncocytoma. J Endourol; 2008 Aug;22(8):1617-21
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  • [Title] The effect of cryoablation on the histologic interpretation of intraoperative biopsy of small clear cell renal carcinoma and renal oncocytoma.
  • BACKGROUND AND PURPOSE: We evaluated the effects of the first freeze-thaw cycle of cryoablation on Fuhrman grade, histology, and tumor architecture of small clear cell renal carcinomas and renal oncocytomas using an 18-gauge needle biopsy.
  • PATIENTS AND METHODS: Between August 2006 and June 2007, 11 patients underwent cryoablation for 14 renal neoplasms.
  • A tissue diagnosis was rendered in 100% of 11 patients.
  • Pathologic diagnosis following the first freeze-thaw cycle of cryotherapy, as compared with the pretreatment biopsy, was accurate in 10 (91%) cases.
  • Neither of the two post-first freeze biopsies in the remaining patient rendered a diagnosis: one had an insufficient quantity of tissue and the second missed the tumor, abstracting benign renal tissue.


83. Georges CG, Guthoff M, Wehrmann M, Teichmann R, Gröne E, Artunc F, Risler T, Friedrich B, Müssig K: [Hypercalcaemic crisis and acute renal failure due to primary hyperparathyroidism]. Dtsch Med Wochenschr; 2008;133(Suppl 0):F3
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  • [Title] [Hypercalcaemic crisis and acute renal failure due to primary hyperparathyroidism].
  • Often, an acute renal failure develops due to hypercalcaemia-induced polyuria.
  • We report on a 54-year-old woman who was admitted for hypercalcaemic crisis and acute renal failure.
  • Endocrine work-up revealed primary hyperparathyroidism due to a parathyroid adenoma, which was treated by emergency surgery.
  • Haemodialysis was continued in the first post-operative weeks for prolonged acute renal failure.
  • [MeSH-major] Acute Kidney Injury / etiology. Hypercalcemia / etiology. Hyperparathyroidism, Primary / complications
  • [MeSH-minor] Adenoma / complications. Adenoma / diagnosis. Adenoma / surgery. Diphosphonates / therapeutic use. Emergencies. Female. Fluid Therapy. Humans. Middle Aged. Parathyroid Neoplasms / complications. Parathyroid Neoplasms / diagnosis. Parathyroid Neoplasms / surgery. Renal Dialysis / methods

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  • [CommentIn] Dtsch Med Wochenschr. 2009 Jan;134(5):211; author reply 212 [19180412.001]
  • (PMID = 19065508.001).
  • [ISSN] 1439-4413
  • [Journal-full-title] Deutsche medizinische Wochenschrift (1946)
  • [ISO-abbreviation] Dtsch. Med. Wochenschr.
  • [Language] ger
  • [Publication-type] Case Reports; English Abstract; Journal Article
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Diphosphonates; 114084-78-5 / ibandronic acid
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84. Rahemtullah A, Oliva E: Nephrogenic adenoma: an update on an innocuous but troublesome entity. Adv Anat Pathol; 2006 Sep;13(5):247-55
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  • [Title] Nephrogenic adenoma: an update on an innocuous but troublesome entity.
  • Nephrogenic adenoma (NA) is a rare benign lesion of the urothelial tract that is typically preceded by some form of genitourinary insult.
  • Although generally presumed to be a metaplastic process of the urothelium, recent evidence suggests that NA may in fact be derived from detached renal tubular cells implanting along the urothelial tract in previously injured areas, at least in cases associated with a kidney transplant.
  • Recognition of its characteristic patterns, and awareness of its unusual architectural and cytologic features, is key to making the diagnosis of NA and distinguishing this lesion from malignant neoplasms occurring at the same sites, in particular, clear cell carcinoma, nested or microcystic variants of urothelial carcinoma and prostatic adenocarcinoma.
  • Although straightforward in most cases, the correct diagnosis may be difficult to make on limited tissue samples.
  • Clinicopathologic correlation with careful attention to morphology remains the pillar in establishing the correct diagnosis.
  • [MeSH-major] Adenoma / pathology. Urologic Neoplasms / pathology
  • [MeSH-minor] Adenocarcinoma, Clear Cell / pathology. Carcinoma, Signet Ring Cell / pathology. Diagnosis, Differential. Female. Humans. Immunohistochemistry. Male. Prostatic Neoplasms / pathology. Urothelium / pathology

