Eble JN, Sauter G., Epstein JI, Sesterhenn IA - iarc

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Published by IARC Press, International Agency for Research on Cancer, 150 cours Albert Thomas, F-69008 Lyon, France © International Agency for Research on Cancer, 2004, reprinted 2006 Publications of the World Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All rights reserved. The International Agency for Research on Cancer welcomes requests for permission to reproduce or translate its publications, in part or in full. Requests for permission to reproduce figures or charts from this publication should be directed to the respective contributor (see section Source of Charts and Photographs). The designations used and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the World Health Organization concerning the legal status of any country, territory, city, or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. The authors alone are responsible for the views expressed in this publication. Enquiries should be addressed to the Communications Unit, International Agency for Research on Cancer, 69008 Lyon, France, which will provide the latest information on any changes made to the text and plans for new editions. Format for bibliographic citations: Eble J.N., Sauter G., Epstein J.I., Sesterhenn I.A. (Eds.): World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of the Urinary System and Male Genital Organs. IARC Press: Lyon 2004 IARC Library Cataloguing in Publication Data Pathology and genetics of tumours of the urinary system and male genital organs / editors J.N. Eble… [et al.] (World Health Organization classification of tumours ; 6) 1. Bladder neoplasms - genetics 2. Bladder neoplasms - pathology 3. Genital neoplasms, male - genetics 4. Genital neoplasms, male - pathology 5. Kidney neoplasms - genetics 6. Kidney neoplasms - pathology 7. Prostatic neoplasms – genetics 8. Prostatic neoplasms - pathology I. Eble, John N. II. Series ISBN 92 832 2412 4 (NLM Classification: WJ 160)
Contents 1 Tumours of the kidney 9 WHO and TNM classifications 10 Renal cell carcinoma 12 Familial renal cancer 15 Clear cell renal cell carcinoma 23 Multilocular cystic renal cell 26 Papillary renal cell carcinoma 27 Chromophobe renal cell carcinoma 30 Carcinoma of the collecting ducts of Bellini 33 Renal medullary carcinoma 35 Renal carcinomas associated with Xp11.2 translocations / TFE3 gene fusions 37 Renal cell carcinoma associated with neuroblastoma 39 Mucinous tubular spindle cell carcinoma 40 Papillary adenoma of the kidney 41 Oncocytoma 42 Renal cell carcinoma unclassified 43 Metanephric tumours Metanephric adenoma 44 Metanephric adenofibroma 44 Metanephric adenosarcoma 44 Metanephric stromal tumour 46 Nephroblastic tumours Nephroblastoma 48 Nephrogenic rests and nephroblastomatosis 53 Cystic, partially differentiated nephroblastoma 55 Soft tissue tumours Clear cell sarcoma 56 Rhabdoid tumour 58 Congenital mesoblastic nephroma 60 Ossifying renal tumour of infancy 62 Haemangiopericytoma 62 Leiomyosarcoma 63 Osteosarcoma 63 Renal angiosarcoma 64 Malignant fibrous histiocytoma 64 Angiomyolipoma 65 Epithelioid angiomyolipoma 68 Leiomyoma 70 Haemangioma 71 Lymphangioma 71 Juxtaglomerular cell tumour 72 Renomedullary interstitial cell tumour 74 Intrarenal schwannoma 75 Solitary fibrous tumour 75 Cystic nephroma 76 Mixed epithelial and stromal tumour 77 Synovial sarcoma 79 Neural / neuroendocrine tumours Renal carcinoid tumour 81 Neuroendocrine carcinoma 82 Primitive neuroectodermal tumour (Ewing sarcoma) 83 Neuroblastoma 84 Paraganglioma / Phaeochromocytoma 85 Lymphomas 85 Plasmacytoma 86 Leukaemia 87 Germ cell tumours 87 2 Tumours of the urinary system 89 WHO and TNM classifications 90 Infiltrating urothelial carcinoma 93 Non-invasive urothelial tumours 110 Urothelial hyperplasia 111 Urothelial dysplasia 111 Urothelial papilloma 113 Inverted papilloma 114 Papillary urothelial neoplasm of low malignant potential 115 Non-invasive high grade papillary urothelial carcinoma 117 Urothelial carcinoma in situ 119 Genetics and predictive factors 120 Squamous neoplasms Squamous cell carcinoma 124 Verrucous squamous cell carcinoma 127 Squamous cell papilloma 127 Glandular neoplasms Adenocarcinoma 128 Urachal carcinoma 131 Clear cell adenocarcinoma 133 Villous adenoma 134 Neuroendocrine tumours Small cell carcinoma 135 Paraganglioma 136 Carcinoid 138 Soft tissue tumours Rhabdomyosarcoma 139 Leiomyosarcoma 140 Angiosarcoma 141 Osteosarcoma 142 Malignant fibrous histiocytoma 143 Leiomyoma 144 Other mesenchymal tumours 144 Granular cell tumour 145 Neurofibroma 145 Haemangioma 146 Malignant melanoma 146 Lymphomas 147 Metastatic tumours and secondary extension 148 Tumours of the renal pelvis and ureter 150 Tumours of the urethra 154
Page 1 and 2: World Health Organization Classific
Page 3: This volume was produced in collabo
Page 7 and 8: CHAPTER 1 Tumours of the Kidney Can
Page 9 and 10: TNM classification of renal cell ca
Page 11 and 12: one quarter of kidney cancers in bo
Page 13 and 14: Familial renal cell carcinoma M.J.
