Carcinosarcoma of the Rectum: Report of a Rare Colorectal Malignancy and Review of the Literature

Carcinosarcoma (CS) is a rare mixed mesodermal malignancy most commonly affecting the female reproductive organs, respiratory tract, head, and neck. Though infrequent, it may affect the gastrointestinal tract, most often the oesophagus and only very rarely the rectum. Histologically, it is composed...

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Main Authors: Alexis Sudlow, Ming Ho Liu, Geoffrey Waters, Vamsi R. Velchuru
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2015/412918
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author Alexis Sudlow
Ming Ho Liu
Geoffrey Waters
Vamsi R. Velchuru
author_facet Alexis Sudlow
Ming Ho Liu
Geoffrey Waters
Vamsi R. Velchuru
author_sort Alexis Sudlow
collection DOAJ
description Carcinosarcoma (CS) is a rare mixed mesodermal malignancy most commonly affecting the female reproductive organs, respiratory tract, head, and neck. Though infrequent, it may affect the gastrointestinal tract, most often the oesophagus and only very rarely the rectum. Histologically, it is composed of two distinct elements of epithelial and mesenchymal origin. Clinically, it is a very aggressive tumour with many patients presenting with metastatic lymph nodes or distant metastases at the time of diagnosis. Prognosis is poor despite intervention with the majority of patients dying within six months. Due to the rarity of this condition, there are no specific treatment guidelines presently available. We describe the case of an 80-year-old patient with carcinosarcoma of the rectum with discussion of the immunohistochemistry and review the available literature pertaining to this rare presentation.
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spelling doaj-art-ba0d38a223b14687a38c97e766a0b4ff2025-02-03T05:55:17ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/412918412918Carcinosarcoma of the Rectum: Report of a Rare Colorectal Malignancy and Review of the LiteratureAlexis Sudlow0Ming Ho Liu1Geoffrey Waters2Vamsi R. Velchuru3Department of Colorectal Surgery, James Paget University Hospital, Gorleston NR31 6LA, UKDepartment of Colorectal Surgery, James Paget University Hospital, Gorleston NR31 6LA, UKDepartment of Histopathology, Norfolk and Norwich University Hospital, Norwich NR4 7UY, UKDepartment of Colorectal Surgery, James Paget University Hospital, Gorleston NR31 6LA, UKCarcinosarcoma (CS) is a rare mixed mesodermal malignancy most commonly affecting the female reproductive organs, respiratory tract, head, and neck. Though infrequent, it may affect the gastrointestinal tract, most often the oesophagus and only very rarely the rectum. Histologically, it is composed of two distinct elements of epithelial and mesenchymal origin. Clinically, it is a very aggressive tumour with many patients presenting with metastatic lymph nodes or distant metastases at the time of diagnosis. Prognosis is poor despite intervention with the majority of patients dying within six months. Due to the rarity of this condition, there are no specific treatment guidelines presently available. We describe the case of an 80-year-old patient with carcinosarcoma of the rectum with discussion of the immunohistochemistry and review the available literature pertaining to this rare presentation.http://dx.doi.org/10.1155/2015/412918
spellingShingle Alexis Sudlow
Ming Ho Liu
Geoffrey Waters
Vamsi R. Velchuru
Carcinosarcoma of the Rectum: Report of a Rare Colorectal Malignancy and Review of the Literature
Case Reports in Surgery
title Carcinosarcoma of the Rectum: Report of a Rare Colorectal Malignancy and Review of the Literature
title_full Carcinosarcoma of the Rectum: Report of a Rare Colorectal Malignancy and Review of the Literature
title_fullStr Carcinosarcoma of the Rectum: Report of a Rare Colorectal Malignancy and Review of the Literature
title_full_unstemmed Carcinosarcoma of the Rectum: Report of a Rare Colorectal Malignancy and Review of the Literature
title_short Carcinosarcoma of the Rectum: Report of a Rare Colorectal Malignancy and Review of the Literature
title_sort carcinosarcoma of the rectum report of a rare colorectal malignancy and review of the literature
url http://dx.doi.org/10.1155/2015/412918
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