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14-04-2016 | Staging | Book chapter | Article

Diagnosis and Management of Hereditary Renal Cell Cancer

Authors: Fred H. Menko, Eamonn R. Maher

Publisher: Springer International Publishing

Abstract

Renal cell cancer (RCC) is the common denominator for a heterogeneous group of diseases. The subclassification of these tumours is based on histological type and molecular pathogenesis. Insight into molecular pathogenesis has led to the development of targeted systemic therapies. Genetic susceptibility is the principal cause of RCC in about 2–4 % of cases. Hereditary RCC is the umbrella term for about a dozen different conditions, the most frequent of which is von Hippel–Lindau disease. Here, we describe the main hereditary RCC syndromes, consider criteria for referral of RCC patients for clinical genetic assessment and discuss management options for patients with hereditary RCC and their at-risk relatives.
Literature
Alam NA, Barclay E, Rowan AJ et al (2005) Clinical features of multiple cutaneous and uterine leiomyomatosis. An underdiagnosed tumor syndrome. Arch Dermatol 141:199–206PubMed
Albiges L, Guegan J, Le Formal A et al (2014) MET is a potential target across all papillary renal cell carcinomas: result from a large molecular study of pRCC with CGH array and matching gene expression array. Clin Cancer Res 20:3411–3421CrossRefPubMed
Bardella C, El-Bahrawy M, Frizzell N et al (2011) Aberrant succination of proteins in fumarate hydratase-deficient mice and HLRCC patients is a robust biomarker of mutation status. J Pathol 225:4–11
Barrisford GW, Singer EA, Rosner IL et al (2011) Familial renal cancer: molecular genetics and surgical management. Int J Surg Oncol ID 658767
Bausch B, Jilg C, Gläsker S et al (2013) Renal cancer in von Hippel-Lindau disease and related syndromes. Nat Rev Nephrol 9:529–538
Benusiglio PR, Gad S, Massard C et al (2014) Case report: Expanding the tumour spectrum associated with the Birt-Hogg-Dubé cancer susceptibility syndrome. F1000Res 3:159
Birt AR, Hogg GR, Dubé WJ (1977) Hereditary multiple fibrofolliculomas with trichodiscomas and acrochordons. Arch Dermatol 113:1674–1677CrossRefPubMed
Bratslavsky G, Sudarshan S, Neckers L et al (2007) Pseudohypoxic pathways in renal cell carcinoma. Clin Cancer Res 13:4667–4671CrossRefPubMed
Bricaire L, Odou M-F, Cardot-Bauters C et al (2013) Frequent large germline HRPT2 deletions in a French national cohort of patients with primary hyperparathyroidism. J Clin Endocrinol Metab 98:E403–E408CrossRefPubMed
Bubien V, Bonnet F, Brouste V et al (2013) High cumulative risks of cancer in patients with PTEN hamartoma tumour syndrome. J Med Genet 50:255–263CrossRefPubMed
Carpten JD, Robbins CM, Villablanca A et al (2002) HRPT2, encoding parafibromin, is mutated in hyperparathyroidism-jaw tumor syndrome. Nat Genet 32:676–680CrossRefPubMed
Castro-Vega LJ, Buffet A, De Cubas AA et al (2014) Germline mutations in FH confer predisposition to malignant pheochromocytomas and paragangliomas. Hum Mol Genet 23:2440–2446CrossRefPubMed
Chow W-H, Dong LM, Devesa SS (2010) Epidemiology and risk factors for kidney cancer. Nat Rev Urol 7:245–257CrossRefPubMedPubMedCentral
Clague J, Lin J, Cassidy A et al (2009) Family history and risk of renal cell carcinoma: results from a case-control study and systematic meta-analysis. Cancer Epidemiol Biomarkers Prev 18:801–807CrossRefPubMedPubMedCentral
