Skip to main content
Erschienen in: International Journal of Clinical Oncology 4/2017

27.06.2017 | Review Article

Biphasic malignant tumours of the abdominal cavity

verfasst von: L. Max Almond, Adrian T. Warfield, Anant Desai, David Gourevitch, Samuel J. Ford

Erschienen in: International Journal of Clinical Oncology | Ausgabe 4/2017

Einloggen, um Zugang zu erhalten

Abstract

Carcinosarcomas (CS) are uncommon, highly aggressive, biphasic tumours consisting of both sarcomatous and carcinomatous elements. They appear to originate from a common cell of origin, either via transformation from a single premature precursor or conversion of a mature epithelial cell through an epithelial–mesenchymal transition. CS should be considered a unique cancer subtype with cells typically displaying diffuse mitotic activity and widespread atypical mitoses predisposing to early metastasis and a tendency to local recurrence following resection. This review addresses the pathophysiology of CS and discusses its presentation, natural history and management at a variety of sites within the abdominal cavity and retroperitoneum.
Literatur
1.
Zurück zum Zitat Maeda D, Fujii A, Yamaguchi K et al. (2007) Sarcomatoid carcinoma with a predominant basaloid squamous carcinoma component: the first report of an unusual biphasic tumor of the ureter. Jpn J Clin Oncol 37(11):878–883CrossRefPubMed Maeda D, Fujii A, Yamaguchi K et al. (2007) Sarcomatoid carcinoma with a predominant basaloid squamous carcinoma component: the first report of an unusual biphasic tumor of the ureter. Jpn J Clin Oncol 37(11):878–883CrossRefPubMed
2.
Zurück zum Zitat Somarelli JA, Boss MK, Epstein JI et al (2015) Carcinosarcomas: tumors in transition? Histol Histopathol 30(6):673–687PubMed Somarelli JA, Boss MK, Epstein JI et al (2015) Carcinosarcomas: tumors in transition? Histol Histopathol 30(6):673–687PubMed
3.
Zurück zum Zitat Bitting RL, Schaeffer D, Somarelli JA et al (2014) The role of epithelial plasticity in prostate cancer dissemination and treatment resistance. Cancer Metastasis Rev 33(2–3):441–468CrossRefPubMedPubMedCentral Bitting RL, Schaeffer D, Somarelli JA et al (2014) The role of epithelial plasticity in prostate cancer dissemination and treatment resistance. Cancer Metastasis Rev 33(2–3):441–468CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Schaefer IM, Schweyer S, Kuhlgatz J (2012) Chromosomal imbalances in primary hepatic carcinosarcoma. Hum Pathol 43(8):1328–1333CrossRefPubMed Schaefer IM, Schweyer S, Kuhlgatz J (2012) Chromosomal imbalances in primary hepatic carcinosarcoma. Hum Pathol 43(8):1328–1333CrossRefPubMed
5.
Zurück zum Zitat Matsumoto T, Fujii H, Arakawa A et al (2004) Loss of heterozygosity analysis shows monoclonal evolution with frequent genetic progression and divergence in esophageal carcinosarcoma. Hum Pathol 35(3):322–327CrossRefPubMed Matsumoto T, Fujii H, Arakawa A et al (2004) Loss of heterozygosity analysis shows monoclonal evolution with frequent genetic progression and divergence in esophageal carcinosarcoma. Hum Pathol 35(3):322–327CrossRefPubMed
6.
Zurück zum Zitat Jin L, Majerus J, Oliveira A et al (2003) Detection of fusion gene transcripts in fresh-frozen and formalin-fixed paraffin-embedded tissue sections of soft-tissue sarcomas after laser capture microdissection and rt-PCR. Diagn Mol Pathol 12(4):224–230CrossRefPubMed Jin L, Majerus J, Oliveira A et al (2003) Detection of fusion gene transcripts in fresh-frozen and formalin-fixed paraffin-embedded tissue sections of soft-tissue sarcomas after laser capture microdissection and rt-PCR. Diagn Mol Pathol 12(4):224–230CrossRefPubMed
7.
