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01.04.2008 | Case Report

Molecular genetic findings in two cases of sarcomatoid carcinoma of the ureter: evidence for evolution from a common pluripotent progenitor cell?

Erschienen in: Virchows Archiv | Ausgabe 4/2008

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Abstract

The current World Health Organization classification recommends the usage of the term sarcomatoid carcinoma (SC) for all biphasic malignant neoplasms of the urinary tract exhibiting morphologic and/or immunohistochemical evidence of epithelial and mesenchymal differentiation. While most SC have been described in the urinary bladder, ureteral SC are extremely rare tumors. Here, we report on the clinical, morphological, and molecular biological findings of two cases in this unusual location. The genetic alterations investigated by comparative genomic hybridization in the epithelial and the mesenchymal component of both cases showed considerable but not complete overlap. Moreover, in spite of many morphological differences between the two cases, both cases shared some genetic gains and losses. Our findings are compatible with the concept that SC originates from a common pluripotent progenitor cell with a potential for epithelial and mesenchymal differentiation.
Literatur
1.
Zurück zum Zitat Burt JD, Murphy D, Heffernan EB (1995) Carcinosarcoma of the ureter presenting as biliary colic. Aust N Z J Surg 65:63–64PubMedCrossRef Burt JD, Murphy D, Heffernan EB (1995) Carcinosarcoma of the ureter presenting as biliary colic. Aust N Z J Surg 65:63–64PubMedCrossRef
2.
Zurück zum Zitat Byard RW, Bell ME, Alkan MK (1987) Primary carcinosarcoma: a rare cause of unilateral ureteral obstruction. J Urol 137:732–733PubMed Byard RW, Bell ME, Alkan MK (1987) Primary carcinosarcoma: a rare cause of unilateral ureteral obstruction. J Urol 137:732–733PubMed
3.
Zurück zum Zitat Darko A, Das K, Bhalla RS, Heller D (2006) Carcinosarcoma of the ureter: report of a case with unusual histology and review of the literature. Int J Urol 13:1528–1531PubMedCrossRef Darko A, Das K, Bhalla RS, Heller D (2006) Carcinosarcoma of the ureter: report of a case with unusual histology and review of the literature. Int J Urol 13:1528–1531PubMedCrossRef
4.
Zurück zum Zitat Eble JN, Sauter G, Epstein JI et al (2004) Pathology and genetics. Tumors of the urinary system and male genital organs. World Health Organization classification of tumours. IARC, Lyon, pp 102–103 Eble JN, Sauter G, Epstein JI et al (2004) Pathology and genetics. Tumors of the urinary system and male genital organs. World Health Organization classification of tumours. IARC, Lyon, pp 102–103
5.
Zurück zum Zitat Fujii H, Yoshida M, Gong ZX, Matsumoto T, Hamano Y, Fukunaga M, Hruban RH, Gabrielson E, Shirai T (2000) Frequent genetic heterogeneity in the clonal evolution of gynecological carcinosarcoma and its influence on phenotypic diversity. Cancer Res 60:114–120PubMed Fujii H, Yoshida M, Gong ZX, Matsumoto T, Hamano Y, Fukunaga M, Hruban RH, Gabrielson E, Shirai T (2000) Frequent genetic heterogeneity in the clonal evolution of gynecological carcinosarcoma and its influence on phenotypic diversity. Cancer Res 60:114–120PubMed
6.
Zurück zum Zitat Gotte K, Riedel F, Coy JF, Spahn V, Hormann K (2000) Salivary gland carcinosarcoma: immunohistochemical, molecular genetic and electron microscopic findings. Oral Oncol 36:360–364PubMedCrossRef Gotte K, Riedel F, Coy JF, Spahn V, Hormann K (2000) Salivary gland carcinosarcoma: immunohistochemical, molecular genetic and electron microscopic findings. Oral Oncol 36:360–364PubMedCrossRef
7.
