PMID- 19694821 OWN - NLM STAT- MEDLINE DCOM- 20091113 LR - 20090821 IS - 1365-2559 (Electronic) IS - 0309-0167 (Linking) VI - 55 IP - 2 DP - 2009 Aug TI - Immunohistochemical and molecular genetic profiling of acquired cystic disease-associated renal cell carcinoma. PG - 145-53 LID - 10.1111/j.1365-2559.2009.03361.x [doi] AB - AIMS: Acquired cystic disease-associated renal cell carcinoma (ACD-associated RCC) is a unique neoplasm that specifically develops in the background of acquired cystic disease of the kidney. The aim was to analyse nine ACD-associated RCCs from three patients to determine their immunohistochemical and molecular characteristics using immunohistochemistry, comparative genomic hybridization (CGH) and fluorescence in situ hybridization (FISH). METHODS AND RESULTS: ACD-associated RCC preferentially expressed proximal nephron phenotype (CD10+ /RCC marker+/alpha-methylacyl-CoA racemase+ /glutathione S-transferase-alpha+ /BerEP4+ /cytokeratin 7- /E-cadherin- /high-molecular-weight cytokeratin- /MOC31-). CGH combined with FISH demonstrated non-random chromosomal gains clustering on chromosomes 3 (8/9), 7 (6/9), 16 (7/9), 17 (4/9) and Y (5/9). Chromosomal losses were uncommon. The chromosomal aberrations in all multifocal tumours were not identical for the same kidney or for the same patient, indicating a 'field effect' that induces multiple independent clones. CONCLUSIONS: Although the genetic profiles of ACD-associated RCC showed some similarity to those of papillary RCC, ACD-associated RCC distinctly revealed frequent gains on chromosomes 3 and Y. ACD-associated RCC is characterized not only by its particular clinical setting and histology, but also by its unique immunohistochemical and molecular genetic profiles. FAU - Pan, Chin-Chen AU - Pan CC AD - Department of Pathology, Taipei Veterans General Hospital and National Yang-Ming University, No. 201, Shi-Pai Rd, Sec. 2, Taipei 11217, Taiwan. ccpan@vghtpe.gov.tw FAU - Chen, Yann-Jang AU - Chen YJ FAU - Chang, Liang-Che AU - Chang LC FAU - Chang, Yen-Hwa AU - Chang YH FAU - Ho, Donald M-T AU - Ho DM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Histopathology JT - Histopathology JID - 7704136 SB - IM MH - Carcinoma, Renal Cell/*genetics MH - *Comparative Genomic Hybridization MH - Humans MH - *Immunohistochemistry MH - *In Situ Hybridization, Fluorescence MH - Kidney Diseases, Cystic/*genetics EDAT- 2009/08/22 09:00 MHDA- 2009/11/17 06:00 CRDT- 2009/08/22 09:00 PHST- 2009/08/22 09:00 [entrez] PHST- 2009/08/22 09:00 [pubmed] PHST- 2009/11/17 06:00 [medline] AID - HIS3361 [pii] AID - 10.1111/j.1365-2559.2009.03361.x [doi] PST - ppublish SO - Histopathology. 2009 Aug;55(2):145-53. doi: 10.1111/j.1365-2559.2009.03361.x.