Abstract
A 78-year-old Japanese male was referred to our hospital with a 3-month history of anorexia and right abdominal pain. A colonoscopy showed circumferential narrowing of the ascending colon with deep ulceration. Biopsy was performed, and examination of the specimen demonstrated squamous cell carcinoma. Abdominal computed tomography demonstrated thickening of the wall of the ascending colon, multiple lymph node metastases, multiple liver metastases, and peritoneal dissemination. After right hemicolectomy, histological examination demonstrated adenosquamous carcinoma. Biomarker analysis showed a microsatellite stable, wild-type KRAS gene in exon 2 and BRAF V600E mutation. Despite undergoing intensive chemotherapy, the patient died 5 months postoperatively.
Similar content being viewed by others
References
Cagir B, Nagy MW, Topham A, Rakinic J, Fry RD (1999) Adenosquamous carcinoma of the colon, rectum, and anus: epidemiology, distribution, and survival characteristics. Dis Colon Rectum 42:258–263
Masoomi H, Ziogas A, Lin BS et al (2012) Population-based evaluation of adenosquamous carcinoma of the colon and rectum. Dis Colon Rectum 55:509–514
Petrelli NJ, Valle AA, Weber TK, Rodriguez-Bigas M (1996) Adenosquamous carcinoma of the colon and rectum. Dis Colon Rectum 39:1265–1268
Herxheimer G (1907) Ober heterologue cancroide. Beitr Pathol Anat 41:348–412
Frizelle FA, Hobday KS, Batts KP, Nelson H (2001) Adenosquamous and squamous carcinoma of the colon and upper rectum: a clinical and histopathologic study. Dis Colon Rectum 44:341–346
Kolch W (2000) Meaningful relationships: the regulation of the Ras/Raf/MEK/ERK pathway by protein interactions. Biochem J 351(Pt 2):289–305
Davies H, Bignell GR, Cox C et al (2002) Mutations of the BRAF gene in human cancer. Nature 417:949–954
Rajagopalan H, Bardelli A, Lengauer C et al (2002) Tumorigenesis: RAF/RAS oncogenes and mismatch-repair status. Nature 418:934
Beeram M, Patnaik A, Rowinsky EK (2005) Raf: a strategic target for therapeutic development against cancer. J Clin Oncol 23:6771–6790
Lochhead P, Kuchiba A, Imamura Y et al (2013) Microsatellite instability and BRAF mutation testing in colorectal cancer prognostication. J Natl Cancer Inst 105:1151–1156
Kaufmann O, Fietze E, Mengs J, Dietel M (2001) Value of p63 and cytokeratin 5/6 as immunohistochemical markers for the differential diagnosis of poorly differentiated and undifferentiated carcinomas. Am J Clin Pathol 116(6):823–830
Ruffini E, Rena O, Oliaro A et al (2002) Lung tumors with mixed histologic pattern. Clinico-pathologic characteristics and prognostic significance. Eur J Cardiothorac Surg 22:701–707
Borazanci E, Millis SZ, Korn RErkut et al (2015) Adenosquamous carcinoma of the pancreas: Molecular characterization of 23 patients along with a literature review. World J Gastrointest Oncol 7:132–140
Hickey WF, Corson JM (1981) Squamous cell carcinoma arising in a duplication of the colon: case report and literature review of squamous cell carcinoma of the colon and of malignancy complicating colonic duplication. Cancer 47:602–609
Khan AQ, Griffin JW, Tedesco FJ (1979) Squamous cell carcinoma of the ascending colon. Am J Gastroenterol 72:565–567
Crissman JD (1978) Adenosquamous and squamous cell carcinoma of the colon. Am J Surg Pathol 2:47–54
Schneider TA, Birkett DH, Vernava AM (1992) Primary adenosquamous and squamous cell carcinoma of the colon and rectum. Int J Colorectal Dis 7:144–147
Yokoi K, Tanaka N, Furukawa K et al (2008) A case of adenosquamous carcinoma of the ascending colon. J Nippon Med Sch 75:242–246
Comer TP, Beahrs OH, Dockerty MB (1971) Primary squamous cell carcinoma and adenoacanthoma of the colon. Cancer 28:1111–1117
Yaeger R, Cercek A, O’Reilly EM et al (2015) Pilot trial of combined BRAF and EGFR inhibition in BRAF-mutation metastatic colorectal cancer patients. J Clin Oncol 21:1313–1320
Fransén K, Klintenäs M, Osterström A et al (2004) Mutation analysis of the BRAF, ARAF and RAF-1 genes in human colorectal adenocarcinomas. Carcinogenesis 25:527–533
Tie J, Gibbs P, Lipton L et al (2011) Optimizing targeted therapeutic development: analysis of a colorectal cancer patient population with the BRAF (V600E) mutation. Int J Cancer 128:2075–2084
Author contributions
All authors contributed to this work. Hiroyuki Ishida prepared the description of the clinical course and wrote the manuscript; Kazuro Chiba performed biopsy; Takeru Iijima performed genetic analysis; Shin-ichiro Horiguchi performed histological diagnosis; and Tatsuro Yamaguchi performed surgery, designed the study and wrote the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
No author has any conflict of interest.
Research involving human participants
This case report was conducted in accordance with the Ethical Guidelines for Medical and Health Research Involving Human Subjects.
Informed consent
Written informed consent obtained from the patient.
About this article
Cite this article
Ishida, H., Yamaguchi, T., Chiba, K. et al. A case report of ascending colon adenosquamous carcinoma with BRAF V600E mutation. Int Canc Conf J 6, 93–97 (2017). https://doi.org/10.1007/s13691-017-0283-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13691-017-0283-0