Evidence map›Paper›PMID 42899072›Full record

ArticleIJU case reports2026

Recurrent TFE3-Rearranged Renal Cell Carcinoma Responding to Pembrolizumab Plus Lenvatinib After Postoperative Pembrolizumab: A Case Report.

Masashi Fujimoto, Tomoyasu Sano, Yuta Sano, Satoshi Inoue, Kazuna Matsuo, Tomokazu Kimura, Shohei Ishida, Kenji Zennami, Yoshihisa Matsukawa, Shusuke Akamatsu

Abstract read
In one paragraph

Article in IJU case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Masashi FujimotoDepartment of Urology Nagoya University Graduate School of Medicine Nagoya Aichi Japan.ORCID https://orcid.org/0009-0008-2385-008X
Tomoyasu SanoDepartment of Urology Nagoya University Graduate School of Medicine Nagoya Aichi Japan.ORCID https://orcid.org/0000-0002-5665-528X
Yuta SanoDepartment of Urology Nagoya University Graduate School of Medicine Nagoya Aichi Japan.
Satoshi InoueDepartment of Urology Nagoya University Graduate School of Medicine Nagoya Aichi Japan.
Kazuna MatsuoDepartment of Urology Nagoya University Graduate School of Medicine Nagoya Aichi Japan.ORCID https://orcid.org/0000-0001-8574-2932
Tomokazu KimuraDepartment of Urology Nagoya University Graduate School of Medicine Nagoya Aichi Japan.ORCID https://orcid.org/0000-0003-1201-1260
Shohei IshidaDepartment of Urology Nagoya University Graduate School of Medicine Nagoya Aichi Japan.
Kenji ZennamiDepartment of Urology Nagoya University Graduate School of Medicine Nagoya Aichi Japan.
Yoshihisa MatsukawaDepartment of Urology Nagoya University Graduate School of Medicine Nagoya Aichi Japan.
Shusuke AkamatsuDepartment of Urology Nagoya University Graduate School of Medicine Nagoya Aichi Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: TFE3-rearranged renal cell carcinoma (RCC) is rare, and evidence guiding systemic therapy is limited. Case Presentation: A 25-year-old man with gross hematuria had a left renal tumor with hilar lymph node metastasis. Robot-assisted radical nephrectomy and hilar lymph node dissection were performed. Histology, immunohistochemistry, and fluorescence in situ hybridization confirmed TFE3-rearranged RCC, pT3aN1. Postoperative pembrolizumab was started because of the high risk of recurrence. Eight months after surgery, lung and retroperitoneal metastases developed. Lenvatinib was added to ongoing pembrolizumab. The metastatic lesions decreased within one month, and a partial response according to Response Evaluation Criteria in Solid Tumors has been maintained for ten months. Conclusion: This case suggests that adding a vascular endothelial growth factor receptor tyrosine kinase inhibitor to pembrolizumab may be a therapeutic option for recurrent TFE3-rearranged RCC, although longer follow-up and molecular characterization are needed.

Indexed as

Lenvatinibpembrolizumabrenal cell carcinomaTFE3translocation

Identifiers

PMID42899072
PMCPMC13680108

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.