Evidence map›Paper›PMID 30732641›Full record

ArticleDiagnostic pathology2019

Primary renal well-differentiated neuroendocrine tumors: report of six cases with an emphasis on the Ki-67 index and mitosis.

Bohyun Kim, Han-Seong Kim, Kyung Chul Moon

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Article in Diagnostic pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

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15citing papers in PubMed
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3 · Its place in the literature

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15 citing papers in PubMed.

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  12. [New WHO classification 2022: urinary bladder cancer].Pathologie (Heidelberg, Germany) · 2023
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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Bohyun KimDepartment of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea.
Han-Seong KimDepartment of Pathology, Inje University College of Medicine, Goyang, Republic of Korea.
Kyung Chul MoonDepartment of Pathology, Seoul National University College of Medicine, Seoul, Republic of Korea. blue7270@snu.ac.kr.

Funding

Seoul National University Hospital 04-2016-0460
6 · The paper itself

Abstract

backgroundPrimary renal well-differentiated neuroendocrine tumors (WDNETs) also called carcinoid and atypical carcinoid are extremely rare, and little is known about parameters that may predict prognosis at diagnosis.

methodsSix cases of primary renal WDNET were collected. After reviewing slides stained with hematoxylin and eosin, proportions of each growth pattern were determined. Synaptophysin, chromogranin, CD56, and Ki-67 immunostaining and Ki-67 morphometric analysis were performed.

resultsPatients included three female and three males, mean age was 53.3 years. The mean tumor size was 4.5 cm, three cases were greater than 5 cm. At the time of initial surgery, lymph node and/or distant metastasis was confirmed in two cases. In a third case, no metastasis was initially found, but lymph node metastasis was identified during follow-up. The remaining three cases did not exhibit metastasis. Histopathologically, the renal WDNETs were primarily composed of ribbon-like and sheet-like growth patterns. Most of the tumors were diffusely positive for neuroendocrine markers. Mitotic count was high (≥2/10HPF) in cases with lymph node or distant metastasis but was low (< 2/10HPF) in non-metastatic cases. Furthermore, the Ki-67 index was also higher (≥3%) in the cases with metastases than in cases without metastasis.

conclusionThree out of the six primary renal WDNETs demonstrated aggressive behavior and exhibited increased mitotic counts and Ki-67 indices. These results suggest that mitosis and the Ki-67 index could be used as prognostic indicators for renal WDNET.

Indexed as

Biomarkers, TumorFemaleHumansKi-67 AntigenKidney NeoplasmsMaleMiddle AgedNeuroendocrine TumorsPrognosisBiomarkers, TumorKi-67 AntigenCarcinoid tumorGradeKi-67MitosisPrognosisRenal well-differentiated neuroendocrine tumor

Identifiers

PMID30732641
PMCPMC6367815

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.