Аденоплоскоклеточный рак толстой кишки (РТК) – чрезвычайно редкий вид рака, занимающий 0,1% от всех эпителиальных опухолей толстой кишки и характеризующийся худшим прогнозом по сравнению с аденокарциномой. Представлено клиническое наблюдение пациентки 67 лет с аденоплоскоклеточным РТК T3N0M1 (IV) стадии.
Adenosquamous carcinoma of the colon is an extremely rare histological type of cancer (0.1% of all malignant neoplasms of the colon), and is characterized by a worse prognosis compared with adenocarcinoma. Here, we report a case of an adenosquamous carcinoma in a 67-year-old female, T3N0M1 (IV) stage.
Key words: adenosquamous carcinoma of the colon, immunohistochemistry, histogenesis, dimorphic cancer.
1. Yokoi K, Tanaka N, Furukawa K et al. Case of adenosquamous carcinoma of the ascending colon. J Nippon Med Sch 2008; 75 (4): 242–6.
2. Choi JW, Park HU. Adenosquamous Carcinoma of the Ascending Colon: A Case Report and Review of the Literature. Ann Coloproctol 2013; 29 (2): 83–6.
3. Comer TP, Beahrs OH, Dockerty MB. Primary squamous cell carcinoma and adenocanthoma of the colon. Cancer 1971; 28 (5): 1111–7.
4. Steele VE, Nettesheim P. Unstable cellular differentiation in adenosquamous cell carcinoma. J Natl Cancer Inst 1981; 67 (1): 149–54.
5. Wiener MF, Polayes SH, Yidi R. Squamous carcinoma with schistosomiasis of the colon. Am J Gastroenterol 1962; 37: 48–54.
6. Pittella JE, Torres AV. Primary squamous-cell carcinoma of the cecum and ascending colon: report of a case and review of the literature. Dis Colon Rectum 1982; 25 (5): 483–7.
7. Shafaghi A, Askari K, Ashoobi MT et al. Adenosquamous carcinoma of the sigmoid colon: a case report and review of literature. Int J Clin Exp Med 2013; 6 (5): 390–2.
8. Cerezo L, Alvarez M, Edwards O et al. Adenosquamous carcinoma of the colon. Dis Colon Rectum 1985; 28 (8): 597–603.
9. Kontozoglou TE, Moyana TN. Adenosquamous carcinoma of the colon – an immunocytochemical and ultrastructural study. Report of two cases and review of the literature. Dis Colon Rectum 1989; 32 (8): 716–21.
10. Michelassi F, Montag AG, Block GE. Adenosquamous-cell carcinoma in ulcerative colitis. Report of a case. Dis Colon Rectum 1988; 31 (4): 323–6.
11. Chevinsky AH, Berelowitz M, Jr Hoover HC. Adenosquamous carcinoma of the colon presenting with hypercalcemia. Cancer 1987; 60 (5): 1111–6.
12. Kang DB, Oh JT, Jo HJ et al. Primary adenosquamous carcinoma of the colon. J Korean Surg Soc 2011; 80 (Suppl. 1): S31–5.
13. Fukui H, Takada M, Chiba T et al. Concurrent occurrence of gastric adenocarcinoma and duodenal neuroendocrine cell carcinoma: a composite tumour or collision tumours? Gut 2001; 48 (6): 853–6.
14. Levendoglu H, Cox CA, Nadimpalli V. Composite (adenocarcinoid) tumors of the gastrointestinal tract. Dig Dis Sci 1990; 35(4): 519–25.
15. Dong Y, Wang J, Ma H et al. Primary adenosquamous carcinoma of the colon: report of five cases. Surg Today 2009; 39 (7): 619–23.
16. Agoff SN, Lin P, Morihara J et al. p16(INK4a) expression correlates with degree of cervical neoplasia: a comparison with Ki-67 expression and detection of high-risk HPV types. Mod Pathol 2003; 16 (7): 665–73.
17. Lu DW, El-Mofty SK, Wang HL. Expression of p16, Rb, and p53 proteins in squamous cell carcinomas of the anorectal region harboring human papillomavirus DNA. Mod Pathol 2003; 16 (7): 692–9.
18. Bosch FX, Lorincz A, Munoz N et al. The causal relation between human papillomavirus and cervical cancer. J Clin Pathol 2002; 55 (4): 244–65.
19. Kong CS, Welton ML, Longacre TA. Role of human papillomavirus in squamous cell metaplasia-dysplasia-carcinoma of the rectum. Am J Surg Pathol 2007; 31 (6): 919–25.
20. Sotlar K, Koveker G, Aepinus C et al. Human papillomavirus type 16-associated primary squamous cell carcinoma of the rectum. Gastroenterology 2001; 120 (4): 988–94.
21. Audeau A, Han HW, Johnston MJ et al. Does human papilloma virus have a role in squamous cell carcinoma of the colon and upper rectum? Eur J Surg Oncol 2002; 28 (6): 657–60.
22. Frizelle FA, Hobday KS, Batts KP et al. Adenosquamous and squamous carcinoma of the colon and upper rectum: a clinical and histopathologic study. Dis Colon Rectum 2001; 44 (3): 341–6.