Zurück zum Zitat Castilla MA, Moreno-Bueno G, Romero-Perez L et al (2011) Micro-RNA signature of the epithelial-mesenchymal transition in endometrial carcinosarcoma. J Pathol 223(1):72–80CrossRefPubMed Castilla MA, Moreno-Bueno G, Romero-Perez L et al (2011) Micro-RNA signature of the epithelial-mesenchymal transition in endometrial carcinosarcoma. J Pathol 223(1):72–80CrossRefPubMed
8.
Zurück zum Zitat Menon S, Deodhar K, Rekhi B et al (2013) Clinico-pathological spectrum of primary ovarian malignant mixed mullerian tumors (OMMMT) from a tertiary cancer institute: a series of 27 cases. Indian J Pathol Microbiol 56(4):365–371CrossRefPubMed Menon S, Deodhar K, Rekhi B et al (2013) Clinico-pathological spectrum of primary ovarian malignant mixed mullerian tumors (OMMMT) from a tertiary cancer institute: a series of 27 cases. Indian J Pathol Microbiol 56(4):365–371CrossRefPubMed
9.
Zurück zum Zitat Amant F, Vloeberghs V, Woestenborghs H et al (2003) Transition of epithelial toward mesenchymal differentiation during ovarian carcinosarcoma tumorigenesis. Gynecol Oncol 90(2):372–377CrossRefPubMed Amant F, Vloeberghs V, Woestenborghs H et al (2003) Transition of epithelial toward mesenchymal differentiation during ovarian carcinosarcoma tumorigenesis. Gynecol Oncol 90(2):372–377CrossRefPubMed
10.
Zurück zum Zitat Dyke JM, Crook ML, Platten M et al (2014) Extravascular migratory metastasis in gynaecological carcinosarcoma. Histopathology 65(3):363–370CrossRefPubMed Dyke JM, Crook ML, Platten M et al (2014) Extravascular migratory metastasis in gynaecological carcinosarcoma. Histopathology 65(3):363–370CrossRefPubMed
11.
Zurück zum Zitat Kiuru M, McDermott G, Coit DC et al (2014) Basal cell carcinosarcoma with PTCH1 mutations in both epithelial and sarcomatoid primary tumor components and in the sarcomatoid metastasis. Am J Surg Pathol 38(1):138–142CrossRefPubMed Kiuru M, McDermott G, Coit DC et al (2014) Basal cell carcinosarcoma with PTCH1 mutations in both epithelial and sarcomatoid primary tumor components and in the sarcomatoid metastasis. Am J Surg Pathol 38(1):138–142CrossRefPubMed
12.
Zurück zum Zitat Piura B, Rabinovich A, Apel-Sarid L et al (2009) Carcinosarcoma of the fallopian tube with metastasis of its epithelial component to the ovary, appendix and omentum. J Obstet Gynaecol 29(6):566–567CrossRefPubMed Piura B, Rabinovich A, Apel-Sarid L et al (2009) Carcinosarcoma of the fallopian tube with metastasis of its epithelial component to the ovary, appendix and omentum. J Obstet Gynaecol 29(6):566–567CrossRefPubMed
13.
Zurück zum Zitat Haddad JR, Reyes EC (1970) Carcinosarcoma of the prostate with metastasis of both elements: case report. J Urol 103(1):80–83CrossRefPubMed Haddad JR, Reyes EC (1970) Carcinosarcoma of the prostate with metastasis of both elements: case report. J Urol 103(1):80–83CrossRefPubMed
14.
15.
Zurück zum Zitat Cantrell LA, Blank SV, Duska LR (2015) Uterine carcinosarcoma: a review of the literature. Gynecol Oncol 137(3):581–588CrossRefPubMed Cantrell LA, Blank SV, Duska LR (2015) Uterine carcinosarcoma: a review of the literature. Gynecol Oncol 137(3):581–588CrossRefPubMed
16.
Zurück zum Zitat Sreenan JJ, Hart WR (1995) Carcinosarcomas of the female genital tract. A pathologic study of 29 metastatic tumors: further evidence for the dominant role of the epithelial component and the conversion theory of histogenesis. Am J Surg Pathol 19(6):666–674CrossRefPubMed Sreenan JJ, Hart WR (1995) Carcinosarcomas of the female genital tract. A pathologic study of 29 metastatic tumors: further evidence for the dominant role of the epithelial component and the conversion theory of histogenesis. Am J Surg Pathol 19(6):666–674CrossRefPubMed
17.
Zurück zum Zitat Artioli G, Wabersich J, Ludwig K et al (2015) Rare uterine cancer: carcinosarcomas. Review from histology to treatment. Crit Rev Oncol Hematol 94(1):98–104CrossRefPubMed Artioli G, Wabersich J, Ludwig K et al (2015) Rare uterine cancer: carcinosarcomas. Review from histology to treatment. Crit Rev Oncol Hematol 94(1):98–104CrossRefPubMed