Zurück zum Zitat Gronau S, Menz CK, Melzner I, Hautmann R, Moller P, Barth TF (2002) Immunohistomorphologic and molecular cytogenetic analysis of a carcinosarcoma of the urinary bladder. Virchows Arch 440:436–440PubMedCrossRef Gronau S, Menz CK, Melzner I, Hautmann R, Moller P, Barth TF (2002) Immunohistomorphologic and molecular cytogenetic analysis of a carcinosarcoma of the urinary bladder. Virchows Arch 440:436–440PubMedCrossRef
8.
Zurück zum Zitat Halachmi S, DeMarzo AM, Chow NH, Halachmi N, Smith AE, Linn JF, Nativ O, Epstein JI, Schoenberg MP, Sidransky D (2000) Genetic alterations in urinary bladder carcinosarcoma: evidence of a common clonal origin. Eur Urol 37:350–357PubMedCrossRef Halachmi S, DeMarzo AM, Chow NH, Halachmi N, Smith AE, Linn JF, Nativ O, Epstein JI, Schoenberg MP, Sidransky D (2000) Genetic alterations in urinary bladder carcinosarcoma: evidence of a common clonal origin. Eur Urol 37:350–357PubMedCrossRef
9.
Zurück zum Zitat Ishikura H, Kumagai F, Yoshiki T (1994) Carcinosarcoma of the ureter with unusual histologic features. Jpn J Clin Oncol 24:175–180PubMed Ishikura H, Kumagai F, Yoshiki T (1994) Carcinosarcoma of the ureter with unusual histologic features. Jpn J Clin Oncol 24:175–180PubMed
10.
Zurück zum Zitat Johnin K, Kadowaki T, Kushima M, Ushida H, Koizumi S, Okada Y (2003) Primary heterologous carcinosarcoma of the ureter with necrotic malignant polyps. Report of a case and review of the literature. Urol Int 70:232–235PubMedCrossRef Johnin K, Kadowaki T, Kushima M, Ushida H, Koizumi S, Okada Y (2003) Primary heterologous carcinosarcoma of the ureter with necrotic malignant polyps. Report of a case and review of the literature. Urol Int 70:232–235PubMedCrossRef
11.
Zurück zum Zitat Lee G, Rankin A, Williamson M, Pope A (2004) Case report: sarcomatoid carcinoma arising from the ureter: a rare case and a treatment dilemma. Int Urol Nephrol 36:153–154PubMedCrossRef Lee G, Rankin A, Williamson M, Pope A (2004) Case report: sarcomatoid carcinoma arising from the ureter: a rare case and a treatment dilemma. Int Urol Nephrol 36:153–154PubMedCrossRef
12.
Zurück zum Zitat Lichter P, Bentz M, Joos S (1995) Detection of chromosomal aberrations by means of molecular cytogenetics: painting of chromosomes and chromosomal subregions and comparative genomic hybridization. Methods Enzymol 254:334–359PubMedCrossRef Lichter P, Bentz M, Joos S (1995) Detection of chromosomal aberrations by means of molecular cytogenetics: painting of chromosomes and chromosomal subregions and comparative genomic hybridization. Methods Enzymol 254:334–359PubMedCrossRef
13.
Zurück zum Zitat McDade HB, Armstrong EM, Graham AG (1974) Proceedings: a case of carcinosarcoma of ureter. J Clin Pathol 27:514PubMedCrossRef McDade HB, Armstrong EM, Graham AG (1974) Proceedings: a case of carcinosarcoma of ureter. J Clin Pathol 27:514PubMedCrossRef
14.
Zurück zum Zitat Mikuz G (1993) Non-urothelial tumors of the urinary tract. Verh Dtsch Ges Pathol 77:180–198PubMed Mikuz G (1993) Non-urothelial tumors of the urinary tract. Verh Dtsch Ges Pathol 77:180–198PubMed
15.