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  • (PMID = 16998318.001).
  • [ISSN] 1072-4109
  • [Journal-full-title] Advances in anatomic pathology
  • [ISO-abbreviation] Adv Anat Pathol
  • [Language] eng
  • [Publication-type] Journal Article; Review
  • [Publication-country] United States
  • [Number-of-references] 64
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85. Hindié E, Ugur O, Fuster D, O'Doherty M, Grassetto G, Ureña P, Kettle A, Gulec SA, Pons F, Rubello D, Parathyroid Task Group of the EANM: 2009 EANM parathyroid guidelines. Eur J Nucl Med Mol Imaging; 2009 Jul;36(7):1201-16
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  • Primary hyperparathyroidism is an endocrine disorder with high prevalence, typically caused by a solitary parathyroid adenoma, less frequently (about 15%) by multiple parathyroid gland disease (MGD) and rarely (1%) by parathyroid carcinoma.
  • Patients with MGD may have a double adenoma or hyperplasia of three or all four parathyroid glands.
  • Scintigraphy should also report on thyroid nodules that may cause confusion with a parathyroid adenoma or require concurrent surgical resection.
  • The guidelines also discuss aspects related to radio-guided surgery of hyperparathyroidism and imaging of chronic kidney disease patients with secondary hyperparathyroidism.
  • [MeSH-minor] Humans. Hyperparathyroidism / diagnosis. Hyperparathyroidism / pathology. Hyperparathyroidism / physiopathology. Hyperparathyroidism / surgery. Image Processing, Computer-Assisted. Iodine Radioisotopes / pharmacokinetics. Radiometry. Sodium Pertechnetate Tc 99m / pharmacokinetics. Subtraction Technique. Technetium Tc 99m Sestamibi / pharmacokinetics. Tissue Distribution. Tomography, Emission-Computed, Single-Photon. Tomography, X-Ray Computed

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  • (PMID = 19471928.001).
  • [ISSN] 1619-7089
  • [Journal-full-title] European journal of nuclear medicine and molecular imaging
  • [ISO-abbreviation] Eur. J. Nucl. Med. Mol. Imaging
  • [Language] eng
  • [Publication-type] Journal Article; Practice Guideline
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / Iodine Radioisotopes; 971Z4W1S09 / Technetium Tc 99m Sestamibi; A0730CX801 / Sodium Pertechnetate Tc 99m
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86. Tong GX, Melamed J, Mansukhani M, Memeo L, Hernandez O, Deng FM, Chiriboga L, Waisman J: PAX2: a reliable marker for nephrogenic adenoma. Mod Pathol; 2006 Mar;19(3):356-63
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  • [Title] PAX2: a reliable marker for nephrogenic adenoma.
  • Nephrogenic adenoma is a rare lesion of the urinary tract.
  • The diagnosis usually is straightforward when characteristic microscopic and clinical findings are present, and the entity is familiar.
  • It recently was demonstrated that nephrogenic adenoma in renal transplant patients originated from the renal tubular epithelium.
  • This newly proved, but long sought information may be helpful in the differential diagnosis of nephrogenic adenoma.
  • In this study, we investigated the expression of a renal transcription factor, PAX2, in 39 nonrenal transplant-related nephrogenic adenomas, 100 adenocarcinomas of the prostate gland, and 47 urothelial carcinomas of the urinary tract.
  • A strong and distinct nuclear staining of PAX2 was found in all 39 cases of nephrogenic adenoma (100%), but not in normal prostate tissue, normal urothelium, adenocarcinomas of the prostate gland, and invasive urothelial carcinomas.
  • Focal CD10 was detected in six of 13 nephrogenic adenomas in the superficial papillary component and in normal prostate epithelium, normal urothelium, lymphocytes, adenocarcinoma of the prostate gland, and urothelial carcinoma.
  • There was no uroplakins detected in nephrogenic adenoma.
  • Therefore, these findings are suggesting that nephrogenic adenoma in nonrenal transplant patients may also arise from the renal epithelium, as did the comparable lesions after transplantation.
  • PAX2 is a specific and sensitive immunohistochemical marker in identification and differential diagnosis of nephrogenic adenoma.
  • [MeSH-major] Adenoma / pathology. Biomarkers, Tumor / analysis. PAX2 Transcription Factor / analysis. Urologic Neoplasms / pathology
  • [MeSH-minor] Adolescent. Adult. Aged. Aged, 80 and over. Diagnosis, Differential. Female. Humans. Immunohistochemistry. Keratin-7. Keratins / analysis. Male. Middle Aged. Neprilysin / analysis. Sensitivity and Specificity

