PMID- 37153295 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230509 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 15 IP - 4 DP - 2023 Apr TI - Xp11.2 Translocation Renal Cell Carcinoma: A Rare Renal Cell Carcinoma. PG - e37072 LID - 10.7759/cureus.37072 [doi] LID - e37072 AB - Translocation-associated renal cell carcinoma (TRCC) is a group of under-recognized malignant renal neoplasms owing to the unavailability of ancillary diagnostic tools and considering the fact that these tumors may histomorphologically mimic a heterogeneous group of neoplasms ranging from benign to malignant ones. Xp11.2 translocation-associated renal cell carcinoma is a disease of the young with a relatively less known prognosis owing to the rarity of such reported neoplasms. The histological appearance of bulbous tumor cells with abundant, vacuolated cytoplasm and the presence of psammomatoid bodies are clues to the diagnosis but are not entirely specific. The immunohistochemistry (IHC) finding of transcription factor E3 (TFE3) positivity is an important pointer, but the demonstration of Xp11.2 translocation by fluorescence in situ hybridization (FISH) serves as the confirmatory test. In our case report, we highlight the fact that a combined approach involving light microscopy, immunohistochemistry, and fluorescence in situ hybridization is the key to its diagnosis. CI - Copyright (c) 2023, Kalita et al. FAU - Kalita, Pranjal AU - Kalita P AD - Pathology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND. FAU - Dey, Biswajit AU - Dey B AD - Pathology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND. FAU - Saurabh, Animesh AU - Saurabh A AD - Pathology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND. FAU - Chishti, Sheikh F AU - Chishti SF AD - Pathology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, IND. LA - eng PT - Case Reports DEP - 20230403 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC10155824 OTO - NOTNLM OT - clear cell renal cell carcinoma OT - immunohistochemistry(ihc) OT - tfe3 OT - translocation-associated renal cell carcinoma OT - xp11.2 COIS- The authors have declared that no competing interests exist. EDAT- 2023/05/08 06:41 MHDA- 2023/05/08 06:42 PMCR- 2023/04/03 CRDT- 2023/05/08 04:13 PHST- 2023/04/03 00:00 [accepted] PHST- 2023/05/08 06:42 [medline] PHST- 2023/05/08 06:41 [pubmed] PHST- 2023/05/08 04:13 [entrez] PHST- 2023/04/03 00:00 [pmc-release] AID - 10.7759/cureus.37072 [doi] PST - epublish SO - Cureus. 2023 Apr 3;15(4):e37072. doi: 10.7759/cureus.37072. eCollection 2023 Apr.