PMID- 20544709 OWN - NLM STAT- MEDLINE DCOM- 20100713 LR - 20121115 IS - 1934-662X (Print) IS - 1934-662X (Linking) VI - 118 IP - 3 DP - 2010 Jun 25 TI - The application of cytogenetics and fluorescence in situ hybridization to fine-needle aspiration in the diagnosis and subclassification of renal neoplasms. PG - 137-45 LID - 10.1002/cncy.20077 [doi] AB - BACKGROUND: Percutaneous fine-needle aspiration (FNA) cytology is an important diagnostic test for the evaluation and management of selected renal masses. Cytogenetic analysis of cytology specimens can serve as an adjunct for precise classification because certain tumors are associated with specific chromosomal aberrations. This study summarizes our experience with the application of conventional cytogenetics and fluorescence in situ hybridization (FISH) to renal FNA specimens. METHODS: All percutaneous renal FNAs performed during 2005 through 2008 were identified from the electronic pathology database. Results of cytogenetic and FISH analyses were correlated with the final diagnoses of the renal FNAs. RESULTS: A total of 303 renal FNAs were performed. During an onsite assessment, a portion of the cytology specimen was allocated for cytogenetic analysis in 74 cases. Karyotypic analysis or FISH was successful in 44 (59%) of these. Characteristic chromosomal abnormalities were observed in 27 cases. In 17 cases, a karyotype revealed a combination of trisomies/tetrasomies and in another 5 cases, FISH revealed trisomy 7 and 17, both of which are consistent with papillary renal cell carcinoma (RCC). Two cases showed 3p deletions consistent with clear cell RCC. Trisomy 3 was observed in 1 case of clear cell RCC. Monosomy 1 and 17 was observed in a case of papillary RCC comprised oncocytic cells. In 1 case of primary renal synovial sarcoma, FISH revealed a rearrangement at the SYT locus (18q11.2). CONCLUSIONS: Renal FNA specimens are amenable to analysis by cytogenetics and FISH in the diagnosis and subclassification of renal neoplasms. CI - Copyright 2010 American Cancer Society. FAU - Roh, Michael H AU - Roh MH AD - Department of Pathology, University of Michigan Medical School, Ann Arbor, Michigan 48109-*5054, USA. mikro@med.umich.edu FAU - Dal Cin, Paola AU - Dal Cin P FAU - Silverman, Stuart G AU - Silverman SG FAU - Cibas, Edmund S AU - Cibas ES LA - eng PT - Journal Article PL - United States TA - Cancer Cytopathol JT - Cancer cytopathology JID - 101499453 RN - 0 (Organophosphates) RN - 126-72-7 (tris(2,3-dibromopropyl)phosphate) SB - IM MH - *Biopsy, Fine-Needle MH - Chromosome Aberrations MH - *Cytogenetics MH - Feasibility Studies MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Kidney Neoplasms/*diagnosis/pathology MH - Organophosphates EDAT- 2010/06/15 06:00 MHDA- 2010/07/14 06:00 CRDT- 2010/06/15 06:00 PHST- 2010/06/15 06:00 [entrez] PHST- 2010/06/15 06:00 [pubmed] PHST- 2010/07/14 06:00 [medline] AID - 10.1002/cncy.20077 [doi] PST - ppublish SO - Cancer Cytopathol. 2010 Jun 25;118(3):137-45. doi: 10.1002/cncy.20077.