PMID- 28208226 OWN - NLM STAT- MEDLINE DCOM- 20170616 LR - 20170616 IS - 1440-1827 (Electronic) IS - 1320-5463 (Linking) VI - 67 IP - 4 DP - 2017 Apr TI - A rare case of TFE-related pigmented renal tumor with overlapping features between melanotic Xp11 translocation renal cancer and Xp11 renal cell carcinoma with melanotic features. PG - 208-213 LID - 10.1111/pin.12517 [doi] AB - In recent years, an increasing number of TFE3 rearrangement-associated tumors with melanotic features have been reported as primary neoplasm in different anatomical sites, including the kidney. Melanotic Xp11 translocation renal cancer (MXTRC) and Xp11 renal cell carcinoma with melanotic features (XRCCM) have been proposed to be main categories for pigmented lesions in the microophthalmia-associated transcription factor (MiTF/TFE3) family of renal tumors that may show variable degrees of melanocytic differentiation. Herein we report a rare case of TFE3-related pigmented renal tumor showing unusual immunoexpression of cytokeratins (AE1/AE3) and renal cell carcinoma markers (RCC, CD10). Cathepsin-K and Vimentin were diffusely positive whereas melanocytic markers (HMB-45 and Melan-A) displayed weak and patchy expression. We found no labelling for PAX-8, muscle markers (desmin, smooth muscle actin, muscle-specific actin and caldesmon) and S-100. TFE3 fusion was confirmed by break-apart fluorescence in situ hybridization (FISH). This case corroborates previous evidence for overlap in the TFE3-associated cancer family and illustrates that it may not be possible to set a clear cutoff between epithelial (XRCCM) and mesenchymal (MXTRC) subgroups. CI - (c) 2017 Japanese Society of Pathology and John Wiley & Sons Australia, Ltd. FAU - Cardili, Leonardo AU - Cardili L AD - Department of Pathology, Escola Paulista de Medicina/Universidade Federal de Sao Paulo (EPM/UNIFESP), Sao Paulo, Brazil. FAU - Wrublevsky Pereira, Gregorio AU - Wrublevsky Pereira G AD - Instituto de Oncologia Pediatrica (IOP/GRAAC), Sao Paulo, Brazil. FAU - Viana, Cristiano Ribeiro AU - Viana CR AD - Department of Pathology, Hospital do Cancer de Barretos/Fundacao Pio XII, Barretos, Brazil. LA - eng PT - Case Reports PT - Journal Article DEP - 20170216 PL - Australia TA - Pathol Int JT - Pathology international JID - 9431380 RN - 0 (Basic Helix-Loop-Helix Leucine Zipper Transcription Factors) RN - 0 (Biomarkers, Tumor) RN - 0 (TFE3 protein, human) SB - IM EIN - Pathol Int. 2017 Jun;67(6):330. PMID: 28573711 MH - Adult MH - Basic Helix-Loop-Helix Leucine Zipper Transcription Factors/*genetics MH - Biomarkers, Tumor/genetics MH - Carcinoma, Renal Cell/diagnosis/genetics/*pathology MH - *Chromosomes, Human, X MH - Female MH - Humans MH - Immunohistochemistry/methods MH - Kidney Neoplasms/diagnosis/genetics/*pathology MH - Melanocytes/*pathology MH - Melanoma/diagnosis/genetics/*pathology MH - Translocation, Genetic/*genetics OTO - NOTNLM OT - TFE3 OT - Xp11 OT - kidney OT - melanin OT - neoplasms EDAT- 2017/02/17 06:00 MHDA- 2017/06/18 06:00 CRDT- 2017/02/17 06:00 PHST- 2016/12/16 00:00 [received] PHST- 2017/01/27 00:00 [accepted] PHST- 2017/02/17 06:00 [pubmed] PHST- 2017/06/18 06:00 [medline] PHST- 2017/02/17 06:00 [entrez] AID - 10.1111/pin.12517 [doi] PST - ppublish SO - Pathol Int. 2017 Apr;67(4):208-213. doi: 10.1111/pin.12517. Epub 2017 Feb 16.