tumores renales
TRANSCRIPT
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Dra. Paula VALDEMOROSMédica Patóloga
Dra. Romina L. SEELINGMédica Residente
Servicio de Anatomía Patológica
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Porcentaje de presentación
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Carcinomas renales con células claras
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CITOQUERATINA – VIMENTINA – CD 10
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Carcinoma renal células claras multiquístico
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Carcinoma de Células Renales Papilar
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Tipo I , II e intermedio
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Carcinoma de Células Renales Cromófobo
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Carcinoma de Túbulos colectores de Bellini
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Carcinoma de translocación Xp11
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Carcinoma de Células Fusadas con Mucinoso Tubular (Formas Mixtas no Clasificadas en la OMS)
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Carcinoma de Células Renales Inclasificable
100% sarcomatoide
Alto Grado y Estadío al momento del diagnóstico
Mal pronóstico
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Factores Pronóstico Histopatológicos Tamaño tumoral
Tipo Histológico CCRcc<CCRpapilar<CCRcromofobo
Carcinoma de túbulo colector de Bellini y Carcinoma Medular: peor pronóstico
Carcinoma de traslocación Xp11 : similar pronóstico a CCRcc
Carcinoma de células fusadas y mucinoso tubular: buen pronóstico
Grado Histológico
Diferenciación Sarcomatoide
Multifocalidad
Trombosis tumoral
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Factores Pronóstico Histopatológicos Estadío Tumoral
Metástasis Ganglionar
Extensión Extracapsular (grasa perirrenal)
Al seno renal
Invasión de Vena Renal
Invasión del Sistema Colector (nuevo planteo)
Necrosis tumoral (propuesta de nuevo Score)
Proliferación Celular (ki-67)
Sobreexpresión de p53
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TNM
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Bibliografía Richard Zigeuner a,*, Georg Hutterer a, External Validation of the Mayo Clinic Stage, Size, Grade,
andNecrosis (SSIGN) Score for Clear-Cell Renal Cell Carcinoma in a Single European Centre Applying Routine Pathology EUROPEAN UROLOGY 5 7 ( 2 0 1 0) 1 0 2 – 1 1 1
Ferran Algaba a,*, Hideyuki Akaza b, Current Pathology Keys of Renal Cell CarcinomaEUROPEANUROLOGY 6 0 ( 2 0 1 1 ) 6 3 4 – 6 4 3
Mahul B. Amin, MD,* Gladell P. Paner, Chromophobe Renal Cell Carcinoma: HistomorphologicCharacteristics and Evaluation of Conventional Pathologic Prognostic Parameters in 145 CasesAm J Surg Pathol Volume 32, Number 12, December 2008
Mario Murguı´a-Pe´ rez , MercedesHerna´ndez-Gonza´ lez yAvissaı´ Alca´ ntara-Va´zquezCarcinoma renalsarcomatoide.Revisio´n de7casosconana´ lisis de inmunohistoquı´mica RevEspPatol.2010;43(2):73–78
Christopher B. Anderson, Peter E. Clark, Urinary Collecting System Invasion Is a Predictor for Overalland Disease-specific Survival in Locally Invasive Renal Cell Carcinoma doi:10.1016/j.urology.2011.02.039
Juan I. Martı´nez-Salamanca a,*, William C. Huang b, Prognostic Impact of the 2009 UICC/AJCC TNM Staging System for Renal Cell Carcinoma with Venous Extension EUROPEAN UROLOGY 5 9 ( 2 0 1 1 ) 1 2 0– 1 2 7
John N. Eble Guido Sauter Jonathan I. Epstein Isabell A. SesterhennPathology and Genetics of Tumours of the Urinary System and Male Genital OrgansLyon, 2004
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¡Gracias por su atención!