Sarcomatoid change associated with epithelial-mesenchymal transition in mucinous tubular and spindle cell carcinoma of the kidney: a case report.

Epithelial mesenchymal transition ZEB1 mucinous tubular and spindle cell carcinoma renal cell cancer sarcomatoid change

Journal

International journal of clinical and experimental pathology
ISSN: 1936-2625
Titre abrégé: Int J Clin Exp Pathol
Pays: United States
ID NLM: 101480565

Informations de publication

Date de publication:
2019
Historique:
received: 19 02 2019
accepted: 22 05 2019
entrez: 15 1 2020
pubmed: 15 1 2020
medline: 15 1 2020
Statut: epublish

Résumé

We report an unusual case of mucinous tubular and spindle cell carcinoma (MTSCC) with sarcomatoid change in an 80-year-old Japanese male. In a resected specimen, a grayish-white tumor was found in the left kidney, and several metastases were observed in the right cervical bone and liver. Histologically, most of the main tumor examined showed MTSCC with sarcomatoid change. The transitions between the MTSCC and sarcomatoid components suggested that sarcomatoid transformation had occurred in the MTSCC. Immunohistochemically, the epithelial-mesenchymal transition (EMT)-associated marker ZEB1 was expressed in the sarcomatoid and transitional components. In contrast, ZEB1 expression was negative in the MTSCC component. The present findings support the view that MTSCC with sarcomatoid change represents MTSCC that develops a sarcomatoid component via EMT of the MTSCC component. EMT plays an important role in sarcomatoid change; thus, we conclude that MTSCC with sarcomatoid change is an 'EMT associated tumor'.

Identifiants

pubmed: 31934111
pmc: PMC6949544

Types de publication

Case Reports

Langues

eng

Pagination

2767-2771

Informations de copyright

IJCEP Copyright © 2019.

Déclaration de conflit d'intérêts

None.

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Auteurs

Ryo Sugimoto (R)

Department of Molecular Diagnostic Pathology, School of Medicine, Iwate Medical University 19-1, Morioka 020-8505, Japan.

Noriyuki Uesugi (N)

Department of Molecular Diagnostic Pathology, School of Medicine, Iwate Medical University 19-1, Morioka 020-8505, Japan.

Noriyuki Yamada (N)

Department of Molecular Diagnostic Pathology, School of Medicine, Iwate Medical University 19-1, Morioka 020-8505, Japan.

Mitsumasa Osakabe (M)

Department of Molecular Diagnostic Pathology, School of Medicine, Iwate Medical University 19-1, Morioka 020-8505, Japan.

Yasuko Fujita (Y)

Department of Molecular Diagnostic Pathology, School of Medicine, Iwate Medical University 19-1, Morioka 020-8505, Japan.

Makoto Eizuka (M)

Department of Molecular Diagnostic Pathology, School of Medicine, Iwate Medical University 19-1, Morioka 020-8505, Japan.

Renpei Kato (R)

Department of Urology, School of Medicine, Iwate Medical University 19-1, Morioka 020-8505, Japan.

Kazuyuki Ishida (K)

Department of Molecular Diagnostic Pathology, School of Medicine, Iwate Medical University 19-1, Morioka 020-8505, Japan.

Wataru Obara (W)

Department of Urology, School of Medicine, Iwate Medical University 19-1, Morioka 020-8505, Japan.

Yoji Nagashima (Y)

Department of Surgical Pathology, Tokyo Women's Medical University Hospital 8-1 Kawada-cho Shinjuku-ku, Tokyo 162-8666, Japan.

Tamotsu Sugai (T)

Department of Molecular Diagnostic Pathology, School of Medicine, Iwate Medical University 19-1, Morioka 020-8505, Japan.

Classifications MeSH