MiT family translocation renal cell carcinoma with retroperitoneal metastasis in childhood: a case report

RCC accounts for only 0.1%–0.3% of all kidney tumors and 2%–6% of malignant kidney tumors in children. Accounting for approximately one-third of the total number of cases in children and adolescents with RCC, Xp11.2 tRCC is the most common subtype of the MiT family translocation renal cell carcinoma...

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Main Authors: Kaihang Yang, Yuhao Ma, Shuyang Dai, Rui Dong
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1141223/full
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author Kaihang Yang
Yuhao Ma
Shuyang Dai
Rui Dong
author_facet Kaihang Yang
Yuhao Ma
Shuyang Dai
Rui Dong
author_sort Kaihang Yang
collection DOAJ
description RCC accounts for only 0.1%–0.3% of all kidney tumors and 2%–6% of malignant kidney tumors in children. Accounting for approximately one-third of the total number of cases in children and adolescents with RCC, Xp11.2 tRCC is the most common subtype of the MiT family translocation renal cell carcinoma, which is a group of rare childhood and adult tumors, characterized by recurrent gene rearrangements of TFE3. Here we report a rare case of a 6-year-old male patient with MiT family translocation renal cell carcinoma (MiTF tRCC) where the patient developed retroperitoneal metastasis. The patient underwent partial nephrectomy (PN), radical nephrectomy (RN), abdominal lymph node resection, and intestinal adhesion lysis. Microscopically, we detected focal and nest clump-shaped clusters of tumor cells whose cytoplasm was bright and clear. Immunohistochemistry (IHC) showed tumor cells diffusely expressed TFE3, and fluorescence in situ hybridization (FISH) demonstrated disruption of the TFE3 locus, confirming the diagnosis of Xp11.2 tRCC, the most common subtype of MiTF tRCC. Eventually, the patient obtained a good therapeutic result. This case can provide a good reference and guidance for pediatric urologists and oncologists to recognize and diagnose rare renal cell carcinoma in children.
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spelling doaj.art-6e095ff89da346938fd467e9335f0f482023-08-17T14:14:20ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-07-011110.3389/fped.2023.11412231141223MiT family translocation renal cell carcinoma with retroperitoneal metastasis in childhood: a case reportKaihang YangYuhao MaShuyang DaiRui DongRCC accounts for only 0.1%–0.3% of all kidney tumors and 2%–6% of malignant kidney tumors in children. Accounting for approximately one-third of the total number of cases in children and adolescents with RCC, Xp11.2 tRCC is the most common subtype of the MiT family translocation renal cell carcinoma, which is a group of rare childhood and adult tumors, characterized by recurrent gene rearrangements of TFE3. Here we report a rare case of a 6-year-old male patient with MiT family translocation renal cell carcinoma (MiTF tRCC) where the patient developed retroperitoneal metastasis. The patient underwent partial nephrectomy (PN), radical nephrectomy (RN), abdominal lymph node resection, and intestinal adhesion lysis. Microscopically, we detected focal and nest clump-shaped clusters of tumor cells whose cytoplasm was bright and clear. Immunohistochemistry (IHC) showed tumor cells diffusely expressed TFE3, and fluorescence in situ hybridization (FISH) demonstrated disruption of the TFE3 locus, confirming the diagnosis of Xp11.2 tRCC, the most common subtype of MiTF tRCC. Eventually, the patient obtained a good therapeutic result. This case can provide a good reference and guidance for pediatric urologists and oncologists to recognize and diagnose rare renal cell carcinoma in children.https://www.frontiersin.org/articles/10.3389/fped.2023.1141223/fullMiT family translocation renal cell carcinomaXp11.2 translocationTFE3partial nephrectomy (PN)retroperitoneal metastasis
spellingShingle Kaihang Yang
Yuhao Ma
Shuyang Dai
Rui Dong
MiT family translocation renal cell carcinoma with retroperitoneal metastasis in childhood: a case report
Frontiers in Pediatrics
MiT family translocation renal cell carcinoma
Xp11.2 translocation
TFE3
partial nephrectomy (PN)
retroperitoneal metastasis
title MiT family translocation renal cell carcinoma with retroperitoneal metastasis in childhood: a case report
title_full MiT family translocation renal cell carcinoma with retroperitoneal metastasis in childhood: a case report
title_fullStr MiT family translocation renal cell carcinoma with retroperitoneal metastasis in childhood: a case report
title_full_unstemmed MiT family translocation renal cell carcinoma with retroperitoneal metastasis in childhood: a case report
title_short MiT family translocation renal cell carcinoma with retroperitoneal metastasis in childhood: a case report
title_sort mit family translocation renal cell carcinoma with retroperitoneal metastasis in childhood a case report
topic MiT family translocation renal cell carcinoma
Xp11.2 translocation
TFE3
partial nephrectomy (PN)
retroperitoneal metastasis
url https://www.frontiersin.org/articles/10.3389/fped.2023.1141223/full
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AT shuyangdai mitfamilytranslocationrenalcellcarcinomawithretroperitonealmetastasisinchildhoodacasereport
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