Background/Aim: Chondroid syringoma is a rare benign tumor emanating from sweat glands. Although rearrangements of the pleomorphic adenoma gene 1 (PLAG1) have been reported in such tumors, information on PLAG1 fusion genes is very limited. Materials and Methods: Cytogenetic, fluorescence in situ hybridization, RNA sequencing, array comparative genomic hybridization, reverse transcription polymerase chain reaction, and Sanger sequencing analyses were performed on two chondroid syringoma cases. Results: Both tumors had structural rearrangements of chromosome 8. An NDRG1-PLAG1 transcript was found in the first tumor in which exon 3 of PLAG1 was fused with exon 1 of NDRG1. A TRPS1-PLAG1 chimeric transcript was detected in the second chondroid syringoma in which exon 2 or exon 3 of PLAG1 was fused with exon 1 of TRPS1. Conclusion: The NDRG1-PLAG1 and TRPS1-PLAG1 resemble other PLAG1 fusion genes inasmuch as the expression of PLAG1 comes under the control of the NDRG1 or TRPS1 promoter. Chondroid syringoma, also known as mixed tumor of the skin, is a rare benign tumor emanating from sweat glands and able to display a wide array of histological patterns (1-5). It may have histological similarities with another benign exocrine gland tumor, pleomorphic adenoma or mixed tumor of the salivary glands, something that may cause differential diagnostic difficulties (3, 5, 6). The name chondroid syringoma was coined by Hirsch and Helwing (3) because of the invariable presence in the tumor of sweat gland elements (syringoma) and because cartilage-like material (chondroid) was also present in most tumors they studied (3). Chondroid syringoma most commonly occurs in the headand-neck region of middle-aged males (3, 5, 7-9) but can also be found in the axilla and on the anterior chest, trunk, extremities, and scrotum (3, 7, 10-19). We studied genetically two chondroid syringomas finding fusion of the pleomorphic adenoma gene 1 (PLAG1) at 8q12.2 in one with the gene N-myc downstream regulated 1 (NDRG1), which maps to chromosome subband 8q24.22, and in the second with the gene transcriptional repressor GATA binding 1 (TRPS1), which maps to 8q23.3. Materials and Methods Ethics statement. The study was approved by the regional Ethics Committee (Regional komité for medisinsk forskningsetikk Sør-Øst, Norge, http://helseforskning.etikkom.no) and written informed consent was obtained from the patients. The ethics committee's approval included a review of the consent procedure. All patient information has been de-identified. Case description Case 1. A 60-year-old male without any relevant medical previous history was surgically treated for a tumor located at the left ankle. The tumor was found to be consistent with a chondroid syringoma. Surgical margins were doubtful. Six years later re-excision was performed. Macroscopically the tumor was lobulated, but well demarcated. The cut section was soft and gelatinous intermingled with harder areas. Microscopically the tumor was composed of small cystic spaces, areas with myxoid tissue and areas wit...