Kidney tumor
Benign adult tumors
Mixed epithelial and stromal tumor


Topic Completed: 1 February 2012

Minor changes: 12 May 2020

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

PubMed Search: Mixed epithelial and stromal tumor [title] kidney

Mandolin S. Ziadie, M.D.
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Cite this page: Ziadie MS. Mixed epithelial and stromal tumor. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/kidneytumormixedepithelial.html. Accessed May 26th, 2020.
Definition / general
Epidemiology
  • Rare; almost exclusively occurs in perimenopausal women with obesity or receiving exogenous hormones, or men treated with lupron or DES (Am J Surg Pathol 2000;24:958)
Clinical features
  • Usually benign; does not recur / metastasize
Case reports
Treatment
Gross description
  • Well circumscribed but unencapsulated tumor in renal pelvis
  • Mean 6 cm, range 3 - 12 cm, solid and cystic and yellowish tan
Gross images

Images hosted on other servers:

Various images


Various images

Multiloculated cystic tumor with smooth cyst lining

Microscopic (histologic) description
  • Cystic and solid growth of benign mesenchymal and epithelial elements in ovarian-type stroma that contains smooth muscle, fibroblasts and myofibroblasts with embedded epithelial structures (tubules and cysts)
  • Cysts often have hobnailed epithelium
  • No blastema, no immature epithelial elements and no atypia
  • Classic: no hemorrhage, no necrosis and no / rare mitotic figures
  • Cellular: increased stromal cellularity, may have hemorrhage, necrosis and high mitotic index
Microscopic (histologic) images

AFIP images

Spindled
myofibroblastic
stromal component
with tubular elements



Case of the Week #83

Various Images

AE1 / AE3

ER

PR




Images hosted on other servers:

Various images

Stromal predominant tumor

Positive stains
Negative stains
Electron microscopy description
  • Spindle cells have mitochondria, ribosomes and submembranous condensations composed of clusters of filaments
  • Also basement membrane, abundant collagen fibers, dense plaques, pinocytotic vesicles and nearly continuous external lamina
  • Rare endoplasmic reticulum
Differential diagnosis
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