Zurück zum Zitat Mukhopadhyay S, Shrimpton AE, Jones LA, Nsouli IS, Abraham NZ Jr. (2004) Carcinosarcoma of the urinary bladder following cyclophosphamide therapy: evidence for monoclonal origin and chromosome 9p allelic loss. Arch Pathol Lab Med 128:e8–e11PubMed Mukhopadhyay S, Shrimpton AE, Jones LA, Nsouli IS, Abraham NZ Jr. (2004) Carcinosarcoma of the urinary bladder following cyclophosphamide therapy: evidence for monoclonal origin and chromosome 9p allelic loss. Arch Pathol Lab Med 128:e8–e11PubMed
16.
Zurück zum Zitat Nagayoshi J, Kawakami T, Maruyama Y (1997) Sarcomatoid carcinoma of the ureter: a case report. Int J Urol 4:618–620PubMedCrossRef Nagayoshi J, Kawakami T, Maruyama Y (1997) Sarcomatoid carcinoma of the ureter: a case report. Int J Urol 4:618–620PubMedCrossRef
17.
Zurück zum Zitat Orsatti G, Corgan FJ, Goldberg SA (1993) Carcinosarcoma of urothelial organs: sequential involvement of urinary bladder, ureter, and renal pelvis. Urology 41:289–291PubMedCrossRef Orsatti G, Corgan FJ, Goldberg SA (1993) Carcinosarcoma of urothelial organs: sequential involvement of urinary bladder, ureter, and renal pelvis. Urology 41:289–291PubMedCrossRef
18.
Zurück zum Zitat Perimenis P, Athanasopoulos A, Geragthy J, Speakman M (2003) Carcinosarcoma of the ureter: a rare, pleomorphic, aggressive malignancy. Int Urol Nephrol 35:491–493PubMedCrossRef Perimenis P, Athanasopoulos A, Geragthy J, Speakman M (2003) Carcinosarcoma of the ureter: a rare, pleomorphic, aggressive malignancy. Int Urol Nephrol 35:491–493PubMedCrossRef
19.
Zurück zum Zitat Perret L, Chaubert P, Hessler D, Guillou L (1998) Primary heterologous carcinosarcoma (metaplastic carcinoma) of the urinary bladder: a clinicopathologic, immunohistochemical, and ultrastructural analysis of eight cases and a review of the literature. Cancer 82:1535–1549PubMedCrossRef Perret L, Chaubert P, Hessler D, Guillou L (1998) Primary heterologous carcinosarcoma (metaplastic carcinoma) of the urinary bladder: a clinicopathologic, immunohistochemical, and ultrastructural analysis of eight cases and a review of the literature. Cancer 82:1535–1549PubMedCrossRef
20.
Zurück zum Zitat Petsch MJ, Planz B, Tschahargane C, Caspers HP (2004) Primary sarcomatoid carcinoma of the ureter. Aktuelle Urol 35:137–139PubMedCrossRef Petsch MJ, Planz B, Tschahargane C, Caspers HP (2004) Primary sarcomatoid carcinoma of the ureter. Aktuelle Urol 35:137–139PubMedCrossRef
21.
Zurück zum Zitat Sung MT, Wang M, MacLennan GT, Eble JN, Tan PH, Lopez-Beltran A, Montironi R, Harris JJ, Kuhar M, Cheng L (2007) Histogenesis of sarcomatoid urothelial carcinoma of the urinary bladder: evidence for a common clonal origin with divergent differentiation. J Pathol 211:420–430PubMedCrossRef Sung MT, Wang M, MacLennan GT, Eble JN, Tan PH, Lopez-Beltran A, Montironi R, Harris JJ, Kuhar M, Cheng L (2007) Histogenesis of sarcomatoid urothelial carcinoma of the urinary bladder: evidence for a common clonal origin with divergent differentiation. J Pathol 211:420–430PubMedCrossRef
22.