18.
Zurück zum Zitat Bansal N, Herzog TJ, Seshan VE et al (2008) Uterine carcinosarcomas and grade 3 endometrioid cancers: evidence for distinct tumor behavior. Obstet Gynecol 112(1):64–70CrossRefPubMed Bansal N, Herzog TJ, Seshan VE et al (2008) Uterine carcinosarcomas and grade 3 endometrioid cancers: evidence for distinct tumor behavior. Obstet Gynecol 112(1):64–70CrossRefPubMed
19.
Zurück zum Zitat Felix AS, Stone RA, Bowser R et al (2011) Comparison of survival outcomes between patients with malignant mixed mullerian tumors and high-grade endometrioid, clear cell, and papillary serous endometrial cancers. Int J Gynecol Cancer 21(5):877–884CrossRefPubMed Felix AS, Stone RA, Bowser R et al (2011) Comparison of survival outcomes between patients with malignant mixed mullerian tumors and high-grade endometrioid, clear cell, and papillary serous endometrial cancers. Int J Gynecol Cancer 21(5):877–884CrossRefPubMed
20.
Zurück zum Zitat Vorgias G, Fotiou S (2010) The role of lymphadenectomy in uterine carcinosarcomas (malignant mixed mullerian tumours): a critical literature review. Arch Gynecol Obstet 282(6):659–664CrossRefPubMed Vorgias G, Fotiou S (2010) The role of lymphadenectomy in uterine carcinosarcomas (malignant mixed mullerian tumours): a critical literature review. Arch Gynecol Obstet 282(6):659–664CrossRefPubMed
22.
Zurück zum Zitat Huang GS, Chiu LG, Gebb JS et al (2007) Serum CA125 predicts extrauterine disease and survival in uterine carcinosarcoma. Gynecol Oncol 107(3):513–517CrossRefPubMedPubMedCentral Huang GS, Chiu LG, Gebb JS et al (2007) Serum CA125 predicts extrauterine disease and survival in uterine carcinosarcoma. Gynecol Oncol 107(3):513–517CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Tanner EJ, Leitao MM Jr, Garg K et al (2011) The role of cytoreductive surgery for newly diagnosed advanced-stage uterine carcinosarcoma. Gynecol Oncol 123(3):548–552CrossRefPubMed Tanner EJ, Leitao MM Jr, Garg K et al (2011) The role of cytoreductive surgery for newly diagnosed advanced-stage uterine carcinosarcoma. Gynecol Oncol 123(3):548–552CrossRefPubMed
24.
Zurück zum Zitat Tanner EJ, Garg K, Leitao MM Jr et al (2012) High grade undifferentiated uterine sarcoma: surgery, treatment, and survival outcomes. Gynecol Oncol 127(1):27–31CrossRefPubMed Tanner EJ, Garg K, Leitao MM Jr et al (2012) High grade undifferentiated uterine sarcoma: surgery, treatment, and survival outcomes. Gynecol Oncol 127(1):27–31CrossRefPubMed
25.
Zurück zum Zitat Nemani D, Mitra N, Guo M et al (2008) Assessing the effects of lymphadenectomy and radiation therapy in patients with uterine carcinosarcoma: a SEER analysis. Gynecol Oncol 111(1):82–88CrossRefPubMed Nemani D, Mitra N, Guo M et al (2008) Assessing the effects of lymphadenectomy and radiation therapy in patients with uterine carcinosarcoma: a SEER analysis. Gynecol Oncol 111(1):82–88CrossRefPubMed
26.
Zurück zum Zitat Yamada SD, Burger RA, Brewster WR et al (2000) Pathologic variables and adjuvant therapy as predictors of recurrence and survival for patients with surgically evaluated carcinosarcoma of the uterus. Cancer 88(12):2782–2786CrossRefPubMed Yamada SD, Burger RA, Brewster WR et al (2000) Pathologic variables and adjuvant therapy as predictors of recurrence and survival for patients with surgically evaluated carcinosarcoma of the uterus. Cancer 88(12):2782–2786CrossRefPubMed
27.
Zurück zum Zitat Cantrell LA, Havrilesky L, Moore DT et al (2012) A multi-institutional cohort study of adjuvant therapy in stage I–II uterine carcinosarcoma. Gynecol Oncol 127(1):22–26CrossRefPubMed Cantrell LA, Havrilesky L, Moore DT et al (2012) A multi-institutional cohort study of adjuvant therapy in stage I–II uterine carcinosarcoma. Gynecol Oncol 127(1):22–26CrossRefPubMed
