MAPK1IP1L::TFE3-rearranged renal cell carcinoma: a novel fusion adding to the differential diagnosis of oncocytic renal neoplasms.

IF 3.1 3区 医学 Q1 PATHOLOGY Virchows Archiv Pub Date : 2025-10-01 Epub Date: 2025-01-25 DOI:10.1007/s00428-025-04031-7
Anne V Cheng, Douglas J Wu, Lisa Aviva Friedman, Emily Chan, Sean R Williamson, Laurence A Galea, Ankur R Sangoi
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Abstract

Beyond the more common TFE3 fusion partners PRCC, ASPSCR1, and SFPQ, additional less common fusion partners of TFE3-rearranged renal cell carcinoma (RCC) have been described. Herein, we present an example of TFE3-rearranged renal cell carcinoma harboring fusion partner MAPK1IP1L, a rare rearrangement with only one other reported tumor found in the literature. The currently reported TFE3-rearranged RCC demonstrates unique histological features compared to the previously reported tumor including dense eosinophilic cytoplasm and nuclear pseudoinclusions (corroborated by electron microscopic evaluation), with features not typically seen in other TFE3-rearranged RCCs. Recognizing this novel fusion may be important in the identification, classification, and development of potential therapeutic agents of kidney tumors in the future.

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MAPK1IP1L::TFE3重排肾细胞癌:肿瘤细胞性肾肿瘤鉴别诊断中的一种新型融合。
除了更常见的TFE3融合伴侣PRCC、ASPSCR1和SFPQ外,还报道了TFE3重排肾细胞癌(RCC)中其他不太常见的融合伴侣。在此,我们提出了一例tfe3重排的肾细胞癌,其中包含融合伙伴MAPK1IP1L,这是一种罕见的重排,在文献中只发现了一种其他报道的肿瘤。与之前报道的肿瘤相比,目前报道的tfe3重排RCC表现出独特的组织学特征,包括致密的嗜酸性细胞质和核假包涵体(通过电镜评估证实),这些特征在其他tfe3重排RCC中并不常见。认识到这种新的融合可能对未来肾脏肿瘤的鉴别、分类和潜在治疗药物的开发具有重要意义。
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来源期刊
Virchows Archiv
Virchows Archiv 医学-病理学
CiteScore
7.40
自引率
2.90%
发文量
204
审稿时长
4-8 weeks
期刊介绍: Manuscripts of original studies reinforcing the evidence base of modern diagnostic pathology, using immunocytochemical, molecular and ultrastructural techniques, will be welcomed. In addition, papers on critical evaluation of diagnostic criteria but also broadsheets and guidelines with a solid evidence base will be considered. Consideration will also be given to reports of work in other fields relevant to the understanding of human pathology as well as manuscripts on the application of new methods and techniques in pathology. Submission of purely experimental articles is discouraged but manuscripts on experimental work applicable to diagnostic pathology are welcomed. Biomarker studies are welcomed but need to abide by strict rules (e.g. REMARK) of adequate sample size and relevant marker choice. Single marker studies on limited patient series without validated application will as a rule not be considered. Case reports will only be considered when they provide substantial new information with an impact on understanding disease or diagnostic practice.
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