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A variant of renal cell carcinoma defined by loss of protein expression of fumarate hydratase (FH) on immunohistochemistry; the majority of tumors occur in the setting of hereditary leiomyomatosis and renal cell carcinoma syndrome (HLRCC) with germline mutation in FH gene
Rare
Mean age, 44 years (range, 21–65)
Male to female ratio is 1.9:1
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