Chromophobe renal cell carcinoma (RCC) is a recently established subty
pe of RCC, which has rarely been reported in Japan. In this communicat
ion, the authors report two Japanese cases of chromophobe RCC together
with the immunohistochemical findings. The tumors were composed of sh
eets and cribriform glands formed by tumor cells with cloudy and retic
ular cytoplasm. Ultrastructurally, the cytoplasm was filled with numer
ous microvesicles. The tumor cells were positive for cytokeratin, epit
helial membrane antigen, and Tamm-Horsfall protein. Occasionally, LeuM
1-positive cells were also noted. Vimentin was negative, unlike the us
ual RCC. Reactivity for peanut agglutinin was more frequent than that
to Lotus tetragonolobus agglutinin. The results of this study suggest
that the tumor cells possessed phenotypes similar to the distal nephro
n rather than to the proximal tubular cells.