Clark GR, Sciacovelli M, Gaude E et al (2014) Germline FH mutations presenting with pheochromocytoma. J Clin Endocrinol Metab 99:E2046–E2050CrossRefPubMed
Cohen AJ, Li FP, Berg S et al (1979) Hereditary renal-cell carcinoma associated with a chromosomal translocation. N Engl J Med 301:592–595CrossRefPubMed
Crino PB, Nathanson KL, Henske EP (2006) The tuberous sclerosis complex. N Engl J Med 355:1345–1356CrossRefPubMed
Curatolo P, Bombardieri R, Jozwiak S (2008) Tuberous sclerosis. Lancet 372:657–668CrossRefPubMed
Daniels MS, Rich T, Weissman S et al (2012) Lifetime cancer risks of PTEN mutation carriers. Clin Cancer Res 18:4213CrossRefPubMed
Delahunt B, Eble N (1997) Papillary renal cell carcinoma: a clinicopathologic and immunohistochemical study of 105 tumors. Mod Pathol 10:537–544PubMed
Domchek SM, Bradbury A, Garber JE et al (2013) Multiplex genetic testing for cancer susceptibility: out on the high wire without a net? J Clin Oncol 31:1267–1270CrossRefPubMed
Eble JN, Sauter G, Epstein JI et al (2004) Pathology and Genetics. Tumours of the Urinary System and Male Genital Organs. World Health Organization Classification of Tumours, IARC Press, Lyon
Evenepoel L, Papathomas TG, Krol N et al (2015) Toward an improved definition of the genetic and tumor spectrum associated with SDH germ-line mutations. Genet Med 17:610–620
Farley MN, Schmidt LS, Mester JL et al (2013) A novel germline mutation in BAP1 predisposes to familial clear-cell renal cell carcinoma. Mol Cancer Res 11:1061–1071CrossRefPubMedPubMedCentral
Fay AP, Signoretti S, Choueiri TK (2014) MET as a target in papillary renal cell carcinoma. Clin Cancer Res 20:3361–3363CrossRefPubMed
Frank I, Blute ML, Cheville JC et al (2003) Solid renal tumors: an analysis of pathological features related to tumor size. J Urol 170:2217–2220CrossRefPubMed
Gardie B, Remenieras A, Kattygnarath D et al (2011) Novel FH mutations in families with hereditary leiomyomatosis and renal cell cancer (HLRCC) and patients with isolated type 2 papillary renal cell carcinoma. J Med Genet 48:226–234CrossRefPubMed
Gill IS, Aron M, Gervais DA et al (2010) Small renal mass. N Engl J Med 362:624–634CrossRefPubMed
Gill AJ, Pachter NS, Clarkson A et al (2011) Renal tumors and hereditary phaeochromocytoma-paraganglioma syndrome type 4. N Engl J Med 364:885–886CrossRefPubMed
Gill AJ, Hes O, Papathomas T et al (2014) Succinate dehydrogenase (SDH)-deficient renal carcinoma: a morphologically distinct entity. A clinicopathologic series of 36 tumors from 27 patients. Am J Surg Pathol 38:1588–1602CrossRefPubMedPubMedCentral
Gossage L, Eisen T, Maher ER (2015) VHL, the story of a tumour suppressor gene. Nat Rev Cancer 15:55–64CrossRefPubMed
Haven CJ, Wong FK, van Dam EW et al (2000) A genotypic and histopathological study of a large Dutch kindred with hyperparathyroidism-jaw tumor syndrome. J Clin Endocrinol Metab 85:1449–1454PubMed
Hemminki K, Li X (2004) Familial renal cell cancer appears to have a recessive component. J Med Genet 41:e58CrossRefPubMedPubMedCentral
Henderson A, Douglas F, Perros P et al (2009) SDHB-associated renal oncocytoma suggests a broadening of the renal phenotype in hereditary paragangliomatosis. Fam Cancer 8:257–260CrossRefPubMed
