In this comprehensive review, Ficarra et al assemble a team of expert urologic oncologists and genitourinary patholo-gists who succinctly lay out the current state of pathologic review of renal cell carcinoma [1]. The authors appropriately identify key issues and current controversies in the prediction of the disease based on its histologic features. Several key issues stand out and deserve emphasis.First, it is imperative that clinicians and pathologists maintain an active working relationship. Pathologists depend on clinicians for specimens that maintain structure and enable a robust histologic review of the material.
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