Clear cell papillary cystadenocarcinoma of the epididymis: a case report and immunohistochemistry of markers for renal cell carcinoma
Tatsuru Nozawa1, Ryuichiro Konda1, Taisuke Ohsawa1, Makoto Yoshida2, Masayo Komatsu2, Takahide Iwama3 and Tomoaki Fujioka4
1Department of Urology, 2Pathology and 3Radiology, Yamamoto Kumiai General Hospital, Noshiro, Japan and 4Department of Urology, Iwate Medical University School of Medicine, Morioka, Japan.
Offprint requests to: Ryuichiro Konda, MD, Department of Urology, Yamamoto Kumiai General Hospital, 016-0014 Ochiai, Noshiro, Japan. e-mail: firstname.lastname@example.org
Summary. Neoplasms of the epididymis are uncommon, and malignant tumors are extremely rare. We report a case of clear cell papillary cystadenocarcinoma of the epididymis presenting with a long history of painless scrotal mass on the left side. Immunohistochemical markers for clear cell renal cell carcinoma (RCC) were examined to distinguish between clear cell papillary cystadenocarcinoma of the epididymis and metastatic clear cell renal cell carcinoma. The present case was positive for cytokeratin-7, PAX2, vinculin, vimentin and carbonic anhydrase IX. Expression of CD10 was focally observed. In contrast, no immunoreactivities for α-methylacyl-CoA racemase, RCC marker, glutathione S-transferase α or C-KIT were detected. The immunophenotypic profile of clear cell papillary cystadenocarcinoma of the epididymis closely resembles that of clear cell papillary RCC, although the immunohistochemical markers tested in this study are useful to make a differential diagnosis between clear cell papillary cystadenocarcinoma of the epididymis and metastatic clear cell RCC. Histol Histopathol 28, 321-326 (2013)
Key words: Cystadenocarcinoma, Epididymis, Molecular marker, Renal cell carcinoma