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• W2029465905 abstract "No AccessJournal of UrologyAdult Urology: Oncology: Adrenal/Renal Upper Tract/Bladder1 Dec 2005CYSTIC RENAL CELL CARCINOMAS IN ADULTS. IS PREOPERATIVE RECOGNITION OF MULTILOCULAR CYSTIC RENAL CELL CARCINOMA POSSIBLE? SÉBASTIEN AUBERT, LAURENT ZINI, JULIA DELOMEZ, JACQUES BISERTE, LAURENT LEMAITRE, and XAVIER LEROY SÉBASTIEN AUBERTSÉBASTIEN AUBERT More articles by this author , LAURENT ZINILAURENT ZINI More articles by this author , JULIA DELOMEZJULIA DELOMEZ More articles by this author , JACQUES BISERTEJACQUES BISERTE More articles by this author , LAURENT LEMAITRELAURENT LEMAITRE More articles by this author , and XAVIER LEROYXAVIER LEROY More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000181210.72528.abAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purposes: We correlated clinicopathological and imaging features of multilocular cystic renal cell carcinoma (MCRCC) to propose preoperative criteria for therapeutic modalities. Materials and Methods: A total of 24 RCCs with a chiefly cystic component were identified from 1993 to 2002. In each case histological slides and available imaging studies were retrieved. Two tumor groups were defined, namely MCRCC and clear RCC with cystic change (CRCC) by intrinsic growth or necrotic degeneration. Radiological correlation using computerized tomography and magnetic resonance imaging was performed considering criteria such as an expansile nodule, cyst wall thickness and septa. Results: On imaging MCRCC presented as a multilocular cystic mass lacking an expansile nodule, and with regular thin cyst wall and septa. On pathological study MCRCC presented as complex, multilocular cystic carcinoma with septa covered by low nuclear grade clear renal tumor cells without a grossly expansile nodule. They were staged pT1 with a free clinical course. In contrast, CRCC was identified on imaging with an expansile nodule (5 mm or greater), thick, irregular cyst wall and septa. On pathological study CRCC was characterized by a grossly expansile nodule in the septa and/or cyst wall. Nuclear grade and TNM stage were higher in CRCC. Conclusions: Preoperative recognition of MCRCC is possible using strict computerized tomography and/or magnetic resonance imaging criteria. The current study confirms the low malignant potential of MCRCC. Nephron sparing surgery should be proposed when MCRCC is suspected. References 1 : Multilocular cystic renal cell carcinoma. Am J Clin Pathol1991; 95: 633. Google Scholar 2 : Cystic renal cell carcinoma is cured by resection: a study of 24 cases with long-term followup. J Urol1999; 161: 408. Link, Google Scholar 3 : Multilocular cystic renal adenocarcinoma arising in a solitary kidney. J Urol1982; 127: 314. Link, Google Scholar 4 : Cystic renal cell carcinoma. Urology1986; 28: 145. Google Scholar 5 : Surgical management of complex renal cysts: a series of 32 cases. J Urol1996; 156: 28. Link, Google Scholar 6 : Multilocular cystic renal cell carcinoma: implications for nephron sparing surgery. Urology1998; 51: 635. 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Br J Urol1998; 82: 16. Google Scholar 14 : Multilocular cystic renal cell carcinoma: a series of 12 cases and review of the literature. Urology2002; 60: 421. Google Scholar 15 : Mode of presentation of renal cell carcinoma provides prognostic information. Urol Oncol2002; 7: 135. Google Scholar 16 : Cystic renal cell carcinoma: radiological features and clinico-pathological correlation. Clin Radiol1996; 51: 791. Google Scholar 17 : Renal cystic neoplasms and renal neoplasms associated with cystic renal diseases: pathogenetic and molecular links. Adv Anat Pathol2003; 10: 135. Google Scholar 18 : Extensively necrotic cystic renal cell carcinoma: a clinicopathologic study with comparison to other cystic and necrotic renal cancers. Am J Surg Pathol2000; 24: 988. Google Scholar 19 : Cystic renal cell carcinoma. Imaging findings with pathologic correlation. Acta Radiol1994; 35: 19. Google Scholar 20 : Evaluation of cystic renal masses: comparison of CT and MR imaging by using the Bosniak classification system. Radiology2004; 231: 365. Google Scholar 21 : Outcome of surgery in cystic renal cell carcinoma. Urology2000; 56: 67. Google Scholar From the Department of Pathology, University Hospitals (SA, XL) and Departments of Urology (LZ, JB) and Radiology and Imaging (JD, LL), Huriez Hospital, Lille, France© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByBhatt J, Jewett M, Richard P, Kawaguchi S, Timilshina N, Evans A, Alibhai S and Finelli A (2018) Multilocular Cystic Renal Cell Carcinoma: Pathological T Staging Makes No Difference to Favorable Outcomes and Should be ReclassifiedJournal of Urology, VOL. 196, NO. 5, (1350-1355), Online publication date: 1-Nov-2016. Volume 174Issue 6December 2005Page: 2115-2119 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordskidneycarcinoma, adenoid cysticcarcinoma, renal cellnecrosiskidney neoplasmsMetricsAuthor Information SÉBASTIEN AUBERT More articles by this author LAURENT ZINI More articles by this author JULIA DELOMEZ More articles by this author JACQUES BISERTE More articles by this author LAURENT LEMAITRE More articles by this author XAVIER LEROY More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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