28.
Zurück zum Zitat Sutton G, Brunetto VL, Kilgore L et al (2000) A phase III trial of ifosfamide with or without cisplatin in carcinosarcoma of the uterus: a Gynecologic Oncology Group Study. Gynecol Oncol 79(2):147–153CrossRefPubMed Sutton G, Brunetto VL, Kilgore L et al (2000) A phase III trial of ifosfamide with or without cisplatin in carcinosarcoma of the uterus: a Gynecologic Oncology Group Study. Gynecol Oncol 79(2):147–153CrossRefPubMed
29.
Zurück zum Zitat Homesley HD, Filiaci V, Markman M et al (2007) Phase III trial of ifosfamide with or without paclitaxel in advanced uterine carcinosarcoma: a Gynecologic Oncology Group Study. J Clin Oncol 25(5):526–531CrossRefPubMed Homesley HD, Filiaci V, Markman M et al (2007) Phase III trial of ifosfamide with or without paclitaxel in advanced uterine carcinosarcoma: a Gynecologic Oncology Group Study. J Clin Oncol 25(5):526–531CrossRefPubMed
30.
Zurück zum Zitat Wright JD, Seshan VE, Shah M et al (2008) The role of radiation in improving survival for early-stage carcinosarcoma and leiomyosarcoma. Am J Obstet Gynecol 199(5):536.e1–536.e8CrossRef Wright JD, Seshan VE, Shah M et al (2008) The role of radiation in improving survival for early-stage carcinosarcoma and leiomyosarcoma. Am J Obstet Gynecol 199(5):536.e1–536.e8CrossRef
32.
Zurück zum Zitat del Carmen MG, Birrer M, Schorge JO (2012) Carcinosarcoma of the ovary: a review of the literature. Gynecol Oncol 125(1):271–277CrossRefPubMed del Carmen MG, Birrer M, Schorge JO (2012) Carcinosarcoma of the ovary: a review of the literature. Gynecol Oncol 125(1):271–277CrossRefPubMed
33.
Zurück zum Zitat Dittus C, Fountzilas C, Saha D et al (2014) A rare case of ovarian carcinosarcoma with neuroendocrine differentiation. J Community Support Oncol 12(2):71–74CrossRefPubMed Dittus C, Fountzilas C, Saha D et al (2014) A rare case of ovarian carcinosarcoma with neuroendocrine differentiation. J Community Support Oncol 12(2):71–74CrossRefPubMed
34.
Zurück zum Zitat Cantrell LA, Van Le L (2009) Carcinosarcoma of the ovary a review. Obstet Gynecol Surv 64(10):673–680 (quiz 697) CrossRefPubMed Cantrell LA, Van Le L (2009) Carcinosarcoma of the ovary a review. Obstet Gynecol Surv 64(10):673–680 (quiz 697) CrossRefPubMed
35.
Zurück zum Zitat Silasi DA, Illuzzi JL, Kelly MG et al (2008) Carcinosarcoma of the ovary. Int J Gynecol Cancer 18(1):22–29CrossRefPubMed Silasi DA, Illuzzi JL, Kelly MG et al (2008) Carcinosarcoma of the ovary. Int J Gynecol Cancer 18(1):22–29CrossRefPubMed
36.
Zurück zum Zitat Rauh-Hain JA, Diver EJ, Clemmer JT et al (2013) Carcinosarcoma of the ovary compared to papillary serous ovarian carcinoma: a SEER analysis. Gynecol Oncol 131(1):46–51CrossRefPubMed Rauh-Hain JA, Diver EJ, Clemmer JT et al (2013) Carcinosarcoma of the ovary compared to papillary serous ovarian carcinoma: a SEER analysis. Gynecol Oncol 131(1):46–51CrossRefPubMed
37.
Zurück zum Zitat Rauh-Hain JA, Birrer M, Del Carmen MG (2016) Carcinosarcoma of the ovary, fallopian tube, and peritoneum: prognostic factors and treatment modalities. Gynecol Oncol 142(2):248–254CrossRefPubMed Rauh-Hain JA, Birrer M, Del Carmen MG (2016) Carcinosarcoma of the ovary, fallopian tube, and peritoneum: prognostic factors and treatment modalities. Gynecol Oncol 142(2):248–254CrossRefPubMed
38.
Zurück zum Zitat Cheville JC, Lohse CM, Zincke H et al (2004) Sarcomatoid renal cell carcinoma: an examination of underlying histologic subtype and an analysis of associations with patient outcome. Am J Surg Pathol 28(4):435–441CrossRefPubMed Cheville JC, Lohse CM, Zincke H et al (2004) Sarcomatoid renal cell carcinoma: an examination of underlying histologic subtype and an analysis of associations with patient outcome. Am J Surg Pathol 28(4):435–441CrossRefPubMed
