Table of Contents
Definition / general | Terminology | Epidemiology | Sites | Case reports | Gross images | Microscopic (histologic) description | Microscopic (histologic) images | Positive stains | Electron microscopy images | Molecular / cytogenetics descriptionCite this page: Carcinosarcoma of colon. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/colontumorcarcinosarcoma.html. Accessed July 14th, 2017.
Definition / general
- Biphasic colorectal neoplasm composed of epithelial and mesenchymal elements
- Poor prognosis
Terminology
- Distinct from "sarcomatoid carcinoma," which is an entirely epithelial malignancy with some sarcoma-like morphologic features (such as spindled cells); this distinction has been overlooked in many reports
Epidemiology
- Extremely rare in the colon; only reported in single case reports
Sites
- May be more common in left colon
Case reports
- 13 year old girl with carcinosarcoma of rectosigmoid colon (Pathol Int 2008;58:445)
- 65 year old man with carcinosarcoma of ascending colon (J Korean Soc Coloproctol 2010;26:368)
- 80 year old woman with carcinosarcoma of rectosigmoid colon (Surg Today 2003;33:545)
- 81 year old man with ascending colon tumor and liver metastases (BMC Cancer 2006;6:185)
- 84 year old man with splenic flexure lesion (Pathol Res Pract 2003;199:345)
- Invading mesentery and omentum (Clin Imaging 2005;29:259)
Microscopic (histologic) description
- Neoplasm with epithelial component (typically adenocarcinoma) and mesenchymal component (varies; most common are leiomyosarcoma, osteosarcoma, chondrosarcoma)
Microscopic (histologic) images
Molecular / cytogenetics description
- One case demonstrated identical TP53 gene mutations in both tumor elements, suggesting common origin (BMC Cancer 2006;6:185)








