論文

査読有り
2016年7月

Tracking the Clonal Evolution of Adenosquamous Carcinoma, a Rare Variant of Intraductal Papillary Mucinous Neoplasm of the Pancreas

PANCREAS
  • Suguru Matsuzaka
  • Hidenori Karasaki
  • Yusuke Ono
  • Munehiko Ogata
  • Kensuke Oikawa
  • Susumu Tamakawa
  • Shin-ichi Chiba
  • Miho Muraki
  • Tomoki Yokochi
  • Hiroshi Funakoshi
  • Toru Kono
  • Kazuo Nagashima
  • Yusuke Mizukami
  • 全て表示

45
6
開始ページ
915
終了ページ
918
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1097/MPA.0000000000000556
出版者・発行元
LIPPINCOTT WILLIAMS & WILKINS

Adenosquamous carcinoma (ASC) is an uncommon variant of pancreatic neoplasm. We sought to trace the mode of tumor progression using specimens of ASC associated with intraductal papillary mucinous neoplasm (IPMN) of the pancreas. A resected specimen of the primary pancreatic ASC, developed in a 72-year-old man, was subjected to mutation profiling using amplicon-targeted sequencing and digital polymerase chain reaction. DNA was isolated from each histological compartment including noninvasive IPMN, squamous cell carcinoma (SCC), and adenocarcinoma (AC). Histologically, an IPMN with a large mural nodule was identified. The invasive tumor predominantly consisted of SCC, and a smaller AC was found around the lesion. Squamous metaplasias were sporadically distributed within benign IPMNs. Mutation alleles KRAS(G12D) and GNASR(201C) were identified in all specimens of IPMN including the areas of squamous metaplasia. In addition, these mutations were found in SCC and AC. Clear transition from flat/low-papillary IPMN to SCC indicated a potent invasion front, and the SCC compartment was genetically unique, because the area has a higher frequency of mutation KRAS(G12D). The invasive tumors with distinct histological appearances shared the form of noninvasive IPMN as a common precursor, rather than de novo cancer, suggesting the significance of a genetic profiling scheme of tumors associated with IPMN.

リンク情報
DOI
https://doi.org/10.1097/MPA.0000000000000556
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27295533
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000378095800027&DestApp=WOS_CPL
ID情報
  • DOI : 10.1097/MPA.0000000000000556
  • ISSN : 0885-3177
  • eISSN : 1536-4828
  • PubMed ID : 27295533
  • Web of Science ID : WOS:000378095800027

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