Delayed Metastasis of Clear Cell Sarcoma of Kidney to Bladder After 7 Disease-Free Years

Adam Lang, Louis P. Dehner

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Introduction: Clear cell sarcoma of the kidney (CCSK) is childhood neoplasm with its own distinctive pattern of metastasis and may appear after a disease free interval of 5 years or more. Materials and Methods: Histopathology and immunohistochemistry were available from the radical nephrectomy and the later partial cystectomy, which was performed after a seven disease-free interval. Results: The pathologic features of the primary tumor were those of a classic CCSK with a monotypic pattern of uniform rounded to ovoid tumor cells with a background network of delicate blood vessels. By contrast, the bladder recurrence had a myxoid hypocellular appearance (one of the known variant patterns of CCSK). Both tumors displayed immunopositivity for Cyclin-D1 and CD117 with a less intense reaction in the bladder metastasis. Conclusions: This case demonstrates that CCSK has the potential to metastasize after a prolonged disease-free interval and may have deceptively bland histopathologic features.

Original languageEnglish
Pages (from-to)126-133
Number of pages8
JournalFetal and Pediatric Pathology
Issue number2
StatePublished - Mar 4 2018


  • Clear cell sarcoma of kidney
  • Cyclin D1
  • bladder
  • delayed metastasis
  • inflammatory myofibroblastic tumor
  • rhabdomyosarcoma


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