TFE3-rearranged renal cell carcinoma with tumour thrombus in the ureter mimicking invasive transitional cell carcinoma

Background: Renal cell carcinoma (RCC) occasionally breaches the urothelial tissue barrier and extends into the collecting system mimicking a transitional cell carcinoma. We present a case of a TFE3-rearranged renal cell carcinoma in a young patient that extended to fill the entire upper urinary tra...

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Main Authors: Arman Z. Chacko, Shweta Singh, Johann Boaz, Vikram Raj Gopinathan, M.P. Rajadoss
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442023002747
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author Arman Z. Chacko
Shweta Singh
Johann Boaz
Vikram Raj Gopinathan
M.P. Rajadoss
author_facet Arman Z. Chacko
Shweta Singh
Johann Boaz
Vikram Raj Gopinathan
M.P. Rajadoss
author_sort Arman Z. Chacko
collection DOAJ
description Background: Renal cell carcinoma (RCC) occasionally breaches the urothelial tissue barrier and extends into the collecting system mimicking a transitional cell carcinoma. We present a case of a TFE3-rearranged renal cell carcinoma in a young patient that extended to fill the entire upper urinary tract leading to a pre-operative diagnosis of upper tract urothelial carcinoma (UTUC) based on CT imaging. A sequential algorithm of IHC/FISH assays led to the correct diagnosis of TFE3-rearranged RCC. Awareness of this potential misdiagnosis, particularly in young patients, can mitigate significant morbidity.
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spelling doaj.art-35b814cf0f7a440aa8a54f9f9a186c882023-12-09T06:06:09ZengElsevierUrology Case Reports2214-44202023-11-0151102588TFE3-rearranged renal cell carcinoma with tumour thrombus in the ureter mimicking invasive transitional cell carcinomaArman Z. Chacko0Shweta Singh1Johann Boaz2Vikram Raj Gopinathan3M.P. Rajadoss4Department of Urology, Christian Medical College Vellore, India; Corresponding author.Department of Radiology, Christian Medical College Vellore, IndiaDepartment of Urology, Christian Medical College Vellore, IndiaDepartment of Pathology, Christian Medical College Vellore, IndiaDepartment of Urology, Christian Medical College Vellore, IndiaBackground: Renal cell carcinoma (RCC) occasionally breaches the urothelial tissue barrier and extends into the collecting system mimicking a transitional cell carcinoma. We present a case of a TFE3-rearranged renal cell carcinoma in a young patient that extended to fill the entire upper urinary tract leading to a pre-operative diagnosis of upper tract urothelial carcinoma (UTUC) based on CT imaging. A sequential algorithm of IHC/FISH assays led to the correct diagnosis of TFE3-rearranged RCC. Awareness of this potential misdiagnosis, particularly in young patients, can mitigate significant morbidity.http://www.sciencedirect.com/science/article/pii/S2214442023002747TFE3 renal cell carcinomaImmunohistochemistryUrothelial carcinoma
spellingShingle Arman Z. Chacko
Shweta Singh
Johann Boaz
Vikram Raj Gopinathan
M.P. Rajadoss
TFE3-rearranged renal cell carcinoma with tumour thrombus in the ureter mimicking invasive transitional cell carcinoma
Urology Case Reports
TFE3 renal cell carcinoma
Immunohistochemistry
Urothelial carcinoma
title TFE3-rearranged renal cell carcinoma with tumour thrombus in the ureter mimicking invasive transitional cell carcinoma
title_full TFE3-rearranged renal cell carcinoma with tumour thrombus in the ureter mimicking invasive transitional cell carcinoma
title_fullStr TFE3-rearranged renal cell carcinoma with tumour thrombus in the ureter mimicking invasive transitional cell carcinoma
title_full_unstemmed TFE3-rearranged renal cell carcinoma with tumour thrombus in the ureter mimicking invasive transitional cell carcinoma
title_short TFE3-rearranged renal cell carcinoma with tumour thrombus in the ureter mimicking invasive transitional cell carcinoma
title_sort tfe3 rearranged renal cell carcinoma with tumour thrombus in the ureter mimicking invasive transitional cell carcinoma
topic TFE3 renal cell carcinoma
Immunohistochemistry
Urothelial carcinoma
url http://www.sciencedirect.com/science/article/pii/S2214442023002747
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