Zurück zum Zitat Torenbeek R, Hermsen MA, Meijer GA, Baak JP, Meijer CJ (1999) Analysis by comparative genomic hybridization of epithelial and spindle cell components in sarcomatoid carcinoma and carcinosarcoma: histogenetic aspects. J Pathol 189:338–343PubMedCrossRef Torenbeek R, Hermsen MA, Meijer GA, Baak JP, Meijer CJ (1999) Analysis by comparative genomic hybridization of epithelial and spindle cell components in sarcomatoid carcinoma and carcinosarcoma: histogenetic aspects. J Pathol 189:338–343PubMedCrossRef
23.
Zurück zum Zitat Tsutsumi M, Kamiya M, Sakamoto M, Tobisu K, Kakizoe T (1993) A ureteral small cell carcinoma mixed with malignant mesodermal and ectodermal elements: a clinicopathological, morphological and immunohistochemical study. Jpn J Clin Oncol 23:325–329PubMed Tsutsumi M, Kamiya M, Sakamoto M, Tobisu K, Kakizoe T (1993) A ureteral small cell carcinoma mixed with malignant mesodermal and ectodermal elements: a clinicopathological, morphological and immunohistochemical study. Jpn J Clin Oncol 23:325–329PubMed
24.
Zurück zum Zitat Vermeulen P, Hoekx L, Colpaert C, Wyndaele JJ, Van Marck E (2000) Biphasic sarcomatoid carcinoma (carcinosarcoma) of the renal pelvis with heterologous chondrogenic differentiation. Virchows Arch 437:194–197PubMedCrossRef Vermeulen P, Hoekx L, Colpaert C, Wyndaele JJ, Van Marck E (2000) Biphasic sarcomatoid carcinoma (carcinosarcoma) of the renal pelvis with heterologous chondrogenic differentiation. Virchows Arch 437:194–197PubMedCrossRef
25.
Zurück zum Zitat Volker HU, Muhlmeier G, Maier H, Kraft K, Muller-Hermelink HK, Zettl A (2007) True malignant mixed tumour (carcinosarcoma) of submandibular gland—a rare neoplasm of monoclonal origin? Histopathology 50:795–798PubMedCrossRef Volker HU, Muhlmeier G, Maier H, Kraft K, Muller-Hermelink HK, Zettl A (2007) True malignant mixed tumour (carcinosarcoma) of submandibular gland—a rare neoplasm of monoclonal origin? Histopathology 50:795–798PubMedCrossRef
26.
Zurück zum Zitat Watanabe M, Shimizu K, Kato H, Imai H, Nakano H, Sugawa M, Shiraishi T (2001) Carcinosarcoma of the uterus: immunohistochemical and genetic analysis of clonality of one case. Gynecol Oncol 82:563–567PubMedCrossRef Watanabe M, Shimizu K, Kato H, Imai H, Nakano H, Sugawa M, Shiraishi T (2001) Carcinosarcoma of the uterus: immunohistochemical and genetic analysis of clonality of one case. Gynecol Oncol 82:563–567PubMedCrossRef
27.
Zurück zum Zitat Yano S, Arita M, Ueno F, Yoshida M, Ikegami K, Fukuda S (1984) Carcinosarcoma of the ureter. Eur Urol 10:71PubMed Yano S, Arita M, Ueno F, Yoshida M, Ikegami K, Fukuda S (1984) Carcinosarcoma of the ureter. Eur Urol 10:71PubMed
Metadaten
Titel
Molecular genetic findings in two cases of sarcomatoid carcinoma of the ureter: evidence for evolution from a common pluripotent progenitor cell?
Publikationsdatum
01.04.2008
Erschienen in
Virchows Archiv / Ausgabe 4/2008
Print ISSN: 0945-6317
Elektronische ISSN: 1432-2307
DOI
https://doi.org/10.1007/s00428-008-0583-z

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