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  • (PMID = 16400326.001).
  • [ISSN] 0893-3952
  • [Journal-full-title] Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
  • [ISO-abbreviation] Mod. Pathol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Biomarkers, Tumor; 0 / KRT7 protein, human; 0 / Keratin-7; 0 / PAX2 Transcription Factor; 0 / PAX2 protein, human; 68238-35-7 / Keratins; EC 3.4.24.11 / Neprilysin
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87. Olgac S, Hutchinson B, Tickoo SK, Reuter VE: Alpha-methylacyl-CoA racemase as a marker in the differential diagnosis of metanephric adenoma. Mod Pathol; 2006 Feb;19(2):218-24
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  • [Title] Alpha-methylacyl-CoA racemase as a marker in the differential diagnosis of metanephric adenoma.
  • Metanephric adenoma (MA), a well-described renal neoplasm, usually behaves in a benign fashion.
  • It may have areas that are morphologically similar to papillary renal cell carcinoma (RCC) type, or epithelial (tubular predominant) type Wilms' tumor.
  • Recent microarray analysis of renal tumors has shown an increase of AMACR mRNA levels in papillary RCC but not in other subtypes.
  • In conclusion, diffuse and strong immunoreactivity for AMACR may be useful in differentiating papillary RCC from MA but a panel which includes AMACR, CK7 and CD57 is better in this differential diagnosis.
  • AMACR is not helpful in differentiating MA from Wilms' tumor, but CD57 is helpful in this differential diagnosis.
  • [MeSH-major] Adenoma / pathology. Biomarkers, Tumor / analysis. Kidney Neoplasms / pathology. Racemases and Epimerases / analysis
  • [MeSH-minor] Antigens, CD57 / analysis. Carcinoma, Papillary / enzymology. Carcinoma, Papillary / pathology. Carcinoma, Renal Cell / enzymology. Carcinoma, Renal Cell / pathology. Diagnosis, Differential. Humans. Immunohistochemistry. Keratin-7. Keratins / analysis. WT1 Proteins / analysis. Wilms Tumor / enzymology. Wilms Tumor / pathology

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  • (PMID = 16424894.001).
  • [ISSN] 0893-3952
  • [Journal-full-title] Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
  • [ISO-abbreviation] Mod. Pathol.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Antigens, CD57; 0 / Biomarkers, Tumor; 0 / KRT7 protein, human; 0 / Keratin-7; 0 / WT1 Proteins; 68238-35-7 / Keratins; EC 5.1.- / Racemases and Epimerases; EC 5.1.99.4 / alpha-methylacyl-CoA racemase
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88. Kim SS, Choi YD, Jin XM, Cho YM, Jang JJ, Juhng SW, Choi C: Immunohistochemical stain for cytokeratin 7, S100A1 and claudin 8 is valuable in differential diagnosis of chromophobe renal cell carcinoma from renal oncocytoma. Histopathology; 2009 Apr;54(5):633-5
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  • [Title] Immunohistochemical stain for cytokeratin 7, S100A1 and claudin 8 is valuable in differential diagnosis of chromophobe renal cell carcinoma from renal oncocytoma.
  • [MeSH-major] Adenoma, Oxyphilic / diagnosis. Carcinoma, Renal Cell / diagnosis. Keratin-7 / metabolism. Kidney Neoplasms / diagnosis. Membrane Proteins / metabolism. S100 Proteins / metabolism
  • [MeSH-minor] Biomarkers, Tumor / analysis. Claudins. Diagnosis, Differential. Humans. Immunohistochemistry / methods. Staining and Labeling / methods


