Malignant transformation of renal angiomyolipoma

被引:31
作者
Takahashi, N [1 ]
Kitahara, R [1 ]
Hishimoto, Y [1 ]
Ohguro, A [1 ]
Hashimoto, Y [1 ]
Suzuki, T [1 ]
机构
[1] Hirosaki Univ, Sch Med, Dept Urol, Hirosaki, Aomori 0368563, Japan
关键词
HMB-45; malignant transformation; renal angiomyolipoma; TUBEROUS SCLEROSIS; EPITHELIOID ANGIOMYOLIPOMA; CARCINOMA;
D O I
10.1046/j.1442-2042.2003.00620.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
In the present paper, two cases of malignant transformation of renal angiomyolipoma without tuberous sclerosis are reported. Pathological examination revealed that, in both cases, in addition to the areas affected by typical angiomyolipoma, there were areas that contained elevated numbers of perivascular epithelioid cells with prominent nuclear pleomorphism. Immunohistochemical examination revealed that both cases were negative for keratin and epithelial membrane antigen, but were positive for the melanogenesis-related marker HMB-45. Metastatic diseases appeared 40 months after radical nephrectomy in the first case and 18 months in the second case.
引用
收藏
页码:271 / 273
页数:3
相关论文
共 7 条
[1]  
Bjornsson J, 1996, AM J PATHOL, V149, P1201
[2]   Malignant transformation of renal angiomyolipoma [J].
Christiano, AP ;
Yang, XM ;
Gerber, GS .
JOURNAL OF UROLOGY, 1999, 161 (06) :1900-1901
[3]   Epithelioid angiomyolipoma of the kidney - A report of five cases with a prominent and diagnostically confusing epithelioid smooth muscle component [J].
Eble, JN ;
Amin, MB ;
Young, RH .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1997, 21 (10) :1123-1130
[4]   RECURRENT RENAL ANGIOMYOLIPOMA ASSOCIATED WITH RENAL-CARCINOMA IN A PATIENT WITH TUBEROUS SCLEROSIS [J].
HARDMAN, JA ;
MCNICHOLAS, TA ;
KIRKHAM, N ;
FLETCHER, MS .
BRITISH JOURNAL OF UROLOGY, 1993, 72 (06) :983-984
[5]   Epithelioid cell variant of renal angiomyolipoma [J].
Mai, KT ;
Perkins, DG ;
Collins, JP .
HISTOPATHOLOGY, 1996, 28 (03) :277-280
[6]   Renal angiomyolipoma with epithelioid sarcomatous transformation and metastases - Demonstration of the same genetic defects in the primary and metastatic lesions [J].
Martignoni, G ;
Pea, M ;
Rigaud, G ;
Manfrin, E ;
Colato, C ;
Zamboni, G ;
Scarpa, A ;
Tardanico, R ;
Roncalli, M ;
Bonetti, F .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2000, 24 (06) :889-894
[7]   Apparent renal cell carcinomas in tuberous sclerosis are heterogeneous - The identification of malignant epithelioid angiomyolipoma [J].
Pea, M ;
Bonetti, F ;
Martignoni, G ;
Henske, EP ;
Manfrin, E ;
Colato, C ;
Bernstein, J .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1998, 22 (02) :180-187