05.22 - Renal Neoplasia (Handorf) - PP + Handout Flashcards
WAGR and Denys-Drash are both associated with abnormalities of
Wilms Tumor 1 gene
Malignant neoplasm composed of cells with clear or eosinophilic cytoplasm w/in delicated vascular network
Clear Cell RC
2 different appearances of Papillary Carcinoma depending on angle of section
Nipples vs Papillae
Small renal cortical papillary neoplasms
Very common, look just like renal papillary carcinomas under microscope
Does RCC spread better hematogenously or by lymph
About equal
Most common type of renal cell carcinoma
Clear cell
Which subtype is more prone to bilateral or multifocal tumors
Papillary
Beckwith-Wiedemann Syndrome is associated with
loss of genetic imprinting that normally silences allele controlling ILGF2
loss of genetic imprinting that normally silences allele controlling ILGF2
Beckwith-Wiedemann Syndrome is associated with
What is helpful to radiologists in dx oncocytoma
Central Stellate Scar
Risk factors and average age for renal cell carcinoma
Smoking, HTN, Obesity - 64 years
3 congenital malformations associated with Wilms Tumor
WAGR Syndrome, Denys-Drash, Beckwith-Wiedemann
Large pale cells with prominent cell membranes
Chromophobe Carcinoma
Origin of Renal Cell Carcinoma
Renal Tubular Epithelium
Papillary Renal Cell Carcinoma
Short nipple-like or long finger-like projections of tumor cells in fibrovascular stalk
Behavior of Oncocytoma
Benign
Chromophobe Renal Cell Carcinomas
Large pale cells with prominent membranes
Chromophobe RCC is positive for
Hale’s colloidal iron stain
Genetic signature of Oncocytoma
None