89. Choudhary S, Rajesh A, Mayer NJ, Mulcahy KA, Haroon A: Renal oncocytoma: CT features cannot reliably distinguish oncocytoma from other renal neoplasms. Clin Radiol; 2009 May;64(5):517-22
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  • [Title] Renal oncocytoma: CT features cannot reliably distinguish oncocytoma from other renal neoplasms.
  • AIM: To retrospectively review the computed tomography (CT) imaging features of a series of histologically confirmed renal oncocytomas and to determine whether imaging features are predictive of this subtype of benign renal epithelial tumour.
  • MATERIALS AND METHODS: From May 2001 to October 2007, 21 patients with 28 renal masses, confirmed as renal oncocytoma on histological examination of the resection specimen, were identified from the pathology database at our institution.
  • The preoperative imaging findings were retrospectively analysed to determine characteristic features, if any, to predict this rare subtype of benign renal tumour.
  • In 18 (64.3%) lesions the enhancement of the tumour was isodense to renal cortex.
  • Ten (35.7%) lesions were hypodense to renal cortex.
  • CONCLUSION: Renal oncocytoma is typically described as being hypervascular and homogeneous, with a characteristic central stellate scar on CT.
  • Therefore, imaging characteristics alone are unreliable when differentiating between oncocytoma and renal cell carcinoma, and histopathological diagnosis remains the reference standard.
  • [MeSH-major] Adenoma, Oxyphilic / radiography. Kidney Neoplasms / radiography
  • [MeSH-minor] Adult. Aged. Aged, 80 and over. Carcinoma, Renal Cell / diagnosis. Diagnosis, Differential. Female. Humans. Male. Middle Aged. Retrospective Studies. Tomography, Spiral Computed / methods. Tomography, X-Ray Computed / methods

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  • (PMID = 19348848.001).
  • [ISSN] 1365-229X
  • [Journal-full-title] Clinical radiology
  • [ISO-abbreviation] Clin Radiol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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90. Petrolla AA, MacLennan GT: Renal cell carcinoma and other concurrent renal neoplasms. J Urol; 2007 Nov;178(5):2163
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  • [Title] Renal cell carcinoma and other concurrent renal neoplasms.
  • [MeSH-major] Adenoma, Oxyphilic / pathology. Angiomyolipoma / pathology. Carcinoma, Renal Cell / pathology. Kidney Neoplasms / pathology. Neoplasms, Multiple Primary / pathology
  • [MeSH-minor] Diagnosis, Differential. Humans. Nephrectomy. Prognosis

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  • (PMID = 17870118.001).
  • [ISSN] 0022-5347
  • [Journal-full-title] The Journal of urology
  • [ISO-abbreviation] J. Urol.
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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91. Newman EM, Bouvet M, Borgehi S, Herold DA, Deftos LJ: Causes of hypercalcemia in a population of military veterans in the United States. Endocr Pract; 2006 Sep-Oct;12(5):535-41
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  • Of the 212 patients, 59 (28%) had a diagnosis of malignant disease, 38 (18%) had primary hyperparathyroidism, and 114 (54%) had hypercalcemia due to a range of other causes.
  • A single parathyroid adenoma (in 20 of 22 patients who underwent surgical intervention) accounted for the majority of cases of primary hyperparathyroidism.
  • Among the other identified causes of hypercalcemia, acute renal failure was the most common (in 37 patients or 17% of all patients).
  • [MeSH-minor] Acute Kidney Injury / complications. Acute Kidney Injury / diagnosis. Adult. Aged. Aged, 80 and over. Blood Urea Nitrogen. Calcitonin / blood. Calcitriol / blood. Calcium / blood. Calcium / urine. Creatinine / urine. Dehydration / complications. Female. Follow-Up Studies. Humans. Hyperparathyroidism / complications. Hyperparathyroidism / diagnosis. Male. Middle Aged. Neoplasms / complications. Neoplasms / diagnosis. Parathyroid Hormone / blood. Phosphorus / blood. Retrospective Studies. Sodium / blood. United States / epidemiology

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  • (PMID = 17002928.001).
  • [ISSN] 1934-2403
  • [Journal-full-title] Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
  • [ISO-abbreviation] Endocr Pract
  • [Language] eng
  • [Publication-type] Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Parathyroid Hormone; 27YLU75U4W / Phosphorus; 9007-12-9 / Calcitonin; 9NEZ333N27 / Sodium; AYI8EX34EU / Creatinine; FXC9231JVH / Calcitriol; SY7Q814VUP / Calcium
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92. Torabinezad S, Kumar PV, Hashemi SB, Rahimi A: Osteoclastomalike giant cell tumor of the parotid gland: report of a case with fine needle aspiration diagnosis. Acta Cytol; 2006 Jan-Feb;50(1):80-3
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  • [Title] Osteoclastomalike giant cell tumor of the parotid gland: report of a case with fine needle aspiration diagnosis.
  • BACKGROUND: Osteoclastomalike giant cell tumor of the parotid gland has been reported rarely.
  • The tumor has occurred rarely at many sites, such as thyroid, pancreas, soft tissue, breast, skin, heart, colon, lung, kidney, ovary and bladder.
  • CASE: A 35-year-old female presented with a mass in the left parotid gland clinically diagnosed as a pleomorphic adenoma.
  • The smears were diagnosed as positive for malignancy, suggestive of osteoclastomalike giant cell tumor.
  • The tumor was excised, and histopathologic study confirmed the cytologic diagnosis.
  • CONCLUSION: The cytologic findings of osteoclastomalike giant cell tumor of the parotid gland have not been previously reported.
  • FNA aided the diagnosis and planning of treatment.
  • FNA is important in the diagnosis of parotid tumors.
  • [MeSH-major] Giant Cell Tumors / diagnosis. Parotid Gland / pathology. Parotid Neoplasms / diagnosis

