Esophageal carcinosarcoma with granulocyte colony-stimulating factor: a case report View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-09

AUTHORS

Ken Sasaki, Shoji Natsugoe, Michiyo Higashi, Hiroshi Okumura, Masataka Matsumoto, Koichi Hanazono, Tetsuro Setoyama, Masayuki Yanagi, Tetsuhiro Owaki, Sumiya Ishigami, Suguru Yonezawa, Takashi Aikou

ABSTRACT

A 62-year-old man was admitted to our hospital for dysphagia, leukocytosis, and pyrexia. The serum level of granulocyte colony-stimulating factor (G-CSF) was high and immunostaining of a biopsy specimen of esophageal tumor using anti-granulocyte-macrophage colony-stimulating factor (anti-GM-CSF) antibody demonstrated GM-CSF expression in the cytoplasm of the tumor cells. After esophagectomy, the leukocyte count and serum G-CSF level normalized. Histologically, this tumor was diagnosed as a carcinosarcoma with two components: squamous cell carcinoma and sarcoma. Tumor cells were also positive for G-CSF receptor, suggesting autocrine growth regulation by G-CSF. Moreover, tumor cells were positive for Ki-67, cyclin D1, p53, and epidermal growth factor receptor (EGFR), which were related to the acquisition of more aggressive tumor behavior. Although G-CSF-producing esophageal carcinosarcoma is very rare, we should consider such disease when a patient has symptoms of leukemia such as leukocytosis and high fever. More... »

PAGES

129-134

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10388-007-0121-0

DOI

http://dx.doi.org/10.1007/s10388-007-0121-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1008368278


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