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high-grade oncocytic tumour

Thursday 7 January 2021

HOT ; eosinophilic vacuolated tumor (EVT)

Images

 https://twitter.com/gcai1978/status/1346915046186770439

Synopsis

  morphology : pleomorphic cells
 IHC : CD117+, CK7 only rare cells, cathepsin-K +
 Often TSC/MTOR mutations

Associations

 tuberous sclerosis complex / TSC (31002177)

Differential diagnosis

HOT should be considered as an emerging renal entity because it does not meet the diagnostic criteria for other recognized eosinophilic renal tumors, such as oncocytoma, chromophobe renal cell carcinoma (RCC), TFE3 and TFEB RCC, SDH-deficient RCC, and eosinophilic solid and cystic RCC.

See also

 cathepsin-K

Paywall references

 "High-grade oncocytic renal tumor": morphologic, immunohistochemical, and molecular genetic study of 14 cases. PMID : 30232607