domenica 29 settembre 2013

International Society of Urological Pathology Consensus Conference on Renal Neoplasia


The International Society of Urological Pathology (ISUP) is the international professional organization dedicated to the subspecialty of urological pathology. [...] In 2011 the Society undertook to review all aspects of the pathology of adult renal malignancy through an international consensus conference [...]. The detailed decisions relating to the consensus conference are presented in 4 reports, included this issue of the journal.
Delahunt B, Egevad L, Montironi R, Srigley JR. International Society of Urological Pathology (ISUP) Consensus Conference on Renal Neoplasia: Rationale and Organization. Am J Surg Pathol. 2013 Oct;37(10):1463-8.

Volume 37(10) pgs. 1463-1633 October 2013

Srigley JR, et al The ISUP Renal Tumor Panel. The International Society of Urological Pathology (ISUP) Vancouver Classification of Renal Neoplasia. Am J Surg Pathol. 2013 Oct;37(10):1469-1489.

Delahunt B,et al, The Members of the ISUP Renal Tumor Panel. The International Society of Urological Pathology (ISUP) Grading System for Renal Cell Carcinoma and Other Prognostic Parameters. Am J Surg Pathol. 2013 Oct;37(10):1490-1504.

Trpkov K, et al; the members of the ISUP Renal Tumor Panel. Handling and Staging of Renal Cell Carcinoma: The International Society of Urological Pathology Consensus (ISUP) Conference Recommendations. Am J Surg Pathol. 2013 Oct;37(10):1505-1517.

Tan PH, et al, The ISUP Renal Tumor Panel. Renal Tumors: Diagnostic and Prognostic Biomarkers. Am J Surg Pathol. 2013 Oct;37(10):1518-1531.

A 69-year-old man, with a history of renal cancer 11 years ago, presented with a 1 cm right lung nodule, which was investigated with fine-needle aspiration under computed tomography guidance. A, Cell block preparation shows tumor cells with pink cytoplasm. B, Higher magnification of tumor cells with pink cytoplasm and nuclei that are vesicular and hyperchromatic. C, Immunohistochemical analysis with RCC marker shows strong cytoplasmic reactivity. D, Pax 2 immunohistochemistry reveals strong nuclear staining, confirming a metastasis to the lung from a primary renal tumor.



Pax 2 and/or Pax 8 were considered to be the most useful markers in the diagnosis of a renal primary.

(from Tan PH, et al, Diagnostic and Prognostic Biomarkers)

P.S. Post n. 100! 

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