LIPID-LADEN FOAMY MACROPHAGES IN RENAL-CELL CARCINOMA - POTENTIAL FROZEN-SECTION DIAGNOSTIC PITFALL

被引:6
作者
ISKANDAR, SS
PRAHLOW, JA
WHITE, WL
机构
[1] Department of Pathology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem
关键词
FOAMY MACROPHAGES; RENAL CELL CARCINOMA; XANTHOGRANULOMATOUS PYELONEPHRITIS;
D O I
10.1016/S0344-0338(11)80364-X
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Lipid-laden foamy macrophages are characteristic of xanthogranulomatous pyelonephritis (XGP). We have encountered a case of renal cell carcinoma (RCC), with extensive necrosis, in which confluent sheets of foamy macrophages were a dominant feature. We describe the case and discuss the potential frozen section diagnostic problem in attempting to distinguish between confluent sheets of xanthoma cells as a ''reactive'' change in RCC and xanthoma cells as a fundamental component of XGP. We propose that awareness of that problem should prompt the pathologist to request additional samples.
引用
收藏
页码:549 / 552
页数:4
相关论文
共 10 条
[1]  
BENNINGTON JL, 1975, TUMORS KIDNEY RENAL, P148
[2]  
COHEN AH, 1988, SURGICAL PATHOLOGY, P516
[3]  
HILL GS, 1989, UROPATHOLOGY, P397
[4]   XANTHOGRANULOMATOUS PYELONEPHRITIS - CRITICAL ANALYSIS OF 26 CASES AND OF LITERATURE [J].
MALEK, RS ;
ELDER, JS .
JOURNAL OF UROLOGY, 1978, 119 (05) :589-593
[5]  
MILLAN JC, 1989, UROPATHOLOGY, P658
[6]   CONSERVATIVE SURGERY FOR RENAL-CELL CARCINOMA - A SINGLE-CENTER EXPERIENCE WITH 100 PATIENTS [J].
NOVICK, AC ;
STREEM, S ;
MONTIE, JE ;
PONTES, JE ;
SIEGEL, S ;
MONTAGUE, DK ;
GOORMASTIC, M .
JOURNAL OF UROLOGY, 1989, 141 (04) :835-839
[7]  
OLSEN S, 1984, TUMORS KIDNEY URINAR, P31
[8]  
ROSAI J, 1989, ACKERMANS SURGICAL P, P870
[9]  
SHIKES RH, 1990, PRINCIPLES PRACTICE, P1475
[10]  
SOMEREN A, 1989, UROLOGIC PATHOLOGY C, P175