Page 15 and 16: Table 1.02 Genotype - phenotype cor
Page 17 and 18: A B Fig. 1.11 A Multiple cutaneous
Page 19 and 20: A B Fig. 1.14 Birt-Hogg-Dubé syndr
Page 21 and 22: Clear cell renal cell carcinoma D.J
Page 23 and 24: Fig. 1.20 Clear cell renal cell car
Page 25 and 26: Papillary renal cell carcinoma B. D
Page 27 and 28: A B Fig. 1.29 Papillary renal cell
Page 29 and 30: Fig. 1.33 Chromophobe RCC with sarc
Page 31 and 32: Carcinoma of the collecting ducts o
Page 33 and 34: Renal medullary carcinoma C.J. Davi
Page 35 and 36: Renal carcinomas associated with Xp
Page 37 and 38: Renal cell carcinoma associated wit
Page 39 and 40: Papillary adenoma of the kidney J.N
Page 41 and 42: of this tumour. Microscopic extensi
Page 43 and 44: A B Fig. 1.59 Metanephric adenoma.
Page 45 and 46: esults in intratumoral aneurysms. O
Page 47 and 48: peritumoural fibrous pseudocapsule.
Page 49 and 50: increases in prevalence to approxim
Page 51 and 52: Nephrogenic rests and nephroblastom
Page 53 and 54: Cystic partially differentiated nep
Page 55 and 56:
A B Fig. 1.80 Clear cell sarcoma of
Page 57 and 58:
A B Fig. 1.85 Rhabdoid tumour of th
Page 59 and 60:
transcription factor is fused to th
Page 61 and 62:
Leiomyosarcoma S.M. Bonsib Definiti
Page 63 and 64:
Angiomyolipoma G. Martignoni M.B. A
Page 65 and 66:
melanocytic and smooth muscle marke
Page 67 and 68:
Multinucleated and enlarged ganglio
Page 69 and 70:
Haemangioma P. Tamboli Definition H
Page 71 and 72:
Fig. 1.107 Juxtaglomerular cell tum
Page 73 and 74:
Intrarenal schwannoma I. Alvarado-C
Page 75 and 76:
Mixed epithelial and stromal tumour
Page 77 and 78:
Synovial sarcoma of the kidney J.Y.
Page 79 and 80:
Renal carcinoid tumour L.R. Bégin
Page 81 and 82:
Primitive neuroectodermal tumour (E
Page 83 and 84:
Paraganglioma / Phaeochromocytoma P
Page 85 and 86:
Leukaemia A. Orazi Interstitial inf
Page 87 and 88:
WHO histological classification of
Page 89 and 90:
TNM classification of carcinomas of
Page 91 and 92:
The risk of bladder cancer goes dow
Page 93 and 94:
Tumour spread and staging Urinary b
Page 95 and 96:
feature in such patients undergoing
Page 97 and 98:
A Fig. 2.12 Infiltrative urothelial
Page 99 and 100:
A Fig. 2.15 A Infiltrating urotheli
Page 101 and 102:
A B Fig. 2.19 A Infiltrative urothe
Page 103 and 104:
Fig. 2.23 Infiltrative urothelial c
Page 105 and 106:
ing systems have been proposed on t
Page 107 and 108:
Non-invasive urothelial tumours G.
