It was estimated that renal cell carcinoma (RCC) would be diagnosed in 32,000 patients
in the United States in 2004, with 11,200 estimated deaths [
1
,
2
]. The incidence and mortality rates for RCC have risen steadily for more than 20 years
among both genders; these trends are not explained by the increased use of abdominal
imaging alone [
[3]
]. Prognosis for patients who have RCC is related to several pathologic features, including
the TNM classification and nuclear grade, which have been incorporated into prognostic
algorithms by Memorial Sloan-Kettering Cancer Center, University of California Los
Angeles (UCLA), and the authors' institution.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.
Content published before 2002 is available via pay-per-view purchase only.
Subscribe:
Subscribe to Clinics in Laboratory MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- World Health Organization classification of tumours: pathology and genetics of tumors of the urinary system and male genital organs.IARC Press, Lyon (France)2004
- Cancer statistics 2004.CA Cancer J Clin. 2004; 54: 8-29
- Rising incidence of renal cell cancer in the United States.JAMA. 1999; 281: 1628-1631
- Classification of renal cell carcinoma: Workgroup No. 1. Union Internationale Contre le Cancer (UICC) and the American Joint Committee on Cancer (AJCC).Cancer. 1997; 80: 987-989
- The Heidelberg classification of renal cell tumors.J Pathol. 1997; 183: 131-133
- Papillary (chromophil) renal cell carcinoma: histomorphologic characteristics and evaluation of conventional pathologic prognostic parameters in 62 cases.Am J Surg Pathol. 1997; 21: 621-635
- Prognostic significance of the Heidelberg classification of renal cell carcinoma.Eur Urol. 1999; 36: 565-569
- Prognostic utility of the recently recommended histologic classification and revised TNM staging system of renal cell carcinoma: a Swiss experience with 588 tumors.Cancer. 2000; 89: 604-614
- Prognostic impact of histologic subtyping of adult renal epithelial neoplasms: an experience of 405 cases.Am J Surg Pathol. 2002; 26: 281-291
- Prognostic features of pathologic stage T1 renal cell carcinoma after radical nephrectomy.Urology. 2002; 59: 532-537
- Comparisons of outcome and prognostic features among histologic subtypes of renal cell carcinoma.Am J Surg Pathol. 2003; 27: 612-624
- Papillary renal cell carcinoma: a clinicopathologic and immunohistochemical study of 105 tumors.Mod Pathol. 1997; 10: 537-544
- Papillary renal cell carcinoma: clinicopathological characteristics and evaluation of prognosis in 42 patients.BJU Int. 1999; 83: 937-943
- Stage pT1 conventional (clear cell) renal cell carcinoma: pathological features associated with cancer-specific survival.J Urol. 2001; 166: 453-456
- Diagnosis and classification of renal cell carcinoma.Urol Clin N Am. 1999; 26: 627-635
- Cystic renal cell carcinoma is cured by resection: a study of 24 cases with long-term followup.J Urol. 1999; 161: 408-411
- Chromophobe cell renal carcinoma: clinicopathological features of 50 cases.J Urol. 1995; 154: 964-967
- Chromophobe renal cell carcinoma: clinical, pathological and molecular biological aspects.Pathol Int. 2000; 50: 872-878
- Collecting duct carcinoma of kidney.Semin Diagn Pathol. 1998; 15: 54-67
- Collecting duct renal cell carcinoma: clinical study of a rare tumor.J Urol. 2002; 167: 71-74
- Low-grade collecting duct carcinoma of the kidney: report of 13 cases of low-grade mucinous tubulocystic renal carcinoma of possible collecting duct origin.Urology. 1997; 50: 679-684
- Sarcomas and sarcomatoid and mixed malignant tumors of the kidney in adults. Part III.Cancer. 1968; 22: 556-563
- Sarcomatoid carcinoma of the kidney.J Urol. 1987; 137: 25-28