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  • (PMID = 16514845.001).
  • [ISSN] 0001-5547
  • [Journal-full-title] Acta cytologica
  • [ISO-abbreviation] Acta Cytol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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93. Küpeli S, Baydar DE, Canakl F, Yalçn B, Kösemehmetoğlu K, Tekgül S, Büyükpamukçu M: Metanephric adenoma in a 6-year-old child with hemihypertrophy. J Pediatr Hematol Oncol; 2009 Jun;31(6):453-5
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Metanephric adenoma in a 6-year-old child with hemihypertrophy.
  • Metanephric adenoma (MA) is a renal tumor that is rarely diagnosed in children.
  • Although it is considered benign and to have a good prognosis, the diagnosis of MA is challenging because of histopathologic and radiologic similarities to Wilms tumor.
  • In this case report, we present a 6-year-old girl, with a renal mass and right hemihypertrophy, who was previously diagnosed as Wilms tumor on a fine-needle biopsy and diagnosed as MA after nephroureterectomy.
  • The differentiation between Wilms tumor and metanephric adenoma is also discussed.
  • [MeSH-major] Adenoma / pathology. Biopsy, Fine-Needle. Kidney Neoplasms / pathology. Wilms Tumor / pathology
  • [MeSH-minor] Child. Diagnosis, Differential. Diagnostic Errors. Female. Humans. Immunohistochemistry. Nephrectomy. Ureter / surgery

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  • (PMID = 19648796.001).
  • [ISSN] 1536-3678
  • [Journal-full-title] Journal of pediatric hematology/oncology
  • [ISO-abbreviation] J. Pediatr. Hematol. Oncol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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94. National Toxicology Program: Toxicology and carcinogenesis studies of methyl isobutyl ketone (Cas No. 108-10-1) in F344/N rats and B6C3F1 mice (inhalation studies). Natl Toxicol Program Tech Rep Ser; 2007 Feb;(538):1-236
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  • In the standard evaluation of the kidney, there were slightly increased incidences of renal tubule adenoma and renal tubule adenoma or carcinoma (combined) in males exposed to 900 or 1,800 ppm, and renal tubule carcinoma in males exposed to 1,800 ppm.
  • The incidences of renal tubule hyperplasia were also significantly increased in the 450 and 1,800 ppm males, and the severities were greater than in the chamber controls.
  • The incidences of transitional epithelial hyperplasia of the renal pelvis in males exposed to 900 or 1,800 ppm and mineralization of the renal papilla in all groups of exposed males were significantly increased.
  • In addition, two female rats exposed to 1,800 ppm had renal mesenchymal tumors.
  • In the extended evaluation of the kidney, renal tubule adenomas and renal tubule hyperplasia occurred in all groups of exposed male rats.
  • In the combined single and step section analysis, the incidences of renal tubule adenoma and renal tubule adenoma or carcinoma (combined) were significantly increased in males exposed to 1,800 ppm.
  • The incidences of renal tubule hyperplasia were also significantly increased in all exposed groups of males.
  • There was a positive trend in the incidences of mononuclear cell leukemia in males, and the incidence in the 1,800 ppm group was significantly increased.
  • The incidences of hepatocellular adenoma and hepatocellular adenoma or carcinoma (combined) were significantly increased in males and females exposed to 1,800 ppm.
  • CONCLUSIONS: Under the conditions of these 2-year studies, there was some evidence of carcinogenic activity of methyl isobutyl ketone in male F344/N rats based on increased incidences of renal tubule neoplasms.
  • Increased incidences of mononuclear cell leukemia in 1,800 ppm male F344/N rats may have been related to methyl isobutyl ketone exposure.
  • There was equivocal evidence of carcinogenic activity of methyl isobutyl ketone in female F344/N rats based on the occurrence of renal mesenchymal tumors in the 1,800 ppm group.
  • Exposure to methyl isobutyl ketone resulted in nonneoplastic lesions of the kidney characteristic of alpha2u-globulin accumulation in male rats and nephropathy in female rats.
  • [MeSH-minor] Administration, Oral. Adrenal Glands / drug effects. Animals. Body Weight / drug effects. Female. Kidney / drug effects. Kidney / pathology. Kidney Neoplasms / chemically induced. Kidney Neoplasms / pathology. Leukemia, Myeloid / chemically induced. Leukemia, Myeloid / pathology. Liver / drug effects. Liver / pathology. Liver Neoplasms / chemically induced. Liver Neoplasms / pathology. Lung Neoplasms / chemically induced. Lung Neoplasms / pathology. Male. Mice. Mice, Inbred Strains. Occupational Exposure. Rats. Rats, Inbred F344. Water Supply

