Pubblicazioni

mTOR eosinophilic renal cell carcinoma: a distinctive tumor characterized by mTOR mutation, loss of chromosome 1, cathepsin-K expression, and response to target therapy  (2023)

Autori:
Caliò, Anna; Marletta, Stefano; Settanni, Giulio; Rizzo, Mimma; Pedron, Serena; Stefanizzi, Lavinia; Munari, Enrico; Brunelli, Matteo; Marcolini, Lisa; Pesci, Anna; Fratoni, Stefano; Pierconti, Francesco; Raspollini, Maria Rosaria; Marchetti, Antonio; Doglioni, Claudio; Amin, Mahul B; Porta, Camillo; Martignoni, Guido; Gobbo, Stefano
Titolo:
mTOR eosinophilic renal cell carcinoma: a distinctive tumor characterized by mTOR mutation, loss of chromosome 1, cathepsin-K expression, and response to target therapy
Anno:
2023
Tipologia prodotto:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Lingua:
Inglese
Referee:
No
Nome rivista:
VIRCHOWS ARCHIV
ISSN Rivista:
0945-6317
N° Volume:
483
Numero o Fascicolo:
6
Editore:
Springer Verlag Germany:Tiergartenstrasse 17, D 69121 Heidelberg Germany:011 49 6221 3450, EMAIL: g.braun@springer.de, INTERNET: http://www.springer.de, Fax: 011 49 6221 345229
Intervallo pagine:
821-833
Parole chiave:
Cathepsin-K; Eosinophilic-RCC; Next-generation sequencing; Oncocytic; RCC; mTOR; mTOR inhibitors
Breve descrizione dei contenuti:
: In the spectrum of oncocytic renal neoplasms, a subset of tumors with high-grade-appearing histologic features harboring pathogenic mutations in mammalian target of rapamycin (mTOR) and hitherto clinical indolent behavior has been described. Three cases (2F,1 M) with histologically documented metastases (lymph node, skull, and liver) were retrieved and extensively investigated by immunohistochemistry, FISH, and next-generation sequencing. Tumors were composed of eosinophilic cells with prominent nucleoli (G3 by ISUP/WHO) arranged in solid to nested architecture. Additionally, there were larger cells with perinuclear cytoplasmic shrinkage and sparse basophilic Nissl-like granules, superficially resembling the so-called spider cells of cardiac rhabdomyomas. The renal tumors, including the skull and liver metastases, showed immunoexpression PAX8, CK8-18, and cathepsin-K, and negativity for vimentin. NGS identified mTOR genetic alterations in the three cases, including the skull and liver metastases. One patient was then treated with Everolimus (mTOR inhibitors) with clinical response (metastatic tumor shrinkage). We present a distinct renal tumor characterized by high-grade eosinophilic cells, cathepsin-K immunohistochemical expression, and harboring mTOR gene mutations demonstrating a malignant potential and showing responsiveness to mTOR inhibitors.
Id prodotto:
136216
Handle IRIS:
11562/1113466
ultima modifica:
28 settembre 2024
Citazione bibliografica:
Caliò, Anna; Marletta, Stefano; Settanni, Giulio; Rizzo, Mimma; Pedron, Serena; Stefanizzi, Lavinia; Munari, Enrico; Brunelli, Matteo; Marcolini, Lisa; Pesci, Anna; Fratoni, Stefano; Pierconti, Francesco; Raspollini, Maria Rosaria; Marchetti, Antonio; Doglioni, Claudio; Amin, Mahul B; Porta, Camillo; Martignoni, Guido; Gobbo, Stefano, mTOR eosinophilic renal cell carcinoma: a distinctive tumor characterized by mTOR mutation, loss of chromosome 1, cathepsin-K expression, and response to target therapy «VIRCHOWS ARCHIV» , vol. 483 , n. 62023pp. 821-833

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