Houweling AC, Gijezen LM, Jonker MA et al (2011) Renal cancer and pneumothorax risk in Birt-Hogg-Dubé syndrome; an analysis of 115 FLCN mutation carriers from 35 BHD families. Br J Cancer 105:1912–1919CrossRefPubMedPubMedCentral
Hu B, Lara PN Jr, Evans CP (2012) Defining an individualized treatment strategy for metastatic renal cancer. Urol Clin N Am 39:233–249CrossRef
Jackson CE, Norum RA, Boyd SB et al (1990) Hereditary hyperparathyroidism and multiple ossifying jaw fibromas: a clinically and genetically distinct syndrome. Surgery 108:1006–1013PubMed
Jafri M, Wake NC, Ascher DB et al (2015) Germline mutations in the CDKN2B tumor suppressor gene predispose to renal cell carcinoma. Cancer Discov 5:723–729CrossRefPubMed
Jonasch E, McCutcheon IE, Waguespack SG et al (2011) Pilot trial of sunitinib therapy in patients with von Hippel-Lindau disease. Ann Oncol 22:2661–2666CrossRefPubMedPubMedCentral
Krueger DA, Northrup H (2013) Tuberous sclerosis complex surveillance and management: recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatr Neurol 49:255–265
Lachlan KL, Lucassen AM, Bunyan D et al (2007) Cowden syndrome and Bannayan-Riley-Ruvalcaba syndrome represent one condition with variable expression and age-related penetrance: results of a clinical study of PTEN mutation carriers. J Med Genet 44:579–585CrossRefPubMedPubMedCentral
Latif F, Tory K, Gnarra J et al (1993) Identification of the von Hippel-Lindau tumor suppressor gene. Science 260:1317–1320CrossRefPubMed
Lehtonen HJ (2011) Hereditary leiomyomatosis and renal cell cancer: update on clinical and molecular characteristics. Fam Cancer 10:397–411CrossRefPubMed
Leter EM, Koopmans AK, Gille JJP et al (2008) Birt-Hogg-Dubé syndrome: clinical and genetic studies of 20 families. J Invest Dermatol 128:45–49CrossRefPubMed
Li FP, Decker H-J, Zbar B et al (1993) Clinical and genetic studies of renal cell carcinomas in a family with a constitutional chromosome 3;8 translocation. Genetics of familial renal carcinoma. Ann Intern Med 118:106–111
Lindau A (1926) Studien über Kleinhirncysten. Bau, Pathogenese und Beziehungen zur Angiomatosis retinae. Acta Pathol Microbiol Scand S1:1–128
Linehan WM (2012) Genetic basis of kidney cancer: role of genomics for the development of disease-based therapeutics. Genome Res 22:2089–2100CrossRefPubMedPubMedCentral
Linehan WM, Walther MM, Zbar B (2003) The genetic basis of cancer of the kidney. J Urol 170:2163–2172CrossRefPubMed
Linehan WM, Srinivasan R, Schmidt LS (2010a) The genetic basis of kidney cancer: a metabolic disease. Nat Rev Urol 7:277–285CrossRefPubMedPubMedCentral
Linehan WM, Bratslavsky G, Pinto PA et al (2010b) Molecular diagnosis and therapy of kidney cancer. Annu Rev Med 61:329–343CrossRefPubMedPubMedCentral
Ljungberg B, Bensalah K, Bex A et al (2013) Guidelines: Renal cell carcinoma, European Association of Urology. www.​uroweb.​org
Lloyd KM II, Dennis M (1963) Cowden’s disease. A possible new symptom complex with multiple system involvement. Ann Intern Med 58:136–142CrossRefPubMed
Lonser RR, Glenn GM, Walther M et al (2003) Von Hippel-Lindau disease. Lancet 361:2059–2067CrossRefPubMed
Maffé A, Toschi B, Circo G et al (2011) Constitutional FLCN mutations in patients with suspected Birt-Hogg-Dubé syndrome ascertained for non-cutaneous manifestations. Clin Genet 79:345–354CrossRefPubMed
Maher ER (2011) Genetics of familial renal cancers. Nephron Exp Nephrol 118:e21–e26CrossRefPubMed
