PMID- 16271962 OWN - NLM STAT- MEDLINE DCOM- 20060123 LR - 20060214 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 163 IP - 1 DP - 2005 Nov TI - Renal oncocytoma with loss of chromosomes Y and 1 evolving to papillary carcinoma in connection with gain of chromosome 7. Coincidence or progression? PG - 81-5 AB - Hybrid tumors of the kidney are not rare. Previous studies of hybrid renal tumors have been valuable for the understanding of the pathogenesis and progression pathways of renal cell neoplasm. In this paper we describe the morphologic, immunohistochemical, and genetic features of 2 oncocytomas with evolving papillary renal cell carcinoma (PRCC) in a nephrectomy specimen of a 60-year old male. The patient was referred for urologic oncology consultation after the incidental discovery of a renal tumor. Nephrectomy was performed and two separate masses were present grossly. The tumors were stained with hematoxylin and eosin, cytokeratin 7 and vimentin. Genetic studies included conventional metaphase cytogenetics and fluorescence in situ hybridization (FISH). Morphologically, both tumors were oncocytomas with numerous microscopic papillary nests and psammoma bodies. Papillary carcinoma nests were highlighted with cytokeratin 7 and vimentin positivity and were more prominent in the larger tumor. Conventional cytogenetics and FISH demonstrated loss of chromosomes Y and 1 and gains of chromosome 7. We postulate that the PRCC represents a neoplastic progression by the gain of chromosome 7 oncocytoma with -Y and -1. FAU - Al-Saleem, Tahseen AU - Al-Saleem T AD - Department of Pathology, Medical Science Division, Fox Chase Cancer Center, Philadelphia, PA 19111, USA. T_alsaleem@fccc.edu FAU - Balsara, Binaifer R AU - Balsara BR FAU - Liu, Zemin AU - Liu Z FAU - Feder, Madelyn AU - Feder M FAU - Testa, Joseph R AU - Testa JR FAU - Wu, Hong AU - Wu H FAU - Greenberg, Richard E AU - Greenberg RE LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 SB - IM MH - Adenoma, Oxyphilic/*genetics/pathology MH - Carcinoma, Papillary/*genetics/pathology MH - *Chromosome Aberrations MH - *Chromosome Deletion MH - *Chromosomes, Human, Pair 7 MH - *Chromosomes, Human, Y MH - Disease Progression MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Kidney Neoplasms/*genetics/pathology MH - Male MH - Metaphase MH - Middle Aged EDAT- 2005/11/08 09:00 MHDA- 2006/01/24 09:00 CRDT- 2005/11/08 09:00 PHST- 2005/04/22 00:00 [received] PHST- 2005/05/17 00:00 [revised] PHST- 2005/05/24 00:00 [accepted] PHST- 2005/11/08 09:00 [pubmed] PHST- 2006/01/24 09:00 [medline] PHST- 2005/11/08 09:00 [entrez] AID - S0165-4608(05)00297-9 [pii] AID - 10.1016/j.cancergencyto.2005.05.011 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2005 Nov;163(1):81-5. doi: 10.1016/j.cancergencyto.2005.05.011.