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Updated: May 30, 2025

The Use of Reverse Phase Protein Arrays RPPA to Explore Protein Expression Variation within Individual Renal Cell Cancers
Published on: January 22, 2013
[Molecularly defined renal cell carcinomas]
C Stöhr1,2,3, A Fiegl1,2,3, C Bercebal1,2,3
1Institut für Pathologie, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Krankenhausstraße 8-10, 91054, Erlangen, Deutschland.
Background:
The latest edition of the WHO classification of urinary and male genital tumours was published in 2022. The revision was based on the newest scientific literature. This article summarizes the updated recommendations regarding the classification of molecularly defined tumours.
Results And Conclusions:
The current edition of the WHO classification of tumours introduced the new category of molecularly defined tumours. This category includes TFE3-rearranged RCC, TFEB-altered RCC, ELOC-mutated RCC, FH-deficient RCC, SDH-deficient RCC, ALK-rearranged RCC and SMARCB1-deficient RCC. The change reflects the importance of the respective alterations with regard to tumour biology and future treatment options. Simultaneously, the diagnosis of these tumours, which sometimes can show equivocal morphologies, is facilitated.
Insights
The 2022 WHO classification introduces molecularly defined tumors, including specific types of renal cell carcinoma (RCC) based on genetic alterations. This advances tumor biology understanding and diagnostic accuracy.
Area of Science:
- Oncology
- Genetics
- Pathology
Context:
- The World Health Organization (WHO) released its 2022 classification of urinary and male genital tumors, incorporating recent scientific advancements.
- This revision emphasizes molecular characteristics in tumor classification.
Purpose:
- To summarize the updated recommendations for classifying molecularly defined tumors in the 2022 WHO classification.
- To highlight the significance of molecular alterations in tumor biology and treatment.
Summary:
- The 2022 WHO classification introduces a new category for molecularly defined tumors.
- This includes TFE3-rearranged Renal Cell Carcinoma (RCC), TFEB-altered RCC, ELOC-mutated RCC, FH-deficient RCC, SDH-deficient RCC, ALK-rearranged RCC, and SMARCB1-deficient RCC.
- These classifications are based on specific genetic alterations impacting tumor biology.
Impact:
- Facilitates the diagnosis of tumors with potentially equivocal morphologies.
- Reflects the growing importance of molecular profiling in guiding therapeutic strategies.
- Provides a framework for understanding tumor heterogeneity and developing targeted treatments.
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