Abstract
The classification of renal cell carcinomas is still a matter of debate. The World Health Organization (WHO) nomenclature subdivided renal tumors into adenomas, carcinomas (with and without papillary growth pattern), and others (Murphy et al. 1994). A new refined classification of renal cell tumors was suggested by Thoenes et al. (1986), based not on the growth pattern but on the cell type from which they are derived in different parts of the tubules. Five basic tumor cell types can thus be distinguished: clear and chromophilic cells derived from the proximal tubules; chromophobe and oncocytic cells derived from the cortical connecting tubules and Bellini duct cells derived from the medullary connecting duct. Variants can be assigned to all these basic cells, resulting from an accumulation of mitochondria (eosinophilic variants). An ultimate form of dedifferentiation may occur when spindle cells (sarcomatoid transformation) are present in a smaller or greater part of a tumor together with any of the basic cell subtypes (carcinomatous area). In 1995, two new subtypes were introduced, neuroendocrine renal cell carcinoma and metanephric adenomas (Storkel and van den Berg 1995).
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Dal Cin, P., Van Den Berghe, H. (1999). Genetics of Renal Cell Carcinoma. In: Petrovich, Z., Baert, L., Brady, L.W. (eds) Carcinoma of the Kidney and Testis, and Rare Urologic Malignancies. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59839-5_3
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DOI: https://doi.org/10.1007/978-3-642-59839-5_3
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