PMID- 31437522 OWN - NLM STAT- MEDLINE DCOM- 20200610 LR - 20200610 IS - 1532-8392 (Electronic) IS - 0046-8177 (Linking) VI - 92 DP - 2019 Oct TI - Diagnosis of uncommon renal epithelial neoplasms: performances of fluorescence in situ hybridization. PG - 81-90 LID - S0046-8177(19)30138-8 [pii] LID - 10.1016/j.humpath.2019.08.005 [doi] AB - Renal cell carcinomas (RCC) are divided in several subtypes, characterized by morphological and histological features, protein expression patterns and genetics criteria. The main subtypes include Clear cell renal cell carcinoma (CCRCC), Papillary RCC (PRCC), Chromophobe RCC (ChRCC), oncocytoma, TFE3 and TFEB Translocation renal cell carcinoma (TRCC). In most cases, RCC can be easily classified according to histological criteria and immunohistochemistry. Nevertheless, the subtyping process can be more complex in some cases: differential diagnosis (CCRCC or TFE3 TRCC, PRCC or TFE3 TRCC, oncocytic tumors corresponding to ChRCC or oncocytoma), molecular confirmation (TFEB TRCC) and unclassified RCC. Complementary analyses are required such as fluorescence in situ hybridization (FISH) for the detection of chromosomal abnormalities associated to each subtype. In this aim, this study assessed the performance of FISH analysis in the histological classification of 359 RCC exhibiting unusual histological characteristics and/or occurring in young people. FISH probes were selected according to the histological features of each tumor. FISH analysis contributed to the histological classification in 73% of the RCC (261/359). Conversely, FISH did not contribute to the diagnosis in 19% of the cases (69/359) and a hybridization failure was observed for the remaining tumors (8%; 29/359). Considering the different RCC subtypes, FISH analysis was highly efficient to confirm the histological diagnosis of CCRCC, PRCC, and TFE3 TRCC and to identify abnormalities of the TFEB gene. However, this strategy showed some limitations for the diagnosis of oncocytic tumors and unclassified RCC, suggesting that additional molecular assays should be evaluated in these cases. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Beaumont, Marion AU - Beaumont M AD - Service de Cytogenetique et Biologie Cellulaire, CHU de Rennes, 35000 Rennes, France. FAU - Dugay, Frederic AU - Dugay F AD - Service de Cytogenetique et Biologie Cellulaire, CHU de Rennes, 35000 Rennes, France; Universite de Rennes, CHU Rennes, Inserm, EHESP, Irset (Institut de Recherche en sante, environnement et travail) - UMR_S1085, 35000 Rennes, France. FAU - Kammerer-Jacquet, Solene-Florence AU - Kammerer-Jacquet SF AD - Universite de Rennes, CHU Rennes, Inserm, EHESP, Irset (Institut de Recherche en sante, environnement et travail) - UMR_S1085, 35000 Rennes, France; Service d'Anatomie et Cytologie Pathologiques, CHU de Rennes, 35000 Rennes, France. FAU - Jaillard, Sylvie AU - Jaillard S AD - Service de Cytogenetique et Biologie Cellulaire, CHU de Rennes, 35000 Rennes, France; Universite de Rennes, CHU Rennes, Inserm, EHESP, Irset (Institut de Recherche en sante, environnement et travail) - UMR_S1085, 35000 Rennes, France. FAU - Cabillic, Florian AU - Cabillic F AD - Service de Cytogenetique et Biologie Cellulaire, CHU de Rennes, 35000 Rennes, France. FAU - Mathieu, Romain AU - Mathieu R AD - Service d'Urologie, CHU Rennes, 35000 Rennes, France. FAU - Verhoest, Gregory AU - Verhoest G AD - Service d'Urologie, CHU Rennes, 35000 Rennes, France. FAU - Bensalah, Karim AU - Bensalah K AD - Service d'Urologie, CHU Rennes, 35000 Rennes, France. FAU - Rioux-Leclercq, Nathalie AU - Rioux-Leclercq N AD - Universite de Rennes, CHU Rennes, Inserm, EHESP, Irset (Institut de Recherche en sante, environnement et travail) - UMR_S1085, 35000 Rennes, France; Service d'Anatomie et Cytologie Pathologiques, CHU de Rennes, 35000 Rennes, France. FAU - Belaud-Rotureau, Marc-Antoine AU - Belaud-Rotureau MA AD - Service de Cytogenetique et Biologie Cellulaire, CHU de Rennes, 35000 Rennes, France; Universite de Rennes, CHU Rennes, Inserm, EHESP, Irset (Institut de Recherche en sante, environnement et travail) - UMR_S1085, 35000 Rennes, France. Electronic address: marc-antoine.belaud-rotureau@univ-rennes1.fr. CN - CARARE French network (Rare Renal Carcinoma in Adults) of the INCa (National Institute of Cancer, France) LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190820 PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Renal Cell/*diagnosis/genetics/pathology MH - Child MH - Child, Preschool MH - Diagnosis, Differential MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Kidney/*pathology MH - Kidney Neoplasms/*diagnosis/genetics/pathology MH - Male MH - Middle Aged MH - Pathology, Molecular MH - Translocation, Genetic MH - Young Adult OTO - NOTNLM OT - Chromosomal abnormalities OT - Cytogenetics OT - Fluorescence in situ hybridization OT - Histological classification OT - Renal epithelial neoplasms EDAT- 2019/08/23 06:00 MHDA- 2020/06/11 06:00 CRDT- 2019/08/23 06:00 PHST- 2019/06/19 00:00 [received] PHST- 2019/08/08 00:00 [revised] PHST- 2019/08/09 00:00 [accepted] PHST- 2019/08/23 06:00 [pubmed] PHST- 2020/06/11 06:00 [medline] PHST- 2019/08/23 06:00 [entrez] AID - S0046-8177(19)30138-8 [pii] AID - 10.1016/j.humpath.2019.08.005 [doi] PST - ppublish SO - Hum Pathol. 2019 Oct;92:81-90. doi: 10.1016/j.humpath.2019.08.005. Epub 2019 Aug 20.