title: [Tubulocystic carcinoma of the kidney].
abstract: A 55-year-old man who presented himself with gross hematuria and right back pain was found to have a right renal mass with evidence of metastasis to the lymph nodes, bone and lung (cT1bN1M1). He underwent a transperitoneal right nephrectomy. Tumor expressed markers of CD10, P504S and CK19 immunohistochemically, so histopathological examination revealed tubulocystic carcinoma of the right kidney (pT3a). After the patient received sunitinib therapy, computed tomography revealed reduction in the size of the metastatic lung nodule and lymph nodes, indicating a partial response. He is alive without disease progression at 12 months after nephrectomy. Tubulocystic carcinoma has been referred to by Amin et al as low-grade collecting duct carcinoma and is not yet included in the World Health Organization (WHO) 2004 classification of renal tumors. The cells lining the tumor range from cuboidal to columnar and have large nuclei with low-grade changes and abundant eosinophilic or amphophilic cytoplasm. Hobnail cells are commonly seen. Immunohistochemically, tubulocystic carcinomas are strongly positive for markers of the proximal nephron (CD10, P504S) and the distal nephron (parvalbumin, CK19). Despite a low nuclear grade, tubulocystic carcinomas occasionally show progressive behavior clinically. Although there is no established salvage therapy, sunitinib was found to be effective for this patient.
authors.affiliation: Department of Urology, Shizuoka Cancer Center, Shizuoka, Japan.
authors.forename: Sakiko
authors.initials: S
authors.lastname: Teramoto
authors.forename: Masashi
authors.initials: M
authors.lastname: Niwakawa
authors.forename: Kentaro
authors.initials: K
authors.lastname: Muraoka
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ogawa
authors.forename: Futoshi
authors.initials: F
authors.lastname: Kunieda
authors.forename: Masato
authors.initials: M
authors.lastname: Matsuzaki
authors.forename: Ryo
authors.initials: R
authors.lastname: Yamashita
authors.forename: Takashi
authors.initials: T
authors.lastname: Matsui
authors.forename: Raizo
authors.initials: R
authors.lastname: Yamaguchi
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Tobisu
mesh_terms: D014408:Biomarkers, Tumor / Q000032:analysis; D002292:Carcinoma, Renal Cell / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007150:Immunohistochemistry; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged
chemical_list: D014408:Biomarkers, Tumor