23. Nozoe T, Anai H. Adenosquamous carcinoma of the sigmoid colon: report of a case. Surg Today 2001; 31 (9): 830–2.
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1. Yokoi K, Tanaka N, Furukawa K et al. Case of adenosquamous carcinoma of the ascending colon. J Nippon Med Sch 2008; 75 (4): 242–6.
2. Choi JW, Park HU. Adenosquamous Carcinoma of the Ascending Colon: A Case Report and Review of the Literature. Ann Coloproctol 2013; 29 (2): 83–6.
3. Comer TP, Beahrs OH, Dockerty MB. Primary squamous cell carcinoma and adenocanthoma of the colon. Cancer 1971; 28 (5): 1111–7.
4. Steele VE, Nettesheim P. Unstable cellular differentiation in adenosquamous cell carcinoma. J Natl Cancer Inst 1981; 67 (1): 149–54.
5. Wiener MF, Polayes SH, Yidi R. Squamous carcinoma with schistosomiasis of the colon. Am J Gastroenterol 1962; 37: 48–54.
6. Pittella JE, Torres AV. Primary squamous-cell carcinoma of the cecum and ascending colon: report of a case and review of the literature. Dis Colon Rectum 1982; 25 (5): 483–7.
7. Shafaghi A, Askari K, Ashoobi MT et al. Adenosquamous carcinoma of the sigmoid colon: a case report and review of literature. Int J Clin Exp Med 2013; 6 (5): 390–2.
8. Cerezo L, Alvarez M, Edwards O et al. Adenosquamous carcinoma of the colon. Dis Colon Rectum 1985; 28 (8): 597–603.
9. Kontozoglou TE, Moyana TN. Adenosquamous carcinoma of the colon – an immunocytochemical and ultrastructural study. Report of two cases and review of the literature. Dis Colon Rectum 1989; 32 (8): 716–21.
10. Michelassi F, Montag AG, Block GE. Adenosquamous-cell carcinoma in ulcerative colitis. Report of a case. Dis Colon Rectum 1988; 31 (4): 323–6.
11. Chevinsky AH, Berelowitz M, Jr Hoover HC. Adenosquamous carcinoma of the colon presenting with hypercalcemia. Cancer 1987; 60 (5): 1111–6.
12. Kang DB, Oh JT, Jo HJ et al. Primary adenosquamous carcinoma of the colon. J Korean Surg Soc 2011; 80 (Suppl. 1): S31–5.
13. Fukui H, Takada M, Chiba T et al. Concurrent occurrence of gastric adenocarcinoma and duodenal neuroendocrine cell carcinoma: a composite tumour or collision tumours? Gut 2001; 48 (6): 853–6.
14. Levendoglu H, Cox CA, Nadimpalli V. Composite (adenocarcinoid) tumors of the gastrointestinal tract. Dig Dis Sci 1990; 35(4): 519–25.
15. Dong Y, Wang J, Ma H et al. Primary adenosquamous carcinoma of the colon: report of five cases. Surg Today 2009; 39 (7): 619–23.
16. Agoff SN, Lin P, Morihara J et al. p16(INK4a) expression correlates with degree of cervical neoplasia: a comparison with Ki-67 expression and detection of high-risk HPV types. Mod Pathol 2003; 16 (7): 665–73.
17. Lu DW, El-Mofty SK, Wang HL. Expression of p16, Rb, and p53 proteins in squamous cell carcinomas of the anorectal region harboring human papillomavirus DNA. Mod Pathol 2003; 16 (7): 692–9.
18. Bosch FX, Lorincz A, Munoz N et al. The causal relation between human papillomavirus and cervical cancer. J Clin Pathol 2002; 55 (4): 244–65.
19. Kong CS, Welton ML, Longacre TA. Role of human papillomavirus in squamous cell metaplasia-dysplasia-carcinoma of the rectum. Am J Surg Pathol 2007; 31 (6): 919–25.
20. Sotlar K, Koveker G, Aepinus C et al. Human papillomavirus type 16-associated primary squamous cell carcinoma of the rectum. Gastroenterology 2001; 120 (4): 988–94.
21. Audeau A, Han HW, Johnston MJ et al. Does human papilloma virus have a role in squamous cell carcinoma of the colon and upper rectum? Eur J Surg Oncol 2002; 28 (6): 657–60.
22. Frizelle FA, Hobday KS, Batts KP et al. Adenosquamous and squamous carcinoma of the colon and upper rectum: a clinical and histopathologic study. Dis Colon Rectum 2001; 44 (3): 341–6.
23. Nozoe T, Anai H. Adenosquamous carcinoma of the sigmoid colon: report of a case. Surg Today 2001; 31 (9): 830–2.
1 ФГБОУ ВПО Московский государственный университет им. М.В.Ломоносова. 119192, Россия, Москва, Ленинские горы, д. 1;
2 ГБОУ ВПО Первый Московский государственный медицинский университет им. И.М.Сеченова Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2
*ale_x_05@mail.ru
1 M.V.Lomonosov Moscow State University. 119192, Russian Federation, Moscow, Leninskie gory, d. 1;
2 I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2.
*ale_x_05@mail.ru