Diagnosis and management of TFE3-rearranged renal cell carcinoma: case report and literature review

Abstract Background TFE3-rearranged renal cell carcinoma is a rare malignancy with distinctive morphological and immunological characteristics. Although it can manifest in individuals of any age, its occurrence in adults is exceedingly uncommon, comprising only 1.5% of adult renal cell carcinomas. T...

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Main Authors: Yongxin Zhang, Junxin Shen, Jinfeng Wu, Hongxing Huang, Fengjiao Meng, Runqiang Yuan, Yangbai Lu
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Urology
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Online Access:https://doi.org/10.1186/s12894-025-01908-2
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author Yongxin Zhang
Junxin Shen
Jinfeng Wu
Hongxing Huang
Fengjiao Meng
Runqiang Yuan
Yangbai Lu
author_facet Yongxin Zhang
Junxin Shen
Jinfeng Wu
Hongxing Huang
Fengjiao Meng
Runqiang Yuan
Yangbai Lu
author_sort Yongxin Zhang
collection DOAJ
description Abstract Background TFE3-rearranged renal cell carcinoma is a rare malignancy with distinctive morphological and immunological characteristics. Although it can manifest in individuals of any age, its occurrence in adults is exceedingly uncommon, comprising only 1.5% of adult renal cell carcinomas. The disease typically presents with a benign course in pediatric patients, yet in adults, it often progresses rapidly and aggressively. Case presentation Herein, we present a case of a 35-year-old female diagnosed with TFE3-rearranged renal cell carcinoma, who was initially asymptomatic. Imaging studies revealed a solid renal mass in the left kidney without signs of metastasis. Initially misdiagnosed as a vascular smooth muscle lipoma, the patient underwent laparoscopic partial nephrectomy. Subsequent histopathological and molecular analyses validated the diagnosis of TFE3-rearranged renal cell carcinoma. The patient demonstrated favorable short-term outcomes after early laparoscopic intervention, with no evidence of tumor recurrence or metastasis at both the 4-month and 15-month follow-ups. Conclusions This case serves as a valuable resource for oncologists involved in the diagnosis and management of TFE3-rearranged renal cell carcinoma.
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institution Kabale University
issn 1471-2490
language English
publishDate 2025-08-01
publisher BMC
record_format Article
series BMC Urology
spelling doaj-art-72a81a426ee449e68672db6fec8bea742025-08-24T11:53:10ZengBMCBMC Urology1471-24902025-08-012511710.1186/s12894-025-01908-2Diagnosis and management of TFE3-rearranged renal cell carcinoma: case report and literature reviewYongxin Zhang0Junxin Shen1Jinfeng Wu2Hongxing Huang3Fengjiao Meng4Runqiang Yuan5Yangbai Lu6Department of MR, Zhongshan City People’s HospitalDepartment of First Clinical Medical College, Guangdong Medical UniversityDepartment of First Clinical Medical College, Guangdong Medical UniversityDepartment of First Clinical Medical College, Guangdong Medical UniversityDepartment of Pathology, Zhongshan City People’s HospitalDepartment of Urology, Zhongshan City People’s HospitalDepartment of Urology, Zhongshan City People’s HospitalAbstract Background TFE3-rearranged renal cell carcinoma is a rare malignancy with distinctive morphological and immunological characteristics. Although it can manifest in individuals of any age, its occurrence in adults is exceedingly uncommon, comprising only 1.5% of adult renal cell carcinomas. The disease typically presents with a benign course in pediatric patients, yet in adults, it often progresses rapidly and aggressively. Case presentation Herein, we present a case of a 35-year-old female diagnosed with TFE3-rearranged renal cell carcinoma, who was initially asymptomatic. Imaging studies revealed a solid renal mass in the left kidney without signs of metastasis. Initially misdiagnosed as a vascular smooth muscle lipoma, the patient underwent laparoscopic partial nephrectomy. Subsequent histopathological and molecular analyses validated the diagnosis of TFE3-rearranged renal cell carcinoma. The patient demonstrated favorable short-term outcomes after early laparoscopic intervention, with no evidence of tumor recurrence or metastasis at both the 4-month and 15-month follow-ups. Conclusions This case serves as a valuable resource for oncologists involved in the diagnosis and management of TFE3-rearranged renal cell carcinoma.https://doi.org/10.1186/s12894-025-01908-2ImmunohistochemistryRenal cell carcinomaTFE3PathologyPrognosis
spellingShingle Yongxin Zhang
Junxin Shen
Jinfeng Wu
Hongxing Huang
Fengjiao Meng
Runqiang Yuan
Yangbai Lu
Diagnosis and management of TFE3-rearranged renal cell carcinoma: case report and literature review
BMC Urology
Immunohistochemistry
Renal cell carcinoma
TFE3
Pathology
Prognosis
title Diagnosis and management of TFE3-rearranged renal cell carcinoma: case report and literature review
title_full Diagnosis and management of TFE3-rearranged renal cell carcinoma: case report and literature review
title_fullStr Diagnosis and management of TFE3-rearranged renal cell carcinoma: case report and literature review
title_full_unstemmed Diagnosis and management of TFE3-rearranged renal cell carcinoma: case report and literature review
title_short Diagnosis and management of TFE3-rearranged renal cell carcinoma: case report and literature review
title_sort diagnosis and management of tfe3 rearranged renal cell carcinoma case report and literature review
topic Immunohistochemistry
Renal cell carcinoma
TFE3
Pathology
Prognosis
url https://doi.org/10.1186/s12894-025-01908-2
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AT junxinshen diagnosisandmanagementoftfe3rearrangedrenalcellcarcinomacasereportandliteraturereview
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