Synonyms
This tumor was previously named āmultilocular cystic renal cell carcinoma.ā
Definition
Multicystic tumor with septa containing individual or groups of clear cells with ISUP/WHO 2016 low nucleolar grade (1ā2).
Clinical Features
Incidence
This tumor accounts for less than 1% of all renal tumors, usually incidentally discovered.
Age
It occurs in middle-age adults.
Sex
There is no difference between male and female.
Site
There is no site predilection.
Treatment
Partial or radical nephrectomy is the surgical treatment of choice.
Outcome
To date there are no evidence of recurrence or metastasis.
Macroscopy
The tumor consists exclusively of variably sized cysts separated by thin septa and filled with clear, serous, or gelatinous fluid (Fig. 1). Solid, grossly discernible tumor mural nodules are incompatible with the diagnosis.
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References and Further Reading
Suzigan, S., LĆ³pez-BeltrĆ”n, A., Montironi, R., et al. (2006). Multilocular cystic renal cell carcinoma : A report of 45 cases of a kidney tumor of low malignant potential. American Journal of Clinical Pathology, 125(2), 217ā222.
Tretiakova, M., Mehta, V., Kocherginsky, M., Minor, A., Shen, S.S., Sirintrapun, S.J., Yao, J.L., Alvarado-Cabrero, I., Antic, T., Eggener, S.E., Picken, M.M., & Paner, G.P. (2018) Predominantly cystic clear cell renal cell carcinoma and multilocular cystic renal neoplasm of low malignant potential form a low-grade spectrum. Virchows Archiv, 473, 85ā93. [Epub ahead of print].
Williamson, S. R., Halat, S., Eble, J. N., Grignon, D. J., Lopez-Beltran, A., Montironi, R., Tan, P. H., Wang, M., Zhang, S., Maclennan, G. T., Baldridge, L. A., & Cheng, L. (2012). Multilocular cystic renal cell carcinoma: Similarities and differences in immunoprofile compared with clear cell renal cell carcinoma. The American Journal of Surgical Pathology, 36(10), 1425ā1433.
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CaliĆ², A., Segala, D., Martignoni, G. (2020). Multilocular Cystic Renal Neoplasm of Low Malignant Potential. In: Raspollini, M.R., Lopez-Beltran, A. (eds) Uropathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-030-41894-6_4855
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DOI: https://doi.org/10.1007/978-3-030-41894-6_4855
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Publisher Name: Springer, Cham
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Online ISBN: 978-3-030-41894-6
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