- Sarcomatoid renal cell carcinoma: clinicopathologic. A study of 42 cases.Cancer. 1987; 59: 516-526
- Sarcomatoid renal cell carcinoma: the chromophobe connection.Am J Surg Pathol. 1997; 21: 1188-1195
- Sarcomatoid renal cell carcinoma: biologic behavior, prognosis, and response to combined surgical resection and immunotherapy.J Clin Oncol. 1999; 17: 523-528
- Sarcomatoid renal carcinoma: the final common dedifferentiation pathway of renal epithelial malignancies.Pathology. 1999; 31: 185-190
- Sarcomatoid differentiation in renal cell carcinoma.Am J Surg Pathol. 2001; 25: 275-284
- Prognostic factors and survival of patients with sarcomatoid renal cell carcinoma.J Urol. 2002; 167: 65-70
- Sarcomatoid renal cell carcinoma: an examination of underlying histologic subtype and an analysis of associations with patient outcome.Am J Surg Pathol. 2004; 28: 435-441
- TNM staging of renal cell carcinoma. Workgroup No. 3. Union Internationale Contre le Cancer (UICC) and the American Joint Committee on Cancer (AJCC).Cancer. 1997; 80: 992-993
- AJCC cancer staging manual.6th edition. Springer Press, New York2002
- TNM classification of malignant tumors.3rd edition. International Union Against Cancer, Geneva (Switzerland)1978
- Prognostic significance of the 1997 TNM classification of renal cell carcinoma.J Urol. 1999; 162: 1277-1281
- Prognostic indicators for renal cell carcinoma: a multivariate analysis of 643 patients using the revised 1997 TNM staging criteria.J Urol. 2000; 163: 1090-1095
- Pathologic staging of renal cell carcinoma: significance of tumor classification with the 1997 TNM staging system.Cancer. 2001; 91: 354-361
- The changing natural history of renal cell carcinoma.J Urol. 2001; 166: 1611-1623
- Update on pathologic staging of renal cell carcinoma.Urology. 2002; 60: 209-217
- An outcome prediction model for patients with clear cell renal cell carcinoma treated with radical nephrectomy based on tumor stage, size, grade, and necrosis: the SSIGN score.J Urol. 2002; 168: 2395-2400
- A multifactorial postoperative surveillance model for patients with surgically treated clear cell renal cell carcinoma.J Urol. 2003; 170 (Part 1): 2225-2232
- Prediction of progression after radical nephrectomy for patients with clear cell renal cell carcinoma.Cancer. 2003; 97: 1663-1671
- Current staging of renal cell carcinoma.Urol Clin N Am. 2003; 30: 481-497
- Prognostic factors of renal cell carcinoma.J Urol. 2003; 169: 821-827
- pT2 classification for renal cell carcinoma: can its accuracy be improved?.J Urol. 2005; 173: 380-384
- The process for continuous improvement of the TNM classification.Cancer. 2004; 100: 1-5
- Nephron sparing surgery for localized renal cell carcinoma: impact of tumor size on patient survival, tumor recurrence and TNM staging.J Urol. 1999; 162: 1930-1933
- Reevaluation of the 1997 TNM classification for renal cell carcinoma: T1 and T2 cutoff point at 4.5 rather than 7 cm better correlates with clinical outcome.J Urol. 2001; 166: 54-58
- TNM T3a renal cell carcinoma: adrenal gland involvement is not the same as renal fat invasion.J Urol. 2003; 169: 899-903
- Should direct ipsilateral adrenal invasion from renal cell carcinoma be classified as pT3a?.J Urol. 2005; 173: 918-921
- Adrenal metastases from renal cell carcinoma: role of ipsilateral adrenalectomy and definition of stage.Urology. 1997; 49: 28-31
- Analysis of the prognostic implications of different tumor margins types in renal cell carcinoma.Histopathology. 2003; 43: 374-380
- Renal sinus involvement in renal cell carcinoma.Am J Surg Pathol. 2000; 24: 451-458
- The Mayo Clinic experience with surgical management, complications and outcome for patients with renal cell carcinoma and venous tumour thrombus.BJU Int. 2004; 94: 33-41