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  • (PMID = 17557116.001).
  • [ISSN] 0888-8051
  • [Journal-full-title] National Toxicology Program technical report series
  • [ISO-abbreviation] Natl Toxicol Program Tech Rep Ser
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
  • [Chemical-registry-number] 0 / Carcinogens; 0 / Environmental Pollutants; 0 / Solvents; 6QDY60NH6N / Methyl n-Butyl Ketone; U5T7B88CNP / methyl isobutyl ketone
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95. DeWitt J, Gress FG, Levy MJ, Hernandez LV, Eloubeidi MA, Mishra G, Sherman S, Al-Haddad MA, LeBlanc JK: EUS-guided FNA aspiration of kidney masses: a multicenter U.S. experience. Gastrointest Endosc; 2009 Sep;70(3):573-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] EUS-guided FNA aspiration of kidney masses: a multicenter U.S. experience.
  • BACKGROUND: Tissue sampling of renal lesions is traditionally performed with percutaneous US or CT guidance.
  • To date, only 3 known cases of EUS-guided FNA (EUS-FNA) of a renal mass have been reported.
  • OBJECTIVE: To describe a multicenter experience with the indications, yield, and complications from attempted EUS-FNA of a kidney mass.
  • PATIENTS: Consecutive subjects undergoing attempted EUS-FNA of a kidney mass.
  • Endosonographers at 15 other teaching hospitals were contacted regarding EUS findings and follow-up of any EUS-guided renal biopsies previously attempted or considered at that institution.
  • INTERVENTIONS: EUS-FNA of a kidney mass.
  • MAIN OUTCOME MEASUREMENTS: Biopsy indications, yield, diagnosis, and complications.
  • Kidney masses (median diameter 32 mm; range 11-60 mm) were located in the upper (n = 12) and lower (n = 3) poles of the left (n = 10) and right (n = 5) kidneys, respectively.
  • Results of EUS-FNA (median 3 passes; range 2-4 passes) in 13 (87%) procedures were diagnostic of (n = 7) or highly suspicious for (n = 1) renal cell carcinoma (RCC), atypical cells (n = 2), oncocytoma (n = 1), benign cyst (n = 1), and nondiagnostic (n = 1).
  • CONCLUSIONS: EUS-FNA of renal masses is rarely performed at the U.S. teaching hospitals surveyed.
  • [MeSH-major] Biopsy, Fine-Needle / methods. Endosonography / methods. Kidney Neoplasms / pathology. Kidney Neoplasms / ultrasonography
  • [MeSH-minor] Adenoma, Oxyphilic / pathology. Adenoma, Oxyphilic / ultrasonography. Aged. Aged, 80 and over. Carcinoma, Renal Cell / pathology. Carcinoma, Renal Cell / ultrasonography. Cohort Studies. Confidence Intervals. Female. Follow-Up Studies. Hospitals, Teaching. Humans. Immunohistochemistry. Male. Middle Aged. Neoplasm Staging. Probability. Retrospective Studies. Risk Assessment. Sensitivity and Specificity. United States

