Kidney tumor
Renal pelvis
Small cell neuroendocrine carcinoma


Topic Completed: 1 July 2015

Revised: 16 September 2019

Copyright: 2003-2019, PathologyOutlines.com, Inc.

PubMed Search: Small cell neuroendocrine carcinoma [title] kidney

Nicole K. Andeen, M.D.
Maria Tretiakova, M.D., Ph.D.
Page views in 2018: 613
Page views in 2019 to date: 604
Cite this page: Andeen NK, Tretiakova M. Small cell neuroendocrine carcinoma. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/kidneytumormalignantsmallcell.html. Accessed November 13th, 2019.
Definition / general
  • High grade neuroendocrine neoplasm resembling small cell carcinoma of other organs
  • Pure or admixed with high grade urothelial carcinoma of the kidney
  • Rare, < 1% of renal neoplasms, ~ 50 cases reported
  • Very rarely has been reported with renal cell carcinoma (J Urol 1998;159:1624, Gerontologist 1991;31:631)
Epidemiology
Pathophysiology
  • Likely arises from a multipotent stem cell
Clinical features
Radiology description
Case reports
Treatment
Gross description
  • Unifocal, centered in renal pelvis, usually invading perinephric adipose tissue (Hum Pathol 2011;42:1792)
  • Median size 11 cm, mean 7.1 cm in another study (range from 2.3 to 23 cm)
Gross images

Contributed by Nicole K. Andeen, M.D.

Urothelial small cell


 AFIP images

Large invasive tumor



Images hosted on other servers:

In renal pelvis

Microscopic (histologic) description
  • Similar morphology to small cell carcinoma of the lung
  • Diffuse growth of small cells with minimal cytoplasm, nuclear molding, indistinct nucleoli, high mitotic activity and apoptosis, lymphovascular invasion, necrosis
Microscopic (histologic) images

Contributed by Nicole K. Andeen, M.D.

Mixed with urothelial carcinoma

Minimal cytoplasm,
nuclear molding,
indistinct
nucleoli

Synaptophysin+



Images hosted on other servers:

Small cell neuroendocrine tumor

Various images

Absence of nucleoli and high mitotic activity

CD56, synaptophysin, TTF1

Synaptophysin+

Negative stains
Electron microscopy description
Molecular / cytogenetics description
  • In urinary bladder, studies of coexistent urothelial carcinoma and small cell carcinoma show very similar loss of heterozygosity and X-inactivation patterns, suggesting that urothelial and small cell components derive from same cells in the urothelium, rather than transformation from a population of normal neuroendocrine cells (Am J Pathol 2005;166:1533)
Additional references
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