Table 1.
Specimen | Resection technique | Subtype | WHO/ISUP nuclear grading | Maximal tumour diameter (mm) | Surgical margin | Smallest resection margin (mm) | Pseudocapsule present | Continuity pseudocapsule | Extra pseudocapsulair extension | Follow-up (months)4 | Local recurrence |
---|---|---|---|---|---|---|---|---|---|---|---|
I | Resection | Oncocytoma | n.a. | 20/20 | Neg/Neg | 9.0/1.5 | Yes/No | Yes/n.a. | No/n.a. | 0 | No |
II | Enucleoresection | Oncocytoma | n.a. | 21/15 | Neg/Neg | 2.3/1.2 | No/No | n.a./n.a. | n.a./n.a. | 345 | No |
III | Resection | Clear cell | II | 36/50 | Pos/Pos | n.a./n.a. | Yes/Yes | No/No | No/No | 33 | No |
IV1 | Resection | Chromophobe | n.a. | x/x | x/x | x/x | x/x | x/x | x/x | 27 | No |
V | Pure enucleation | Clear cell | II | 9.7/5.0 | Neg/Neg | 3.7/0.5 | Yes/Yes | Yes/Yes | No/No | 4 | No |
VI | Resection | Clear cell | III | 21/20 | Neg/Neg | 0.2/0.6 | Yes/Yes | Yes/No (70% intact) | No/Yes | 4 | No |
VII2 | Resection | Benign cyst | n.a. | x/x | x/x | x/x | x/x | x/x | x/x | 21 | No |
VIII | Hybrid enucleation | Papillary type I | II | 59/70 | Neg/Neg | 3.0/ 0.3 | Yes/No | Yes/n.a. | No/n.a. | 23 | No |
IX | Resection | Clear cell | II | 31/30 | Pos/Neg | n.a./0.5. | Yes/Yes | No/No | Yes/Yes | 25 | No |
X | Pure enucleoresection | Clear cell | II | 23/24 | Neg/Neg | 1.6/0.4 | Yes/Yes | Yes/Yes | No/No | 25 | No |
X3 | Resection | Papillary type I | II | 11/10 | Pos/Neg | n.a./0.5. | Yes/Yes | No/No | Yes/Yes | 25 | No |
1. Fragmented specimen with disintegration of the resection margin, therefore surgical margins and pseudocapsule could not be assessed on MRI and histopathology
2. Only a small benign cyst was visualized on ex vivo MRI, pathology report confirmed this finding. Patient was excluded from further analysis
3. Incidentally detected second tumour in specimen X
4. Measured from the date of surgery until the last moment of follow-up imaging of the affected kidney
5. Follow-up performed for second incidentaloma detected after surgery
WHO/ISUP World Health Organization/International Society of Urological Pathology