Maher ER, Yates JRW, Harries R et al (1990) Clinical features and natural history of von Hippel-Lindau disease. Q J Med 77:1151–1163CrossRefPubMed
Maher ER, Neumann HPH, Richard S (2011) Von Hippel-Lindau disease: a clinical and scientific review. Eur J Hum Genet 19:617–623
Malchoff CD, Sarfarazi M, Tendler B et al (2000) Papillary thyroid carcinoma associated with papillary renal neoplasia: genetic linkage analysis of a distinct heritable tumor syndrome. J Clin Endocrinol Metab 85:1758–1764PubMed
McKay L, Frydenberg M, Lipton L et al (2011) Case report: renal cell carcinoma segregating with a t(2;3)(q37.3;q13.2) chromosomal translocation in an Ashkenazi Jewish family. Fam Cancer 10:349–353CrossRefPubMed
Menko FH, van Steensel MAM, Giraud S et al (2009) Birt-Hogg-Dubé syndrome: diagnosis and management. Lancet Oncol 10:1199–1206CrossRefPubMed
Menko FH, Johannesma PC, van Moorselaar RJ et al (2013) A de novo FLCN mutation in a patient with spontaneous pneumothorax and renal cancer; a clinical and molecular evaluation. Fam Cancer 12:373–379CrossRefPubMed
Menko FH, Maher ER, Schmidt LS et al (2014) Hereditary leiomyomatosis and renal cell cancer (HLRCC): renal cancer risk, surveillance and treatment. Fam Cancer 13:637–644CrossRefPubMedPubMedCentral
Mester J, Eng C (2015) Cowden syndrome: recognizing and managing a not-so-rare hereditary cancer syndrome. J Surg Oncol 111:125–130CrossRefPubMed
Mester JL, Zhou M, Prescott N et al (2012) Papillary renal cell carcinoma is associated with PTEN hamartoma tumor syndrome. Urology 79:1187.e1–1187.e7
Metwalli AR, Linehan WM (2014) Nephron-sparing surgery for multifocal and hereditary tumors. Curr Opin Urol 24:466–473CrossRefPubMedPubMedCentral
Nahorski MS, Lim DHK, Martin L et al (2010) Investigation of the Birt-Hogg-Dubé tumour suppressor gene (FLCN) in familial and sporadic colorectal cancer. J Med Genet 47:385–390CrossRefPubMed
Ngeow J, Eng C (2015) PTEN hamartoma tumor syndrome: clinical risk assessment and management protocol. Methods 77–78:11–19
Nickerson ML, Warren MB, Toro JR et al (2002) Mutations in a novel gene lead to kidney tumors, lung wall defects, and benign tumors of the hair follicle in patients with the Birt-Hogg-Dubé syndrome. Cancer Cell 2:157–164CrossRefPubMed
Nieuwenhuis MH, Kets CM, Murphy-Ryan M et al (2014) Cancer risk and genotype-phenotype correlations in PTEN hamartoma tumor syndrome. Fam Cancer 13:57–63CrossRefPubMed
Northrup H, Krueger DA (2013) Tuberous sclerosis complex diagnostic criteria update: recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatr Neurol 49:243–254
Olivero M, Valente G, Bardelli A et al (1999) Novel mutation in the ATP-binding site of the MET oncogene tyrosine kinase in a HPRCC family. Int J Cancer 82:640–643CrossRefPubMed
Papathomas TG, Gaal J, Corssmit EPM et al (2014) Non-pheochromocytoma (PCC)/paraganglioma (PGL) tumors in patients with succinate dehydrogenase-related PCC-PGL syndromes: a clinicopathological and molecular analysis. Eur J Endocrinol 170:1–12
Pavlovich CP, Walther MM, Eyler RA et al (2002) Renal tumors in the Birt-Hogg-Dubé syndrome. Am J Surg Pathol 26:1542–1552CrossRefPubMed
Popova T, Hebert L, Jacquemin V et al (2013) Germline BAP1 mutations predispose to renal cell carcinomas. Am J Hum Genet 92:974–980CrossRefPubMedPubMedCentral
