Kidney tumor - Frozen sections / intraoperative consultations

Home Chapter Home Jobs Conferences Fellowships Books

Kidney tumor

Adult malignancies - Miscellaneous

Frozen sections / intraoperative consultations

Reviewers: Sean Williamson, M.D. (see Reviewers page)
Revised: 13 July 2012, last major update July 2012
Copyright: (c) 2003-2012, PathologyOutlines.com, Inc.

General
=========================================================================

Margins:
● Assessment of surgical margins often performed in partial nephrectomy cases (Urology 2006;67:923, Scand J Urol Nephrol 2005;39:222)
● However, clinical significance may be limited, as only rare patients harbor residual disease in a follow-up radical nephrectomy specimen or repeated partial resection of margin
● Recurrence due to positive margin is uncommon (Urology 2011;77:1400, J Urol 2005;173:385)

Other indications:
● Solid renal mass in unusual setting, synchronous renal and extrarenal masses, cystic renal lesions, multiple renal masses, solid mass in diffusely cystic kidney (Arch Pathol Lab Med 2005;129:1585)
● However, no consensus exists (J Urol 2008;179:461)
● Cystic and spindle cell tumors are often misdiagnosed
● Clear cell renal cell carcinoma can be confused with inflammatory lesions, particularly those that contain foamy histiocytes

Gross images
=========================================================================

Renal cystic tumors

Micro images (frozen sections)
=========================================================================

Clear cell renal cell carcinoma, xanthogranulomatous pyelonephritis and malakoplakia

Urothelial, collecting duct and papillary carcinomas

Oncocytoma versus chromophobe carcinoma

Angiomyolipoma

Renal cystic tumors

End of Kidney tumor > Adult malignancies - Miscellaneous > Frozen sections / intraoperative consultations

This information is intended for physicians and related personnel, who understand that medical information is often imperfect, and must be interpreted in the context of a patient's clinical data using reasonable medical judgment. This website should not be used as a substitute for the advice of a licensed physician.

All information on this website is protected by copyright of PathologyOutlines.com, Inc. Information from third parties may also be protected by copyright. Please contact us at copyrightPathOut@gmail.com with any questions (click here for other contact information).