Towards a new WHO classification of renal cell tumor: what the clinician needs to know—a narrative review

Autor: Veronica Mollica, Marina Scarpelli, Alessia Cimadamore, Francesco Massari, Matteo Santoni, Antonio Lopez-Beltran, Rodolfo Montironi, Holger Moch, Liang Cheng
Přispěvatelé: University of Zurich, Cimadamore, Alessia, Cimadamore A., Cheng L., Scarpelli M., Massari F., Mollica V., Santoni M., Lopez-Beltran A., Montironi R., Moch H.
Rok vydání: 2021
Předmět:
2748 Urology
0301 basic medicine
Oncology
medicine.medical_specialty
Urology
610 Medicine & health
Anaplastic lymphoma kinase (ALK)
Classification
Clear cell RCC
Emerging entities
Fumarate hydratase (FH)
Molecular pathology
Non-clear cells RCC
Renal cell carcinoma
Succinate dehydrogenase (SDH)
Von hippel-lindau gene (VHL)
urologic and male genital diseases
Renal neoplasm
Renal medullary carcinoma
03 medical and health sciences
Collecting duct carcinoma
0302 clinical medicine
10049 Institute of Pathology and Molecular Pathology
Internal medicine
Medicine
Pathological
business.industry
Emerging entitie
Cancer
2743 Reproductive Medicine
medicine.disease
female genital diseases and pregnancy complications
030104 developmental biology
Reproductive Medicine
030220 oncology & carcinogenesis
Review Article on Update on Molecular Classification and Individualized Treatments of Genitourinary Tumors
business
Who classification
Zdroj: Transl Androl Urol
ISSN: 2223-4691
2223-4683
DOI: 10.21037/tau-20-1150
Popis: In 1952, renal cell carcinomas had been divided into 2 categories-clear cell or granular cell-depending upon their cytoplasmic staining characteristics. In the following years, the inventory of renal epithelial tumors has expanded by the addition of tumors named by their architectural pattern (i.e., papillary RCC, tubulocystic RCC), anatomic location (i.e., collecting duct carcinoma, renal medullary carcinoma), associated diseases (i.e., acquired cystic disease-associated RCCs). With the extensive application of molecular diagnostic techniques, it becomes possible to detect genetic distinctions between various types of renal neoplasm and discover new entities, otherwise misdiagnosed or diagnosed as unclassified RCC. Some tumors such as ALK rearrangement-associated RCC, MiT family translocation renal carcinomas, SDH-deficient renal cancer or FH-deficient RCC, are defined by their molecular characteristics. The most recent World Health Organization (WHO) classification of renal neoplasms account for more than 50 entities and provisional entities. New entities might be included in the upcoming WHO classification. The aim of this review is to summarise and discuss the newly acquired data and evidence on the clinical, pathological, molecular features and on the prognosis of new RCC entities, which will hopefully increase the awareness and the acceptance of these entities among clinicians and improve prognostication for individual patients.
Databáze: OpenAIRE