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肾细胞癌病理学的变化面貌。

The changing face of renal cell carcinoma pathology.

作者信息

Aydin Hakan, Zhou Ming

机构信息

Department of Pathology, Cleveland Clinic Taussig Cancer Center, 9500 Euclid Avenue L25, Cleveland, OH, USA.

出版信息

Curr Oncol Rep. 2008 May;10(3):235-44. doi: 10.1007/s11912-008-0036-5.

DOI:10.1007/s11912-008-0036-5
PMID:18765154
Abstract

Renal cell carcinoma (RCC), which arises from the renal tubular epithelial cells, accounts for more than 90% of primary renal tumors in adults. This article reviews the current literature on RCC, including the new histologic subtypes that were included in the latest World Health Organization classification. It also reviews the conventional histopathologic prognostic parameters, potential prognostic biomarkers, and molecular profiling of RCC. Evolving understanding of genetics, coupled with morphologic and immunophenotypic characteristics, should enable more precise categorization of RCCs for diagnosis and clinical behavior and, hence, better stratification of patients for the most beneficial treatment.

摘要

肾细胞癌(RCC)起源于肾小管上皮细胞,占成人原发性肾肿瘤的90%以上。本文综述了有关肾细胞癌的当前文献,包括最新世界卫生组织分类中纳入的新组织学亚型。它还综述了肾细胞癌的传统组织病理学预后参数、潜在预后生物标志物和分子谱。对遗传学的不断深入理解,结合形态学和免疫表型特征,应能更精确地对肾细胞癌进行分类以用于诊断和临床行为分析,从而更好地对患者进行分层以实施最有益的治疗。

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2
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[Vancouver classification of renal tumors: Recommendations of the 2012 consensus conference of the International Society of Urological Pathology (ISUP)].[肾肿瘤的温哥华分类:国际泌尿病理学会(ISUP)2012年共识会议的建议]
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Risk factors, classification, and staging of renal cell cancer.肾细胞癌的危险因素、分类及分期
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Multimodal imaging and detection strategy with 124 I-labeled chimeric monoclonal antibody cG250 for accurate localization and confirmation of extent of disease during laparoscopic and open surgical resection of clear cell renal cell carcinoma.采用¹²⁴I标记的嵌合单克隆抗体cG250的多模态成像与检测策略,用于在腹腔镜和开放性手术切除透明细胞肾细胞癌期间准确确定疾病范围并进行定位确认。
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本文引用的文献

1
Carbonic anhydrase IX is not an independent predictor of outcome for patients with clear cell renal cell carcinoma.碳酸酐酶IX并非透明细胞肾细胞癌患者预后的独立预测指标。
J Clin Oncol. 2007 Oct 20;25(30):4757-64. doi: 10.1200/JCO.2007.12.1087.
2
The morphologic spectrum of kidney tumors in hereditary leiomyomatosis and renal cell carcinoma (HLRCC) syndrome.遗传性平滑肌瘤病和肾细胞癌(HLRCC)综合征中肾肿瘤的形态学谱。
Am J Surg Pathol. 2007 Oct;31(10):1578-85. doi: 10.1097/PAS.0b013e31804375b8.
3
Location of extrarenal tumor extension does not impact survival of patients with pT3a renal cell carcinoma.
Molecular profiling of small renal masses: Current status and future directions.小肾肿块的分子剖析:现状与未来方向。
Indian J Urol. 2009 Oct-Dec;25(4):485-8. doi: 10.4103/0970-1591.57922.
肾外肿瘤扩展的位置不影响pT3a期肾细胞癌患者的生存率。
J Urol. 2007 Nov;178(5):1878-82. doi: 10.1016/j.juro.2007.07.011. Epub 2007 Sep 17.
4
Prognostic factors for renal cell carcinoma with tumor thrombus extension.伴有肿瘤血栓延伸的肾细胞癌的预后因素
J Urol. 2007 Oct;178(4 Pt 1):1189-95; discussion 1195. doi: 10.1016/j.juro.2007.05.134. Epub 2007 Aug 14.
5
Xp11 translocation renal cell carcinoma in adults: expanded clinical, pathologic, and genetic spectrum.成人Xp11易位性肾细胞癌:临床、病理及基因谱的扩展
Am J Surg Pathol. 2007 Aug;31(8):1149-60. doi: 10.1097/PAS.0b013e318031ffff.
6
Renal medullary carcinoma: report of seven cases from Brazil.肾髓质癌:来自巴西的7例报告。
Mod Pathol. 2007 Sep;20(9):914-20. doi: 10.1038/modpathol.3800934. Epub 2007 Jul 20.
7
Xp11.2 translocation renal cell carcinoma with very aggressive course in five adults.5例成人中具有侵袭性病程的Xp11.2易位性肾细胞癌
Am J Clin Pathol. 2007 Jul;128(1):70-9. doi: 10.1309/LR5G1VMXPY3G0CUK.
8
Fuhrman grading is not appropriate for chromophobe renal cell carcinoma.富尔曼分级不适用于嫌色性肾细胞癌。
Am J Surg Pathol. 2007 Jun;31(6):957-60. doi: 10.1097/01.pas.0000249446.28713.53.
9
Prognostic impact of tumor size on pT2 renal cell carcinoma: an international multicenter experience.肿瘤大小对pT2期肾细胞癌的预后影响:一项国际多中心研究经验
J Urol. 2007 Jul;178(1):35-40; discussion 40. doi: 10.1016/j.juro.2007.03.046. Epub 2007 May 22.
10
Prognostic biomarkers in renal cell carcinoma.肾细胞癌的预后生物标志物
Expert Rev Mol Diagn. 2007 May;7(3):293-307. doi: 10.1586/14737159.7.3.293.