Page 109 and 110:
chronically inflamed urothelium and
Page 111 and 112:
Inverted papilloma G. Sauter Defini
Page 113 and 114:
muscle invasive disease, but there
Page 115 and 116:
Fig. 2.42 Non-invasive urothelial n
Page 117 and 118:
A Fig. 2.45 Non-invasive urothelial
Page 119 and 120:
for DBCCR1 silencing {984,2476}. Th
Page 121 and 122:
Squamous cell carcinoma D.J. Grigno
Page 123 and 124:
Fig. 2.51 Squamous cell carcinoma.
Page 125 and 126:
Adenocarcinoma A.G. Ayala P. Tambol
Page 127 and 128:
A B Fig. 2.61 A Adenocarcinoma in s
Page 129 and 130:
A B Fig. 2.65 Intramural urachal ca
Page 131 and 132:
Müllerian origin is postulated for
Page 133 and 134:
A Fig. 2.69 Small cell carcinoma. A
Page 135 and 136:
Carcinoid L. Cheng Definition Carci
Page 137 and 138:
Leiomyosarcoma J. Cheville Definiti
Page 139 and 140:
Osteosarcoma L. Guillou Definition
Page 141 and 142:
Leiomyoma J. Cheville Definition A
Page 143 and 144:
Haemangioma L. Cheng Definition Hae
Page 145 and 146:
Metastatic tumours and secondary ex
Page 147 and 148:
Tumours of the renal pelvis and ure
Page 149 and 150:
nodular, ulcerative or infiltrative
Page 151 and 152:
Tumours of the urethra F. Hofstädt
Page 153 and 154:
usually show enteric, colloid or si
Page 155 and 156:
CHAPTER 3X Tumours of of the the Pr
Page 157 and 158:
TNM classification of carcinomas of
Page 159 and 160:
contrast, mortality among migrants
Page 161 and 162:
Fig. 3.06 Transrectal ultrasound of
Page 163 and 164:
PSA-related diagnostic strategies.
Page 165 and 166:
A B C Fig. 3.10 A,B Section of pros
Page 167 and 168:
pale-clear, similar to benign gland
Page 169 and 170:
A B Fig. 3.20 A, B Adenocarcinoma w
Page 171 and 172:
prostate adenocarcinomas exhibit AR
Page 173 and 174:
A Fig. 3.27 A, B Foamy gland adenoc
Page 175 and 176:
A B Fig. 3.32 A Sarcomatoid carcino
Page 177 and 178:
A B Fig. 3.37 A Gleason score 1+1=2
Page 179 and 180:
A B Fig. 3.43 A Prostate cancer Gle
Page 181 and 182:
Fig. 3.48 Heat map-nature. From S.M
Page 183 and 184:
Fig. 3.51 Prostate cancer. Major su
Page 185 and 186:
many stage T1b cancers. Stage T2 Mo
Page 187 and 188:
Fig. 3.58 Patterns of seminal vesic
Page 189 and 190:
Prostatic intraepithelial neoplasia
Page 191 and 192:
A B Fig. 3.63 A Micropapillary high
Page 193 and 194:
A B Fig. 3.68 A Ductal carcinoma in
Page 195 and 196:
Ductal adenocarcinoma X.J. Yang L.
Page 197 and 198:
Papillary pattern can be seen in bo
Page 199 and 200:
A B Fig. 3.74 A Inflammation withou
Page 201 and 202:
Squamous neoplasms T.H. Van der Kwa
Page 203 and 204:
Neuroendocrine tumours P.A. di Sant
Page 205 and 206:
Mesenchymal tumours J. Cheville F.
Page 207 and 208:
Fig. 3.89 Sarcoma of the prostate.
Page 209 and 210:
Miscellaneous tumours P.H. Tan L. C
Page 211 and 212:
A Fig. 3.96 A Adenocarcinoma of the
Page 213 and 214:
Page 215 and 216:
Introduction F.K. Mostofi I.A. Sest
Page 217 and 218:
wartime birth cohorts illustrate th
Page 219 and 220:
Similar tumours as those of group 1
Page 221 and 222:
crucial for the development of this
Page 223 and 224:
A B Fig. 4.09 Spermatocytic seminom
Page 225 and 226:
A B Fig. 4.14 Intratubular germ cel
Page 227 and 228:
A B Fig. 4.19 Seminoma. A Typical s
Page 229 and 230:
Fig. 4.24 Seminoma. Vascular invasi
Page 231 and 232:
Fig. 4.28 Spermatocytic seminoma wi
Page 233 and 234:
A B Fig. 4.33 Embryonal carcinoma.
