Renal primitive neuroectodermal tumor: an immunohistochemical and cytogenetic analysis.
The cytogenetic and morphologic characteristics of a case with a primitive neuroectodermal tumor (PNET) arising from the left kidney in a 22 year old man are presented. The patient was detected as having a left renal mass with a tumor embolus in the inferior vena cava and multiple pulmonary metastases. A radical nephrectomy with tumor embolectomy of the inferior vena cava, along with a resection of the pulmonary nodules were performed. Histologic examination revealed a dense proliferation of small round cells with many Homer-Wright type rosettes and perivascular pseudorosettes. Immunohistochemically, the tumor cells stained strongly positive for HBA71(p30/32MIC2), a surface glycoprotein specific to PNET and Ewing's sarcoma. In addition, the tumor cells expressed several neural markers (neuron specific enolase, neurofilament, synaptophysin, and Leu-7) and vimentin, while the epithelial, muscular, and lymphocytic markers were negative in the tumor cells. Cytogenetic analysis of cultured tumor cells showed a reciprocal translocation t(11;22)(q24;q12) that is considered to be specific to PNET and Ewing's sarcoma. In conclusion, this case suggested that a karyotyping analysis is a useful diagnostic tool for renal PNET, and it may therefore be utilized to help distinguish between difficult cases of small round cell tumors and Wilms' tumor of the kidney.
Takeuchi
T
T
Department of Pathology, Fukuoka University, School of Medicine, Japan.
Iwasaki
H
H
Ohjimi
Y
Y
Kaneko
Y
Y
Ishiguro
M
M
Fujita
C
C
Miura
Y
Y
Hiratsuka
Y
Y
Sakamoto
K
K
Kikuchi
M
M
D000328:Adult; D003582:Cytogenetics; D006801:Humans; D007150:Immunohistochemistry; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000235:genetics* / Q000276:immunology* / Q000473:pathology; D008297:Male; D018242:Neuroectodermal Tumors, Primitive / Q000000981:diagnostic imaging / Q000235:genetics* / Q000276:immunology* / Q000473:pathology; D011859:Radiography; D014178:Translocation, Genetic / Q000235:genetics