Lee Wonae
Department of Pathology, Dankook University College of Medicine, Cheonan, Korea.
J Cytol. 2011 Apr;28(2):77-80. doi: 10.4103/0970-9371.80749.
Chromophobe renal cell carcinoma (ChRCC) is a unique entity of renal cell carcinoma and has a low malignant potential. A correct cytological diagnosis can help to decide the suitable management and operation. I present here a case with an imprint cytology of ChRCC focusing on the correlation with the histological and ultrastructural features. A 69-year-old male underwent partial nephrectomy and imprint cytology. The cellular smear consisted of predominantly granular eosinophilic cells with round nuclei, a well-defined cytoplasmic membrane and accentuated cell borders. The cytoplasm was characterized by variable granularity with reticulated clearing or vague perinuclear vacuolization. Distinct perinuclear halos were infrequently noted. The histological, immunohistochemical and ultrastructural findings were compatible with ChRCC.
嫌色性肾细胞癌(ChRCC)是肾细胞癌中的一种独特类型,恶性潜能较低。正确的细胞学诊断有助于确定合适的治疗和手术方案。在此,我展示一例ChRCC印片细胞学病例,重点关注其与组织学和超微结构特征的相关性。一名69岁男性接受了部分肾切除术及印片细胞学检查。细胞涂片主要由圆形核、胞膜清晰且细胞边界明显的嗜酸性颗粒细胞组成。细胞质的特点是颗粒度不一,有网状透亮区或核周模糊空泡化。很少见到明显的核周晕。组织学、免疫组化和超微结构检查结果均符合ChRCC。