Pressey JG, Wright JM, Geller JI et al (2010) Sirolimus therapy for fibromatosis and multifocal renal cell carcinoma in a child with tuberous sclerosis complex. Pediatr Blood Cancer 54:1035–1037PubMed
Qin Y, Deng Y, Ricketts CJ et al (2014) The tumor susceptibility gene TMEM127 is mutated in renal cell carcinomas and modulates endolysosomal function. Hum Mol Genet 23:2428–2439CrossRefPubMedPubMedCentral
Reaume MN, Graham GE, Tomiak E et al (2013) Canadian guideline on genetic screening for hereditary renal cell cancers. Can Urol Assoc J 7:319–323CrossRefPubMedPubMedCentral
Reed WB, Walker R, Horowitz R (1973) Cutaneous leiomyomata with uterine leiomyomata. Acta Derm Venereol 53:409–416PubMed
Richard S, Gardie B, Couvé S et al (2013) Von Hippel-Lindau: how a rare disease illuminates cancer biology. Semin Cancer Biol 23:26–37CrossRefPubMed
Ricketts C, Woodward ER, Killick P et al (2008) Germline SDHB mutations and familial renal cell carcinoma. J Natl Cancer Inst 100:1260–1262CrossRefPubMed
Ricketts CJ, Forman JR, Rattenberry E et al (2010) Tumor risks and genotype-phenotype-proteotype analysis in 358 patients with germline mutations in SDHB and SDHD. Hum Mutat 31:41–51CrossRefPubMed
Ricketts CJ, Shuch B, Vocke CD et al (2012) Succinate dehydrogenase kidney cancer: an aggressive example of the Warburg effect in cancer. J Urol 188:2063–2071CrossRefPubMed
Roma A, Maruzzo M, Basso U et al (2015) First-line sunitinib in patients with renal cell carcinoma (RCC) in von Hippel-Lindau (VHL) disease: clinical outcome and patterns of radiological response. Fam Cancer 14:309–316CrossRefPubMed
Salvi A, Marchina E, Benetti A et al (2008) Germline and somatic c-met mutations in multifocal/bilateral and sporadic papillary renal carcinomas of selected patients. Int J Oncol 33:271–276PubMed
Schmidt LS (2013) Birt-Hogg-Dubé syndrome: from gene discovery to molecularly targeted therapies. Fam Cancer 12:357–364 CrossRefPubMedPubMedCentral
Schmidt LS, Linehan WM (2014) Hereditary leiomyomatosis and renal cell carcinoma. Int J Nephrol Renovasc Dis 7:253–260CrossRefPubMedPubMedCentral
Schmidt L, Duh F-M, Chen F et al (1997) Germline and somatic mutations in the thyrosine kinase domain of the MET proto-oncogene in papillary renal carcinomas. Nat Genet 16:68–73CrossRefPubMed
Schmidt LS, Nickerson ML, Angeloni D et al (2004) Early onset hereditary papillary renal carcinoma: germline missense mutations in the tyrosine kinase domain of the MET proto-oncogene. J Urol 172:1256–1261CrossRefPubMed
Shuch B, Ricketts CJ, Vocke CD et al (2013a) Adrenal nodular hyperplasia in hereditary leiomyomatosis and renal cell cancer. J Urol 189:430–435CrossRefPubMedPubMedCentral
Shuch B, Ricketts CJ, Vocke CD et al (2013b) Germline PTEN mutation Cowden syndrome: an underappreciated form of hereditary kidney cancer. J Urol 190:1990–1998CrossRefPubMedPubMedCentral
Shuch B, Vourganti S, Ricketts CJ et al (2014) Defining early-onset kidney cancer: implications for germline and somatic mutation testing and clinical management. J Clin Oncol 32:431–437CrossRefPubMedPubMedCentral
Shuch B, Amin A, Armstrong AJ et al (2015) Understanding pathologic variants of renal cell carcinoma: distilling therapeutic opportunities from biologic complexity. Eur Urol 67:85–97CrossRefPubMed
