PMID- 26486745 OWN - NLM STAT- MEDLINE DCOM- 20160202 LR - 20151021 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 144 IP - 5 DP - 2015 Nov TI - Thyroid-like follicular carcinoma of the kidney: one case report and review of the literature. PG - 796-804 LID - 10.1309/AJCP6P0STAAHOTTG [doi] AB - OBJECTIVES: Thyroid-like follicular carcinoma of the kidney continues to confound the practicing pathologist with its close resemblance to the follicular variant of thyroid carcinoma, as well as other benign and malignant entities. Our goal is to expand the knowledge of this rare renal cell carcinoma subtype, which is morphologically similar to follicular carcinoma of the thyroid but lacks expression of characteristic thyroid immunohistochemical markers such as TTF-1 and thyroglobulin. METHODS: We evaluated the gross, histologic, immunohistochemical, and fluorescence in situ hybridization (FISH) studies of a new case and performed a comprehensive review of the literature. RESULTS: The lesion was spongy and well-circumscribed. Microscopically it showed variably sized follicular structures, filled with abundant, deeply eosinophilic, colloid-like material. At the periphery, it displayed areas resembling metanephric adenoma and early stages of nephrogenesis. The tumor cells strongly expressed CK7, PAX-8, PAX-2, vimentin, EMA, and CK19 immunostains. Other markers, such as CD10, RCC, HBME-1, thyroglobulin, and TTF-1, were not immunoreactive. The tumor was negative for trisomy of both 7 and 17 and showed borderline monosomies (losses) of both chromosomes in FISH studies. CONCLUSIONS: Five years of preoperative observation and lack of recurrence bring further insight into the slow progressive nature of this neoplasm and support a low malignant potential. Proper identification is important to secure adequate treatment and follow-up. CI - Copyright(c) by the American Society for Clinical Pathology. FAU - Dawane, Rahul AU - Dawane R AD - From the Department of Pathology and. FAU - Grindstaff, Alan AU - Grindstaff A AD - From the Department of Pathology and. FAU - Parwani, Anil V AU - Parwani AV AD - Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA. FAU - Brock, Timothy AU - Brock T AD - Division of Urologic Surgery, University of Tennessee Medical Center, Knoxville and. FAU - White, Wesley M AU - White WM AD - Division of Urologic Surgery, University of Tennessee Medical Center, Knoxville and. FAU - Nodit, Laurentia AU - Nodit L AD - From the Department of Pathology and Lnodit@utmck.edu. LA - eng PT - Case Reports PT - Journal Article PT - Review PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (Biomarkers, Tumor) SB - IM MH - Adenocarcinoma, Follicular/metabolism/*pathology MH - Biomarkers, Tumor/metabolism MH - Carcinoma, Renal Cell/metabolism/*pathology MH - Female MH - Humans MH - Immunohistochemistry MH - Kidney/metabolism/*pathology MH - Kidney Neoplasms/metabolism/*pathology MH - Middle Aged MH - Neoplasm Recurrence, Local/*pathology OTO - NOTNLM OT - Kidney tumor OT - Renal cell carcinoma OT - Thyroid-like follicular carcinoma of kidney EDAT- 2015/10/22 06:00 MHDA- 2016/02/03 06:00 CRDT- 2015/10/22 06:00 PHST- 2015/10/22 06:00 [entrez] PHST- 2015/10/22 06:00 [pubmed] PHST- 2016/02/03 06:00 [medline] AID - 144/5/796 [pii] AID - 10.1309/AJCP6P0STAAHOTTG [doi] PST - ppublish SO - Am J Clin Pathol. 2015 Nov;144(5):796-804. doi: 10.1309/AJCP6P0STAAHOTTG.