Page 235 and 236:
A B Fig. 4.38 Yolk sac tumour. A En
Page 237 and 238:
have cytoplasmic lacunae that conta
Page 239 and 240:
A Fig. 4.46 Teratoma. A Longitudina
Page 241 and 242:
A B Fig. 4.51 A Cut surface of derm
Page 243 and 244:
Fig. 4.54 Mixed germ cell tumour. L
Page 245 and 246:
Sex cord / gonadal stromal tumours
Page 247 and 248:
A B C Fig. 4.67 Malignant Leydig ce
Page 249 and 250:
A Fig. 4.73 A Sertoli cell tumour.
Page 251 and 252:
ICD-O codes Granulosa cell tumour 8
Page 253 and 254:
ICD-O code 8592/1 Clinical features
Page 255 and 256:
A B Fig. 4.83 Germ cell-sex cord/go
Page 257 and 258:
A Fig. 4.85 A, B Brenner tumour of
Page 259 and 260:
typical grade III follicular morpho
Page 261 and 262:
testicular parenchyma and tumour te
Page 263 and 264:
A B the surgical scar and adjacent
Page 265 and 266:
Immunoprofile Ordóñez and associa
Page 267 and 268:
often have a grey-white cut surface
Page 269 and 270:
Fig. 4.111 Angiomyofibroblastoma-li
Page 271 and 272:
A B Fig. 4.119 Embryonal rhabdomyos
Page 273 and 274:
Table 4.05 Secondary tumours of the
Page 275 and 276:
Page 277 and 278:
A Fig. 5.04 A, B Squamous cell carc
Page 279 and 280:
deformed by an exophytic mass. In s
Page 281 and 282:
A B C Fig. 5.12 A Warty (condylomat
Page 283 and 284:
A Fig. 5.20 Bowenoid papulosis. A,
Page 285 and 286:
three had been circumcized by 9 yea
Page 287 and 288:
Mesenchymal tumours J.F. Fetsch M.
Page 289 and 290:
Fig. 5.31 Neurofibroma of the penis
Page 291 and 292:
oectodermal tumour/Ewing sarcoma [p
Page 293 and 294:
Secondary tumours of the penis C.J.
Page 295 and 296:
Dr John N. EBLE* Dept. of Pathology
Page 297 and 298:
Dr Ricardo PANIAGUA Department of C
Page 299 and 300:
Source of charts and photographs 1.
Page 301 and 302:
References 1. Anon. (1955). Case re
Page 303 and 304:
115. Ariel I, Sughayer M, Fellig Y,
Page 305 and 306:
246. Birt AR, Hogg GR, Dube WJ (197
Page 307 and 308:
374. Cardone G, Malventi M, Roffi M
Page 309 and 310:
502. Corti B, Carella R, Gabusi E,
Page 311 and 312:
633. Donhuijsen K, Schmidt U, Richt
Page 313 and 314:
768. Fischer J, Palmedo G, von Knob
Page 315 and 316:
900. Goedert JJ, Cote TR, Virgo P,
Page 317 and 318:
1028. Hartmann A, Dietmaier W, Hofs
Page 319 and 320:
1162. Iezzoni JC, Fechner RE, Wong
Page 321 and 322:
1293. Keetch DW, Catalona WJ (1995)
Page 323 and 324:
1424. Ladanyi M, Lui MY, Antonescu
Page 325 and 326:
1548. Lopez-Beltran A, Croghan GA,
Page 327 and 328:
1681. McLaughlin JK, Silverman DT,
Page 329 and 330:
1816. Moudouni SM, En-Nia I, Rioux-
Page 331 and 332:
1945. Ohori M, Wheeler TM, Kattan M
Page 333 and 334:
2070. Phillips G, Kumari-Subaiya S,
Page 335 and 336:
2199. Riou G, Barrois M, Prost S, T
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2327. Schmidt L, Junker K, Weirich
Page 339 and 340:
2450. Smith G, Elton RA, Beynon LL,
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2572. Tamboli P, Mohsin SK, Hailema
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2693. van Echten J, Timmer A, van d
Page 345 and 346:
2816. Wick MR, Berg LC, Hertz MI (1
Page 347 and 348:
2937. Zhuang Z, Park WS, Pack S, Sc
Page 349 and 350:
CCNB, 226 CCND1, 105, 108 CCND2, 22
Page 351 and 352:
J Juvenile type granulosa cell tumo
Page 353 and 354:
Promoter methylation, 21 Prostate s
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