scholarly journals Clear Cell Sarcoma of the Kidney

2019 ◽  
Vol 143 (8) ◽  
pp. 1022-1026 ◽  
Author(s):  
Sze Jet Aw ◽  
Kenneth Tou En Chang

Clear cell sarcoma of the kidney is the second most common primary renal malignancy in childhood. It is histologically diverse, making accurate diagnosis challenging in some cases. Recent molecular studies have uncovered BCOR exon 15 internal tandem duplications in most cases, and YWHAE-NUTM2 fusion in a few cases, with the remaining cases having other genetic mutations, including BCOR-CCNB3 fusion and EGFR mutations. Although clear cell sarcoma of the kidney has no specific immunophenotype, several markers including cyclin D1, nerve growth factor receptor, and BCOR (BCL6 corepressor) have emerged as potential diagnostic aides. This review provides a concise account of recent advances in our understanding of clear cell sarcoma of the kidney to serve as a practical update for the practicing pathologist.

2016 ◽  
Vol 55 (6) ◽  
pp. 549-550 ◽  
Author(s):  
Saskia L. Gooskens ◽  
Samantha Gadd ◽  
Marry M. van den Heuvel-Eibrink ◽  
Elizabeth J. Perlman

2007 ◽  
Vol 13 (15) ◽  
pp. 4360-4364 ◽  
Author(s):  
Suzanne E. Little ◽  
Dorine A. Bax ◽  
Maria Rodriguez-Pinilla ◽  
Rachael Natrajan ◽  
Boo Messahel ◽  
...  

2019 ◽  
Vol 144 (1) ◽  
pp. 119-123 ◽  
Author(s):  
Alessandro Pietro Aldera ◽  
Komala Pillay

Clear cell sarcoma of the kidney is an uncommon malignant pediatric renal neoplasm that typically presents in the 2- to 3-year age group and has a propensity for aggressive behavior and late relapses. Histologically, this tumor exhibits a great diversity of morphologic patterns that can mimic most other pediatric renal neoplasms, often leading to confusion and misdiagnosis. Until recently, adjunct immunohistochemical and molecular genetic tests to support the diagnosis were lacking. The presence of internal tandem duplications in BCL-6 coreceptor (BCOR) and a translocation t(10;17) creating the fusion gene YWHAE-NUTM2B/E have now been well accepted. Immunohistochemistry for BCOR has also been shown to be a sensitive and specific marker for clear cell sarcoma of the kidney in the context of pediatric renal tumors. Improved intensive chemotherapy regimens have influenced the clinical course of the disease, with late relapses now being less frequent and the brain having overtaken bone as the most common site of relapse.


2015 ◽  
Vol 6 (1) ◽  
Author(s):  
Angshumoy Roy ◽  
Vijetha Kumar ◽  
Barry Zorman ◽  
Erica Fang ◽  
Katherine M. Haines ◽  
...  

2016 ◽  
Vol 238 (5) ◽  
pp. 617-620 ◽  
Author(s):  
Colin Kenny ◽  
Sabrina Bausenwein ◽  
Antonio Lazaro ◽  
Rhoikos Furtwängler ◽  
Saskia LM Gooskens ◽  
...  

Author(s):  
G. Stenman ◽  
P. Sahlin ◽  
L. Angervall ◽  
P. Meltzer ◽  
L.-G. Kindblom

2015 ◽  
Vol 47 (8) ◽  
pp. 861-863 ◽  
Author(s):  
Hitomi Ueno-Yokohata ◽  
Hajime Okita ◽  
Keiko Nakasato ◽  
Shingo Akimoto ◽  
Jun-ichi Hata ◽  
...  

2014 ◽  
Vol 138 (10) ◽  
pp. 1328-1336 ◽  
Author(s):  
Maria A. Pletneva ◽  
Aleodor Andea ◽  
Nallasivam Palanisamy ◽  
Bryan L. Betz ◽  
Shannon Carskadon ◽  
...  

Clear cell melanoma is a rare clear cell malignancy. Accurate diagnosis of clear cell melanoma requires integration of immunohistochemical and morphologic findings, with molecular studies to rule out clear cell sarcoma. The differential diagnosis includes melanoma, carcinoma, perivascular epithelioid cell tumor, and epidermotropic clear cell sarcoma. We use a case of a lesion on the helix of an 86-year-old man as an example. Histologic examination revealed an ulcerated clear cell malignant tumor. Tumor cell cytoplasm contained periodic acid-Schiff–positive, diastase-sensitive glycogen. Tumor cells showed positive labeling for S100, HMB-45, and Melan-A, and negative labeling for cytokeratins, p63, and smooth muscle actin. Molecular studies demonstrated BRAF V600E mutation, copy gains at the 6p25 (RREB1) and 11q13 (CCND1) loci, and absence of EWSR1-ATF1 fusion. These findings supported a diagnosis of clear cell melanoma. The rare pure clear cell morphology occurs due to accumulation of intracytoplasmic glycogen. We review the differential diagnosis of clear cell melanoma and describe the utility of immunohistochemical and molecular studies in confirming this diagnosis.


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