PMID- 9224305 OWN - NLM STAT- MEDLINE DCOM- 19970815 LR - 20041117 IS - 0022-5347 (Print) IS - 0022-5347 (Linking) VI - 158 IP - 2 DP - 1997 Aug TI - Simultaneous chromosome 7 and 17 gain and sex chromosome loss provide evidence that renal metanephric adenoma is related to papillary renal cell carcinoma. PG - 370-4 AB - PURPOSE: Metanephric adenoma has recently been recognized as a unique renal tumor characterized by an unusual degree of cellular differentiation and maturation. We recently studied metanephric adenoma using metaphase analysis and observed concomitant chromosome Y loss and chromosome 7 and 17 gain. To determine if these chromosomal anomalies are consistently present in renal metanephric adenoma, we studied all 11 tumors in the pathology tissue registry at our institution using fluorescence in situ hybridization (FISH). MATERIALS AND METHODS: FISH, using deoxyribonucleic acid probes for chromosomes 1, 7, 8, 17, X and Y, was performed in isolated nuclei from 11 paraffin embedded renal metanephric adenoma specimens. RESULTS: Of the 11 tumors (73%) 8 demonstrated chromosome 7 and 17 gain by FISH, and the remaining 3 were found to have an apparently normal chromosomal content. Of the 8 tumors (75%) from men showed 6 chromosome 7 and 17 gain with Y chromosome loss. Of the 3 tumors (33%) from women 1 had chromosome 7 and 17 gain with X chromosome loss, while 1 had chromosome 7 and 17 gain without sex chromosome aneusomy. Metaphase analysis performed on 2 tumors revealed chromosome 7 and 17 gain and Y chromosome loss in 1, and no apparent, chromosome anomaly in the other, confirming the results of FISH analysis. CONCLUSIONS: FISH analysis of renal metanephric adenoma identified frequent chromosome 7 and 17 gain and sex chromosome loss. These results are consistent with a clonal neoplastic disorder in which chromosomes 7, 17, X and Y are likely to be involved in the pathogenesis of this tumor. These characteristic chromosomal alterations have also been observed in papillary renal cell adenoma and papillary renal cell carcinoma, providing evidence that these tumors may be related. FAU - Brown, J A AU - Brown JA AD - Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA. FAU - Anderl, K L AU - Anderl KL FAU - Borell, T J AU - Borell TJ FAU - Qian, J AU - Qian J FAU - Bostwick, D G AU - Bostwick DG FAU - Jenkins, R B AU - Jenkins RB LA - eng PT - Journal Article PL - United States TA - J Urol JT - The Journal of urology JID - 0376374 SB - IM MH - Adenoma/*genetics MH - Carcinoma, Papillary/*genetics MH - Carcinoma, Renal Cell/*genetics MH - Chromosome Aberrations/*genetics MH - Chromosomes, Human, Pair 1/genetics MH - Chromosomes, Human, Pair 17/*genetics MH - Chromosomes, Human, Pair 7/*genetics MH - Chromosomes, Human, Pair 8/genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Kidney Neoplasms/*genetics MH - Male MH - Sex Chromosomes/*genetics EDAT- 1997/08/01 00:00 MHDA- 1997/08/01 00:01 CRDT- 1997/08/01 00:00 PHST- 1997/08/01 00:00 [pubmed] PHST- 1997/08/01 00:01 [medline] PHST- 1997/08/01 00:00 [entrez] AID - S0022-5347(01)64482-3 [pii] PST - ppublish SO - J Urol. 1997 Aug;158(2):370-4.