• Media type: E-Article
  • Title: Chromosome 17p13 deletion is associated with an aggressive tumor phenotype in clear cell renal cell carcinoma
  • Contributor: Eichenauer, Till; Shadanpour, Navid; Kluth, Martina; Göbel, Cosima; Weidemann, Sören; Fraune, Christoph; Büscheck, Franziska; Hube-Magg, Claudia; Möller-Koop, Christina; Dahlem, Roland; Fisch, Margit; Rink, Michael; Riechardt, Silke; Burandt, Eike; Bernreuther, Christian; Minner, Sarah; Simon, Ronald; Sauter, Guido; Wilczak, Waldemar; Clauditz, Till
  • imprint: Springer Science and Business Media LLC, 2020
  • Published in: World Journal of Surgical Oncology
  • Language: English
  • DOI: 10.1186/s12957-020-01902-y
  • ISSN: 1477-7819
  • Keywords: Oncology ; Surgery
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Deletions of 17p13 recurrently occur in renal cell carcinoma (RCC) but their prognostic role seems to be uncertain.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>To determine prevalence, relationship with tumor phenotype, and patient prognosis, a tissue microarray containing samples from 1809 RCCs was evaluated using dual labeling fluorescence in situ hybridization (FISH) with 17p13 and chromosome 17 centromere probes.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>A 17p13 deletion was found in 72 of 1429 interpretable tumors. The frequency of 17p13 deletions varied greatly between RCC subtypes and was highest in chromophobe RCC (24/72; 33.3%). 17p13 deletions were also found in 35 (3.7%) of 946 clear cell RCC, 9 (4.3%) of 208 papillary RCC, 1 of 121 oncocytomas (0.8%), as well as in several rare cases of comprising 1 of 7 Xp11.2 translocation cancers, 1 of 3 collecting duct carcinomas, and 1 of 20 not otherwise specified (NOS) carcinomas. In clear cell carcinomas, 17p13 deletions revealed a strong and consistent association with higher Fuhrman, ISUP, and Thoenes grade (<jats:italic>p</jats:italic> &lt; 0.0001 each), and linked to advanced tumor stage (<jats:italic>p</jats:italic> = 0.0168), large tumor diameter (<jats:italic>p</jats:italic> = 0.0004), distant metastases (<jats:italic>p</jats:italic> = 0.0077), cancer-specific survival (<jats:italic>p</jats:italic> = 0.0391), and recurrence-free survival (<jats:italic>p</jats:italic> = 0.0072). In multivariate analysis, 17p13 deletions showed in clear cell RCC a dependent prognostic role for established clinical-pathological parameters.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>17p13 deletions have a dual role in RCC. They are associated with disease progression in clear cell RCC and possibly other subtypes and they are linked to the development of chromophobe RCC—a subtype with a particularly favorable prognosis.</jats:p> </jats:sec>
  • Access State: Open Access