39.
Zurück zum Zitat Eble JN, Sauter G, Epstein JI, Sesterhenn IA, editors. Pathology and Genetics of Tumours of the Urinary System and Male Genital Organs. 1st. IARC Press; Lyon: 2004. Infiltrating urothelial carcinoma. World Health Organization Classification of Tumours; p. 102 Eble JN, Sauter G, Epstein JI, Sesterhenn IA, editors. Pathology and Genetics of Tumours of the Urinary System and Male Genital Organs. 1st. IARC Press; Lyon: 2004. Infiltrating urothelial carcinoma. World Health Organization Classification of Tumours; p. 102
40.
Zurück zum Zitat Perimenis P, Athanasopoulos A, Geragthy J et al (2003) Carcinosarcoma of the ureter: a rare, pleomorphic, aggressive malignancy. Int Urol Nephrol 35(4):491–493CrossRefPubMed Perimenis P, Athanasopoulos A, Geragthy J et al (2003) Carcinosarcoma of the ureter: a rare, pleomorphic, aggressive malignancy. Int Urol Nephrol 35(4):491–493CrossRefPubMed
41.
Zurück zum Zitat Chromecki TF, Cha EK, Fajkovic H et al (2012) The impact of tumor multifocality on outcomes in patients treated with radical nephroureterectomy. Eur Urol 61(2):245–253CrossRefPubMed Chromecki TF, Cha EK, Fajkovic H et al (2012) The impact of tumor multifocality on outcomes in patients treated with radical nephroureterectomy. Eur Urol 61(2):245–253CrossRefPubMed
42.
Zurück zum Zitat Jeldres C, Sun M, Isbarn H et al (2010) A population-based assessment of perioperative mortality after nephroureterectomy for upper-tract urothelial carcinoma. Urology 75(2):315–320CrossRefPubMed Jeldres C, Sun M, Isbarn H et al (2010) A population-based assessment of perioperative mortality after nephroureterectomy for upper-tract urothelial carcinoma. Urology 75(2):315–320CrossRefPubMed
44.
Zurück zum Zitat Ozturk H (2015) Multiple carcinosarcomas of the kidney: a case report and review of the literature. Mol Clin Oncol 3(1):212–216PubMed Ozturk H (2015) Multiple carcinosarcomas of the kidney: a case report and review of the literature. Mol Clin Oncol 3(1):212–216PubMed
45.
Zurück zum Zitat Maeda D, Fujii A, Yamaguchi K (2007) Sarcomatoid carcinoma with a predominant basaloid squamous carcinoma component: the first report of an unusual biphasic tumor of the ureter. Jpn J Clin Oncol 37(11):878–883CrossRefPubMed Maeda D, Fujii A, Yamaguchi K (2007) Sarcomatoid carcinoma with a predominant basaloid squamous carcinoma component: the first report of an unusual biphasic tumor of the ureter. Jpn J Clin Oncol 37(11):878–883CrossRefPubMed
46.
Zurück zum Zitat Volker HU, Zettl A, Schon G et al (2008) Molecular genetic findings in two cases of sarcomatoid carcinoma of the ureter: evidence for evolution from a common pluripotent progenitor cell? Virchows Arch 452(4):457–463CrossRefPubMed Volker HU, Zettl A, Schon G et al (2008) Molecular genetic findings in two cases of sarcomatoid carcinoma of the ureter: evidence for evolution from a common pluripotent progenitor cell? Virchows Arch 452(4):457–463CrossRefPubMed
47.
Zurück zum Zitat Okabayashi T, Shima Y, Iwata J et al (2014) Surgical outcomes for 131 cases of carcinosarcoma of the hepatobiliary tract. J Gastroenterol 49(6):982–991CrossRefPubMed Okabayashi T, Shima Y, Iwata J et al (2014) Surgical outcomes for 131 cases of carcinosarcoma of the hepatobiliary tract. J Gastroenterol 49(6):982–991CrossRefPubMed
Metadaten
Titel
Biphasic malignant tumours of the abdominal cavity
verfasst von
L. Max Almond
Adrian T. Warfield
Anant Desai
David Gourevitch
Samuel J. Ford
Publikationsdatum
27.06.2017
Verlag
Springer Japan
Erschienen in
International Journal of Clinical Oncology / Ausgabe 4/2017
Print ISSN: 1341-9625
Elektronische ISSN: 1437-7772
DOI
https://doi.org/10.1007/s10147-017-1153-7

Weitere Artikel der Ausgabe 4/2017

International Journal of Clinical Oncology 4/2017 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.