Low-grade renal epithelial tumor originating from the distal nephron
Article first published online: 9 JAN 2004
International Journal of Urology
Volume 11, Issue 2, pages 68–73, February 2004
How to Cite
HARA, N., KAWAGUCHI, M., KOIKE, H., TSUTSUI, T., TAKAGI, R. and TAKAHASHI, K. (2004), Low-grade renal epithelial tumor originating from the distal nephron. International Journal of Urology, 11: 68–73. doi: 10.1111/j.1442-2042.2004.00754.x
- Issue published online: 9 JAN 2004
- Article first published online: 9 JAN 2004
- Received 10 April 2003; accepted 19 August 2003.
- distal nephron;
- kidney neoplasm
Abstract There are few published reports of low-grade renal epithelial tumor originating from the distal nephron. However, it should not be disregarded clinically, because the actual number of patients with such tumors may be higher than expected. We investigated the immunohistochemical profile of a histologically distinct subtype of such a tumor in detail, in addition to the clinical course and imaging studies. The present study demonstrated that both glandular and spindle cell components of this tumor have a persistent characteristic of an epithelial tumor arising from the distal tubule or collecting duct. This tumor is a benign complex neoplasm that can be treated successfully with radical surgery. Beta-catenin and E-cadherin are suggested to play a crucial role in tumorigenesis and the biphasic arrangement of this neoplasm, concerning the expression of epithelial membrane antigen and carbohydrate antigen 19-9. We suggest that the term ‘distal nephron epithelioma’ is appropriate for classifying such rare but clinicopathologically distinct tumors.