- Cancer-specific survival for patients with pT3 renal cell carcinoma: can the 2003 primary tumor classification be improved?.J Urol. 2005; 173: 716-719
- Prognostic significance of venous thrombus in renal cell carcinoma. Are renal vein and inferior vena cava involvement different?.J Urol. 2004; 171: 588-591
- Prognostic significance of tumor thrombus level in patients with renal cell carcinoma and venous tumor thrombus extension. Is all T3b the same?.J Urol. 2004; 171: 598-601
- Improved prognostication of renal cell carcinoma using an integrated staging system.J Clin Oncol. 2001; 19: 1649-1657
- The influence of pNx/pN0 grouping in a multivariate setting for outcome modeling in patients with clear cell renal cell carcinoma.J Urol. 2002; 168: 56-60
- Scoring algorithm to predict survival after nephrectomy and immunotherapy in patients with metastatic renal cell carcinoma: a stratification tool for prospective clinical trials.Cancer. 2003; 98: 2566-2575
- A protocol for performing extended lymph node dissection using primary tumor pathological features for patients treated with radical nephrectomy for clear cell renal cell carcinoma.J Urol. 2004; 172: 465-469
- Carcinoma of the pyriform sinus: predictors of TNM relapse on survival.Cancer. 1980; 46: 1974-1981
- Are axillary recurrence and overall survival affected by axillary extranodal tumor extension in breast cancer? Implications for radiation therapy.J Clin Oncol. 1995; 13: 47-53
- Resection of metastatic renal cell carcinoma.J Clin Oncol. 1998; 16: 2261-2266
- Metastasectomy in renal cell carcinoma: a multicenter retrospective analysis.Eur Urol. 1999; 35: 197-203
- Solid renal tumors: an analysis of pathological features related to tumor size.J Urol. 2003; 170 (Part 1): 2217-2220
- Diagnosis and management of renal cell carcinoma: a clinical and pathologic study of 309 cases.Cancer. 1971; 28: 1165-1177
- Prognostic significance of morphologic parameters in renal cell carcinoma.Am J Surg Pathol. 1982; 6: 655-663
- Histopathologic prognostic indicators for renal cell carcinoma.Semin Diagn Pathol. 1998; 15: 68-76
- The current state of renal cell carcinoma grading: Union Internationale Contre le Cancer (UICC) and the American Joint Committee on Cancer (AJCC).Cancer. 1997; 80: 977-980
- Prognostic value of renal cell carcinoma nuclear grading: multivariate analysis of 333 cases.Urol Int. 2001; 67: 130-134
- Comparison of standardized and non-standardized nuclear grade of renal cell carcinoma to predict outcome among 2,042 patients.Am J Clin Pathol. 2002; 118: 877-886
- Grading of renal cell carcinoma.Urol Clin N Am. 1999; 26: 637-642
- Renal cell carcinoma. Prognostic significance of morphologic parameters in 121 cases.Cancer. 1988; 61: 1639-1651
- Renal cell carcinoma: a clinicopathologic and DNA flow cytometric analysis of 103 cases.Cancer. 1989; 64: 2133-2140
- Renal cell carcinoma. II. Histological indicators of prognosis.Pathology. 1987; 19: 258-263
- Prognostic parameters in renal cell carcinoma: a new approach.Eur Urol. 1989; 16: 416-422
- Multivariate evaluation of prognostic determinants for renal cell carcinoma.Uro Int. 1993; 50: 6-12
- Prognostic significance of tumor grade for renal cell carcinoma.Int J Urol. 2000; 7: 4-9
- Ultrastructural pathology: an introduction to interpretation.Iowa State University Press, Ames (IA)1994
- Primary apoptosis as a prognostic index for the classification of metastatic renal cell carcinoma.J Urol. 2002; 168: 460-464
- A postoperative nomogram for renal cell carcinoma.J Urol. 2001; 166: 63-67
- Multi-institutional validation of a symptom based classification for renal cell carcinoma.J Urol. 2004; 172: 858-862
Article info
Identification
Copyright
© 2005 Elsevier Inc. Published by Elsevier Inc. All rights reserved.