Smit DL, Mensenkamp AR, Badeloe S et al (2011) Hereditary leiomyomatosis and renal cell cancer in families referred for fumarate hydratase germline mutation analysis. Clin Genet 79:49–59CrossRefPubMed
Srigley JR, Delahunt B, Eble JN et al (2013) The International Society of Urological Pathology (ISUP) Vancouver classification of renal neoplasia. Am J Surg Pathol 37:1469–1489CrossRefPubMed
Stamatakis L, Metwalli AR, Middelton LA et al (2013) Diagnosis and management of BHD-associated kidney cancer. Fam Cancer 12:397–402CrossRefPubMedPubMedCentral
Sudarshan S, Karam JA, Brugarolas J et al (2013) Metabolism of kidney cancer: from the lab to clinical practice. Eur Urol 63:244–251CrossRefPubMedPubMedCentral
Tan M-H, Mester JL, Ngeow J et al (2012) Lifetime cancer risks in individuals with germline PTEN mutations. Clin Cancer Res 18:400–407CrossRefPubMedPubMedCentral
Teh BT, Farnebo F, Kristoffersson U et al (1996) Autosomal dominant primary hyperparathyroidism and jaw tumor syndrome associated with renal hamartomas and cystic kidney disease: linkage to 1q21-q32 and loss of the wild type allele in renal hamartomas. J Clin Endocrinol Metab 81:4204–4211PubMed
Tollefson MK, Boorjian SA, Lohse CM et al (2010) The impact of family history on pathological and clinical outcomes in non-syndromic clear cell renal cell carcinoma. BJU Int 106:1638–1642CrossRefPubMed
Tomlinson IPM, Alam NA, Rowan AJ et al (2002) The Multiple Leiomyoma Consortium. Germline mutations in FH predispose to dominantly inherited uterine fibroids, skin leiomyomata and papillary renal cell cancer. Nat Genet 30:406–410CrossRefPubMed
Valle L, Cascón A, Melchor L et al (2005) About the origin and development of hereditary conventional renal cell carcinoma in a four-generation t(3;8) (p14.1;q24.23) family. Eur J Hum Genet 13:570–578CrossRefPubMed
Van Nederveen FH, Gaal J, Favier J et al (2009) An immunohistochemical procedure to detect patients with paraganglioma and phaeochromocytoma with germline SDHB, SDHC, or SDHD gene mutations: a retrospective and prospective analysis. Lancet Oncol 10:764–771CrossRefPubMedPubMedCentral
Von Hippel E (1904) Ueber eine sehr seltene Erkrankung der Netzhaut. A von Graefe’s Arch Ophthalmol 59:83–106CrossRef
Wadt KAW, Gerdes A-M, Hansen TV et al (2012) Novel germline c-MET mutation in a family with hereditary papillary renal carcinoma. Fam Cancer 11:535–537CrossRefPubMed
Wake NC, Ricketts CJ, Morris MR et al (2013) UBE2QL1 is disrupted by a constitutional translocation associated with renal tumor predisposition and is a novel candidate renal tumor suppressor gene. Hum Mutat 34:1650–1661CrossRefPubMedPubMedCentral
Woodward ER, Ricketts C, Killick P et al (2008) Familial non-VHL clear cell (conventional) renal cell carcinoma: clinical features, segregation analysis, and mutation analysis of FLCN. Clin Cancer Res 14:5925–5930CrossRefPubMed
Woodward ER, Skytte AB, Cruger DG et al (2010) Population-based survey of cancer risks in chromosome 3 translocation carriers. Genes Chromosomes Cancer 49:52–58CrossRefPubMed
Yang P, Cornejo KM, Sadow PM et al (2014) Renal cell carcinoma in tuberous sclerosis complex. Am J Surg Pathol 38:895–909CrossRefPubMedPubMedCentral
Zbar B, Tory K, Merino M et al (1994) Hereditary papillary renal cell carcinoma. J Urol 151:561–566PubMed
Zbar B, Glenn G, Lubensky I et al (1995) Hereditary papillary renal cell carcinoma: clinical studies in 10 families. J Urol 153:907–912CrossRefPubMed