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  • (PMID = 19560139.001).
  • [ISSN] 1097-6779
  • [Journal-full-title] Gastrointestinal endoscopy
  • [ISO-abbreviation] Gastrointest. Endosc.
  • [Language] eng
  • [Publication-type] Journal Article; Multicenter Study
  • [Publication-country] United States
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96. Rao Q, Zhou XJ, Shi QL, Yin HL, Ma HH, Zhou HB, Zhang RS: [Expression of Ksp-cadherin in renal epithelial neoplasm and its clinicopathologic significance]. Zhonghua Bing Li Xue Za Zhi; 2007 Jan;36(1):15-8
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [Expression of Ksp-cadherin in renal epithelial neoplasm and its clinicopathologic significance].
  • OBJECTIVE: To study the expression of a novel marker, kidney-specific-protein (Ksp)-cadherin, in renal epithelial neoplasms and its clinicopathologic significance.
  • METHODS: Immunohistochemical study (using EnVision method) for Ksp-cadherin, CD10, vimentin, epithelial membrane antigen and CK7 was carried out in normal human kidney samples, as well as in 166 cases of primary renal neoplasms (including 120 cases of clear cell renal cell carcinoma (RCC), 20 cases of papillary RCC (type I papillary RCC 15 cases and type II papillary RCC 5 cases), 18 cases of chromophobe RCC and 8 cases of oncocytoma).
  • RESULTS: Ksp-cadherin was expressed in distal convoluted tubules of normal kidney in a membranous pattern.
  • It was also detected in 23% (27/120) of clear cell RCC, 20% (4/20) of papillary RCC, 100% (18/18) of chromophobe RCC and 75% (6/8) of oncocytoma.
  • High expression of CD10 and vimentin was noted in clear cell RCC and papillary RCC.
  • On the other hand, the expression of Ksp-cadherin in clear cell RCC correlated with tumor stage and grade.
  • It carries relatively high specificity and sensitivity in diagnosis of chromophobe RCC and oncocytoma.
  • The expression of Ksp-cadherin also correlates with biologic behavior of clear cell RCC.
  • [MeSH-major] Adenoma, Oxyphilic / metabolism. Cadherins / metabolism. Carcinoma, Renal Cell / metabolism. Kidney Neoplasms / metabolism
  • [MeSH-minor] Diagnosis, Differential. Humans. Immunohistochemistry. Kidney Tubules / metabolism. Kidney Tubules / pathology. Neoplasm Staging. Neprilysin / metabolism. Vimentin / metabolism

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  • (PMID = 17374232.001).
  • [ISSN] 0529-5807
  • [Journal-full-title] Zhonghua bing li xue za zhi = Chinese journal of pathology
  • [ISO-abbreviation] Zhonghua Bing Li Xue Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
  • [Chemical-registry-number] 0 / CDH16 protein, human; 0 / Cadherins; 0 / Vimentin; EC 3.4.24.11 / Neprilysin
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97. Bahrami A, Truong LD, Shen SS, Krishnan B: Synchronous renal and adrenal masses: an analysis of 80 cases. Ann Diagn Pathol; 2009 Feb;13(1):9-15
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  • [Title] Synchronous renal and adrenal masses: an analysis of 80 cases.
  • Synchronous renal and adrenal masses are uncommon.
  • Although adrenal masses in the context of renal cell carcinoma (RCC) are often suspected as metastasis, other adrenal lesions with different therapeutic and prognostic implications may coexist with RCC.
  • In a retrospective review of 550 radical nephrectomies with ipsilateral adrenalectomy, 80 cases of coexisting renal and adrenal masses were identified.
  • The renal masses included 76 RCCs, 3 oncocytomas, and 1 malignant pheochromocytoma of adrenal gland involving the kidney.
  • Although the gross pathologic impression of adrenal masses in the presence of RCC was metastasis, on histologic examination, 56% of them were found to be benign lesions (mostly adrenal adenoma/hyperplasia), whereas malignant involvement from RCC was seen in 43%.
  • The benign and malignant nature of the adrenal lesions in the context of RCC could not be discriminated based on the size of adrenal mass.
  • Rare unusual combinations of renal and adrenal lesions such as RCC and adrenal histoplasmosis, RCC and adrenal myelolipoma, renal oncocytoma, and adrenal pheochromocytoma are also described.
  • [MeSH-major] Adrenal Gland Neoplasms / pathology. Adrenal Glands / pathology. Carcinoma, Renal Cell / pathology. Kidney / pathology. Kidney Neoplasms / pathology
  • [MeSH-minor] Adenoma, Oxyphilic / pathology. Adenoma, Oxyphilic / surgery. Adrenalectomy. Adult. Aged. Diagnosis, Differential. Female. Humans. Male. Middle Aged. Neoplasm Staging. Nephrectomy. Pheochromocytoma / pathology. Pheochromocytoma / surgery. Retrospective Studies

