Case ID: 1121

Publication date: 29 Jan, 2025

Consensus grade: Succinate dehydrogenase deficient renal carcinoma

User Diagnosis Difficulty Comment
Pathologist 1 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 2 Succinate dehydrogenase deficient renal carcinoma Not typical
Pathologist 3 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 4 Succinate dehydrogenase deficient renal carcinoma Not typical

Needs SDH staining to confirm. TSC-associated RCC is in the differential.

Pathologist 5 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 6 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 7 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 8 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 9 Other Not typical
Pathologist 10 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 11 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 12 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 13 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 14 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 15 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 16 Succinate dehydrogenase deficient renal carcinoma Typical

I would support my dg by IHC and/or analysis of SDH genes

Pathologist 17 Clear cell RCC Not typical
Pathologist 18 Succinate dehydrogenase deficient renal carcinoma Typical
Pathologist 19 oncocytoma Typical


Case description (by case creator):

Renal tumour 42 year old woman. The tumor was 6cms in diameter with a homogeneous light tan color. The tumor has a solid architecture composed of trabeculae or tubules supported by a rich capillary network. The tumor cells are cuboidal with granular eosinophilic cytoplasm. Many cells contain intracytoplasmic inclusions which are round, appear membrane bound with a pale interior. These inclusions are large and cause lateral nuclear displacement. Nuclei are round exhibiting mild pleomorphism and nucleoli visible with a high power objective. Mitoses are infre quent.Necrosis and hemorrhage are not seen.