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Succinate Dehydrogenase (SDH)-deficient Renal Carcinoma: A Morphologically Distinct Entity A Clinicopathologic Series of 36 Tumors From 27 Patients

Open access
Gill, Anthony J., Hes, Ondrej, Papathomas, Thomas, Šedivcová, Monika, Tan, Puay Hoon, Agaimy, Abbas, Andresen, Per Arne, Kedziora, Andrew, Clarkson, Adele, Toon, Christopher W., Sioson, Loretta, Watson, Nicole, Chou, Angela, Paik, Julie, Clifton-Bligh, Roderick J., Robinson, Bruce G., Benn, Diana E., Hills, Kirsten, Maclean, Fiona, Niemeijer, Nicolasine D., Vlatkovic, Ljiljana, Hartmann, Arndt, Corssmit, Eleonora P.M., van Leenders, Geert J.L.H., Przybycin, Christopher, McKenney, Jesse K., Magi-Galluzzi, Cristina, Yilmaz, Asli, Yu, Darryl, Nicoll, Katherine D., Yong, Jim L., Sibony, Mathilde, Yakirevich, Evgeny, Fleming, Stewart, Chow, Chung W., Miettinen, Markku, Michal, Michal, Trpkov, Kiril·2014·American Journal of Surgical Pathology

Abstract

Succinate dehydrogenase (SDH)-deficient renal carcinoma has been accepted as a provisional entity in the 2013 International Society of Urological Pathology Vancouver Classification. To further define its morphologic and clinical features, we studied a multi-institutional cohort of 36 SDH-deficient renal carcinomas from 27 patients, including 21 previously unreported cases. We estimate that 0.05% to 0.2% of all renal carcinomas are SDH deficient. Mean patient age at presentation was 37 years (range, 14 to 76 y), with a slight male predominance (M:F=1.7:1). Bilateral tumors were observed in 26% of patients. Thirty-four (94%) tumors demonstrated the previously reported morphology at least focally, which included: solid or focally cystic growth, uniform cytology with eosinophilic flocculent cytoplasm, intracytoplasmic vacuolations and inclusions, and round to oval low-grade nuclei. All 17 patients who underwent genetic testing for mutation in the SDH subunits demonstrated germline mutations (16 in SDHB and 1 in SDHC). Nine of 27 (33%) patients developed metastatic disease, 2 of them after prolonged follow-up (5.5 and 30 y). Seven of 10 patients (70%) with high-grade nuclei metastasized as did all 4 patients with coagulative necrosis. Two of 17 (12%) patients with low-grade nuclei metastasized, and both had unbiopsied contralateral tumors, which may have been the origin of the metastatic disease. In conclusion, SDH-deficient renal carcinoma is a rare and unique type of renal carcinoma, exhibiting stereotypical morphologic features in the great majority of cases and showing a strong relationship with SDH germline mutation. Although this tumor may undergo dedifferentiation and metastasize, sometimes after a prolonged delay, metastatic disease is rare in the absence of high-grade nuclear atypia or coagulative necrosis.

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Metadata

Authors
Gill, A. J., Hes, O., Papathomas, T., Šedivcová, M., Tan, P. H., Agaimy, A., Andresen, P. A., Kedziora, A., Clarkson, A., Toon, C. W., Sioson, L., Watson, N., Chou, A., Paik, J., Clifton-Bligh, R. J., Robinson, B. G., Benn, D. E., Hills, K., Maclean, F., Niemeijer, N. D., Vlatkovic, L., Hartmann, A., Corssmit, E. P. M., van Leenders, G. J. L. H., Przybycin, C., McKenney, J. K., Magi-Galluzzi, C., Yilmaz, A., Yu, D., Nicoll, K. D., Yong, J. L., Sibony, M., Yakirevich, E., Fleming, S., Chow, C. W., Miettinen, M., Michal, M., & Trpkov, K.
Venue
American Journal of Surgical Pathology
Published
2014-12
Volume
38
Issue
12
Pages
1588-1602
ISSN
0147-5185 (ISSN-L)
OpenAlex
W1457625536
Cited by
347
References
47
FWCI
19.39
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Succinate Dehydrogenase (SDH)-deficient Renal Carcinoma: A Morphologically Distinct Entity A Clinicopathologic Series of 36 Tumors From 27 Patients. https://app.cochat.ai/papers/10.1097/pas.0000000000000292
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Gill, A. J., Hes, O., Papathomas, T., Šedivcová, M., Tan, P. H., Agaimy, A., Andresen, P. A., Kedziora, A., Clarkson, A., Toon, C. W., Sioson, L., Watson, N., Chou, A., Paik, J., Clifton-Bligh, R. J., Robinson, B. G., Benn, D. E., Hills, K., Maclean, F., . . . Trpkov, K. (2014). Succinate Dehydrogenase (SDH)-deficient Renal Carcinoma: A Morphologically Distinct Entity A Clinicopathologic Series of 36 Tumors From 27 Patients. American Journal of Surgical Pathology. https://doi.org/10.1097/pas.0000000000000292

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.