Table of Contents
Definition / general | Sites | Pathophysiology | Clinical features | Case reports | Treatment | Clinical images | Gross images | Microscopic (histologic) description | Microscopic (histologic) images | Positive stains | Differential diagnosis | Additional referencesCite this page: Adenosquamous carcinoma. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/colontumoradenosquamous.html. Accessed July 14th, 2017.
Definition / general
- Rare (0.1% of colonic carcinomas) epithelial tumor of colon with glandular and squamous elements (Am J Surg Pathol 1978;2:47)
- Has higher metastatic rate and worse prognosis than conventional colorectal adenocarcinoma (Dis Colon Rectum 2012;55:509, Dis Colon Rectum 1999;42:258)
Sites
- Typically arises in right colon (Dis Colon Rectum 2001;44:341)
Pathophysiology
- HPV infection does not appear to play a role (Surg Today 2009;39:619, Eur J Surg Oncol 2002;28:657)
Clinical features
- Tumor stage is often advanced at presentation (Dis Colon Rectum 1996;39:1265)
- May cause paraneoplastic hypercalcemia (Int J Clin Oncol 2005;10:144, Am Surg 2001;67:585)
- Can occur in patients with ulcerative colitis (Dis Colon Rectum 1988;31:323)
Case reports
- 71 year old man with adenosquamous carcinoma of sigmoid colon (Int J Clin Exp Med 2013;6:390)
- 78 year old woman with associated paraneoplastic hypercalcemia (Int J Clin Oncol 2005;10:144)
- Adenosquamous carcinoma of colon (Am Surg 2006;72:754) and colorectum (J Exp Clin Cancer Res 2001;20:293)
Treatment
- Surgery with adjuvant treatment
Clinical images
Microscopic (histologic) description
- Resembles conventional colorectal adenocarcinoma, but with areas of squamous differentiation, either admixed or distinct
Microscopic (histologic) images
Positive stains
Differential diagnosis
- Squamous cell carcinoma: also rare; no glandular elements









