Are Renal Tumor Diagnostics Becoming Too Advanced for Many Pathology Laboratories?

Int J Surg Pathol

Department of Pathology and Laboratory Medicine, Albany Medical Center, Albany, NY, USA.

Published: December 2024

AI Article Synopsis

  • The rise of new types of kidney tumors, especially those defined by specific molecular characteristics, is creating challenges for pathology labs due to their rarity and lack of clear features.
  • Diagnosing these tumors requires identifying specific molecular changes, which many labs are not equipped to handle due to limited resources or cost issues.
  • Pathologists need to stay informed about the latest developments in renal neoplasms and understand the constraints of their current diagnostic capabilities.

Article Abstract

The recent influx of novel renal neoplasms, particularly molecularly-defined renal carcinomas, has introduced new challenges in the daily practice of most pathology laboratories. These tumors are uncommon, they do not always have well-established morphologic features, and the expression profile of most common biomarkers is not well understood. Moreover, the diagnosis of molecularly-defined renal carcinomas requires the documentation of the disease-defining molecular alteration, with molecular studies or surrogate immunohistochemical markers. Unfortunately, most pathology laboratories lack molecular laboratories, or it is not cost-effective to maintain assays of the specific biomarkers in these unusual tumors. Pathologists should have updated knowledge about the recent changes in renal neoplasms and be aware of these limitations.

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Source
http://dx.doi.org/10.1177/10668969241231982DOI Listing

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