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  • (PMID = 19118776.001).
  • [ISSN] 1532-8198
  • [Journal-full-title] Annals of diagnostic pathology
  • [ISO-abbreviation] Ann Diagn Pathol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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98. Bosco M, Galliano D, La Saponara F, Pacchioni D, Bussolati G: Cytologic features of metanephric adenoma of the kidney during pregnancy: a case report. Acta Cytol; 2007 May-Jun;51(3):468-72
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Cytologic features of metanephric adenoma of the kidney during pregnancy: a case report.
  • BACKGROUND: Metanephric adenoma (MA) is a relatively rare neoplasm derived from metanephric blastema and composed of well-differentiated epithelial nephroblastic cells.
  • In view of its invariably benign clinical outcome, a preoperative diagnosis of this tumor could be of critical importance.
  • Since computed tomography and ultrasound imaging are not per se sufficient to unequivocally distinguish between MA and malignant neoplasms, fine needle aspiration cytology (FNAC) could be the only accurate method to establish a preoperative diagnosis of this tumor.
  • Transabdominal ultrasound examination disclosed a mass in her left kidney.
  • These cytologic and immunocytochemicalfindings led to a preoperative diagnosis of MA.
  • After delivery, the diagnosis was confirmed on the surgical specimen.
  • CONCLUSION: A diagnosis of MA could be established by FNAC supported by immunocytochemical analysis.
  • The present case illustrates the clinical impact that this diagnosis could have on patient management.
  • [MeSH-major] Adenoma / pathology. Kidney Neoplasms / pathology. Pregnancy Complications, Neoplastic / pathology

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  • (PMID = 17536558.001).
  • [ISSN] 0001-5547
  • [Journal-full-title] Acta cytologica
  • [ISO-abbreviation] Acta Cytol.
  • [Language] eng
  • [Publication-type] Case Reports; Journal Article
  • [Publication-country] United States
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99. Azabdaftari G, Alroy J, Banner BF, Ucci A, Bhan I, Cheville JC: S100 protein expression distinguishes metanephric adenomas from other renal neoplasms. Pathol Res Pract; 2008;204(10):719-23
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  • [Title] S100 protein expression distinguishes metanephric adenomas from other renal neoplasms.
  • Metanephric adenoma is a benign renal neoplasm with morphologic features similar to those of malignant renal neoplasms, such as papillary renal cell carcinoma (RCC) and Wilms' tumor.
  • Different methods have been used to distinguish between metanephric adenoma and papillary RCC and Wilms' tumor.
  • In the current study, we compared the expression of S100 protein in 15 cases of metanephric adenoma, 10 cases of Wilms' tumor, and 13 cases of papillary RCC.
  • Our results revealed strong expression of S100 proteins in all cases of metanephric adenoma, weak expression in two cases of Wilms' tumor, and no expression in any of the cases of papillary RCC.
  • These findings indicate that S100 could be a useful and accessible tool for the diagnosis of metanephric adenoma.
  • [MeSH-major] Adenoma / chemistry. Carcinoma, Renal Cell / chemistry. Kidney Neoplasms / chemistry. S100 Proteins / analysis. Wilms Tumor / chemistry

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  • (PMID = 18621486.001).
  • [ISSN] 0344-0338
  • [Journal-full-title] Pathology, research and practice
  • [ISO-abbreviation] Pathol. Res. Pract.
  • [Language] eng
  • [Publication-type] Comparative Study; Journal Article
  • [Publication-country] Germany
  • [Chemical-registry-number] 0 / S100 Proteins
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100. Bastos Netto JM, Esteves TC, Mattos Rde C, Tibiriçá SH, Costa SM, Vieira LJ: Metanephric adenoma: a rare differential diagnosis of renal tumor in children. J Pediatr Urol; 2007 Aug;3(4):340-1
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Metanephric adenoma: a rare differential diagnosis of renal tumor in children.
  • Metanephric adenoma is an extremely rare tumor of the kidney.
  • The clinical and anatomic characteristics are not yet well defined, but it is currently considered to be a benign tumor with a good prognosis, although recently two metastatic cases have been reported.
  • We present here the youngest girl yet to be reported with a diagnosis of metanephric adenoma.

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  • (PMID = 18947770.001).
  • [ISSN] 1873-4898
  • [Journal-full-title] Journal of pediatric urology
  • [ISO-abbreviation] J Pediatr Urol
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] England
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