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93966

Chromophobe Renal Cell Carcinoma, Oncocytoma and Clear Cell Carcinoma: A Compartive Immunohistochemical Study

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Renal oncocytoma, chromophobe RCC, and conventional RCC (granular cell type) have different prognosis. The differentiation between them sometimes is difficult and may cause a diagnostic dilemma. Aim of Study: To reveal the better immunohistochemical diagnostic markers for differentiation between Chromophobe Renal Cell Carcinoma (ChRCC), Clear Cell Renal Cell Car-cinoma (CCRCC), and oncocytoma. Material and Methods: We reviewed one hundred and fifty cases of renal cell carcinoma: ChRCC (100 case), CCRCC (25 cases) and RO (25 cases). We carried out comprehensive immunohistochemical profiling using Hales Colloidal Iron stain (HCI), and 6 markers: Vimentin, CK7, CD 10, CD 117. EpCAM, and S100. Results: Our results demonstrated a statistically significant difference in the expression of Hales colloidal iron among the studied renal tumors (p-value <0.0001) as 94% of cases of chromophobe renal cells carcinoma showed positive staining for Hales colloidal iron, but cases of clear cell renal cell carcinoma and oncocytoma showed no staining for Hales colloidal iron stain. All cases of ChRCC were negative for vimentin. 72% of CCRCC and 8% of oncocytoma showed cytoplasmic positivity for vimentin. This difference in the expression was statistically significant (p-value <0.0001). 76% of ChRCC cases showed cytoplasmic immunoreactivity to CK7, while 8% of CCRCC and 4% of oncocytoma showed such cytoplasmic immunoreactivity for CK7. These results were statistically significant with p-value <0.0001. We found that CD 10 showed statistically significant correlation with tumour type with p-value 0.025. CD 117, EpCAM, S100A1 showed statistically significant correlation with tumor type with p-value <0.0001. Conclusion: We concluded that the best panel of markers that can differentiate between the three studied renal tumour types by calculating sensitivity and specificity of each marker in each tumour type we found that the best panel is Vimentin, EpCAM and S100A1.

DOI

10.21608/mjcu.2020.93966

Keywords

CD1 0, CK7, Chromophobe renal cell carcinoma, Clear cell renal cell carcinoma, CCRCC, S100A1, EpCAM, Immunohistochemistry, Renal oncocytoma, vimentin

Authors

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MOHAMMED ABD ELHAMID, M.Sc.;

Last Name

MOHEBAT H. GOUDA, M.D.

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TAGHREED ABD ELSAMEE, M.D.;

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NEHAL S. ZAFER, M.D.

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First Name

MAHMMOUD

Last Name

ELBAZ, M.D.

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Affiliation

The Department of Pathology, Faculty of Medicine, Benha University* and Department of Pathology, Urology & Nephrology Center, Mansoura University**

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Volume

88

Article Issue

March

Related Issue

14145

Issue Date

2020-03-01

Receive Date

2020-01-05

Publish Date

2020-03-01

Page Start

103

Page End

110

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_93966.html

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https://mjcu.journals.ekb.eg/service?article_code=93966

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14

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Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Chromophobe Renal Cell Carcinoma, Oncocytoma and Clear Cell Carcinoma: A Compartive Immunohistochemical Study

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Article

Created At

22 Jan 2023