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Published on: February 8, 2020
Renal Cell Tumors: Understanding Their Molecular Pathological Epidemiology and the 2016 WHO Classification
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.
Abstract:
Accumulating evidence suggests that renal cell tumors represent a group of histologically and molecularly heterogeneous diseases, even within the same histological subtype. In accordance with the increased understanding of the morphological, immunohistochemical, molecular, and epidemiological characteristics of renal cell tumors, the World Health Organization (WHO) classification of renal cell tumors has been modified. This review provides perspectives on both new and current subtypes of renal cell tumors, as well as on the emerging/provisional renal cell carcinomas in the new 2016 WHO classification, which focuses on features of their molecular pathological epidemiology. The WHO classification will require additional revisions to enable the classification of renal cell tumors as clinically meaningful subtypes and provide a better understanding of the unique characteristics of renal cell tumors.
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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