Sarcomatoid chromophobe renal cell carcinoma: Cytohistopathological correlation of a case

Sarcomatoid renal cell carcinomas of the kidney are rare neoplasms constituting about 1-5% of all renal malignant neoplasms. These are aggressive tumors and are commonly associated with conventional (clear cell) renal cell carcinomas, but cases associated with chromophobe renal cell carci...

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Main Authors: Chakrabarti Indranil, Giri Amita, Majumdar Kaushik, De Anuradha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Journal of Cytology
Subjects:
Online Access:http://www.jcytol.org/article.asp?issn=0970-9371;year=2010;volume=27;issue=1;spage=29;epage=31;aulast=Chakrabarti
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author Chakrabarti Indranil
Giri Amita
Majumdar Kaushik
De Anuradha
author_facet Chakrabarti Indranil
Giri Amita
Majumdar Kaushik
De Anuradha
author_sort Chakrabarti Indranil
collection DOAJ
description Sarcomatoid renal cell carcinomas of the kidney are rare neoplasms constituting about 1-5% of all renal malignant neoplasms. These are aggressive tumors and are commonly associated with conventional (clear cell) renal cell carcinomas, but cases associated with chromophobe renal cell carcinomas are sparse. Cytological features of such lesions have rarely been reported. Here, we report a unique case of a 48-year-old male patient who presented with right flank lump and pain. A fine needle aspiration was performed from the lesion under ultrasound guidance and a cytological diagnosis of pleomorphic sarcoma was made. A right-sided radical nephrectomy was carried out and subsequent histopathology revealed a sarcomatoid renal cell carcinoma with wide areas of necrosis coexisting with chromophobe renal cell carcinoma with calcification. Differentiation of pleomorphic sarcoma from a sarcomatoid renal cell carcinoma is, thus, challenging from cytopathology smears and the differential diagnoses should always be borne in mind while giving a cytopathological opinion.
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spelling doaj.art-8e5f8603a68548a3b8055bac05e7c04c2022-12-22T01:34:43ZengWolters Kluwer Medknow PublicationsJournal of Cytology0970-93710974-51652010-01-012712931Sarcomatoid chromophobe renal cell carcinoma: Cytohistopathological correlation of a caseChakrabarti IndranilGiri AmitaMajumdar KaushikDe AnuradhaSarcomatoid renal cell carcinomas of the kidney are rare neoplasms constituting about 1-5% of all renal malignant neoplasms. These are aggressive tumors and are commonly associated with conventional (clear cell) renal cell carcinomas, but cases associated with chromophobe renal cell carcinomas are sparse. Cytological features of such lesions have rarely been reported. Here, we report a unique case of a 48-year-old male patient who presented with right flank lump and pain. A fine needle aspiration was performed from the lesion under ultrasound guidance and a cytological diagnosis of pleomorphic sarcoma was made. A right-sided radical nephrectomy was carried out and subsequent histopathology revealed a sarcomatoid renal cell carcinoma with wide areas of necrosis coexisting with chromophobe renal cell carcinoma with calcification. Differentiation of pleomorphic sarcoma from a sarcomatoid renal cell carcinoma is, thus, challenging from cytopathology smears and the differential diagnoses should always be borne in mind while giving a cytopathological opinion.http://www.jcytol.org/article.asp?issn=0970-9371;year=2010;volume=27;issue=1;spage=29;epage=31;aulast=ChakrabartiCytology; kidney; pleomorphic sarcoma; sarcomatoid chromophobe renal cell carcinoma
spellingShingle Chakrabarti Indranil
Giri Amita
Majumdar Kaushik
De Anuradha
Sarcomatoid chromophobe renal cell carcinoma: Cytohistopathological correlation of a case
Journal of Cytology
Cytology; kidney; pleomorphic sarcoma; sarcomatoid chromophobe renal cell carcinoma
title Sarcomatoid chromophobe renal cell carcinoma: Cytohistopathological correlation of a case
title_full Sarcomatoid chromophobe renal cell carcinoma: Cytohistopathological correlation of a case
title_fullStr Sarcomatoid chromophobe renal cell carcinoma: Cytohistopathological correlation of a case
title_full_unstemmed Sarcomatoid chromophobe renal cell carcinoma: Cytohistopathological correlation of a case
title_short Sarcomatoid chromophobe renal cell carcinoma: Cytohistopathological correlation of a case
title_sort sarcomatoid chromophobe renal cell carcinoma cytohistopathological correlation of a case
topic Cytology; kidney; pleomorphic sarcoma; sarcomatoid chromophobe renal cell carcinoma
url http://www.jcytol.org/article.asp?issn=0970-9371;year=2010;volume=27;issue=1;spage=29;epage=31;aulast=Chakrabarti
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AT giriamita sarcomatoidchromophoberenalcellcarcinomacytohistopathologicalcorrelationofacase
AT majumdarkaushik sarcomatoidchromophoberenalcellcarcinomacytohistopathologicalcorrelationofacase
AT deanuradha sarcomatoidchromophoberenalcellcarcinomacytohistopathologicalcorrelationofacase