Renal Cell Tumors: Understanding Their Molecular Pathological Epidemiology and the 2016 WHO Classification

Kentaro Inamura1

  • 1Division of Pathology, The Cancer Institute, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo 135-8550, Japan. kentaro.inamura@jfcr.or.jp.

Insights

The World Health Organization (WHO) classification of renal cell tumors has been updated to reflect new subtypes and molecular insights. Further revisions are needed for clinically meaningful classification of these heterogeneous kidney cancers.

Area of Science:

  • Oncology
  • Pathology
  • Genetics

Background:

  • Renal cell tumors are increasingly recognized as heterogeneous diseases.
  • Existing classifications require updates based on new molecular and pathological data.

Purpose of the Study:

  • To review the updated 2016 World Health Organization (WHO) classification of renal cell tumors.
  • To highlight new and emerging subtypes, focusing on molecular pathology and epidemiology.

Main Methods:

  • Review of current literature and the 2016 WHO classification.
  • Analysis of morphological, immunohistochemical, and molecular features.
  • Examination of epidemiological data for renal cell tumors.

Main Results:

  • The 2016 WHO classification incorporates new subtypes of renal cell tumors.
  • Emphasis is placed on molecular pathological epidemiology for classification.
  • Emerging and provisional renal cell carcinomas are included.

Conclusions:

  • The updated WHO classification provides a framework for understanding renal cell tumor heterogeneity.
  • Further revisions are necessary to achieve clinically meaningful classifications.
  • Enhanced understanding of molecular characteristics is crucial for future advancements.

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