INTESTINE Vol.15 No.6(3)

Theme Exploring problems of "villous tumor"
Title Histogenesis, growth patterns, and canceration of villous tumors of the large intestine
Publish Date 2011/11
Author Hiroshi Tanabe Department of Pathology, Fukuoka University, Chikushi Hospital
Author Akinori Iwashita Department of Pathology, Fukuoka University, Chikushi Hospital
Author Seiji Haraoka Department of Pathology, Fukuoka University, Chikushi Hospital
Author Keisuke Ikeda Department of Pathology, Fukuoka University, Chikushi Hospital
Author Kaname Oshige Department of Pathology, Fukuoka University, Chikushi Hospital
Author Atsuko Ota Department of Pathology, Fukuoka University, Chikushi Hospital
Author Takao Kanemitsu Department of Pathology, Fukuoka University, Chikushi Hospital
[ Summary ] We studied 40 cases of villous tumors of the large intestine. Villous tumors were classified in four pathological types as follows ; (1) villous adenomas, (2) villous adenomas+adenocarcinomas, (3) villous adenocarcinomas+ villous/tubulovillous adenomas, (4) villous adenocarcinomas. We inferred from pathological features that villous tumors had two pathways toward histogenesis, growth patterns, and canceration. These pathways were ; (a) villous adenocarcinomas originating from de novo carcinomas and (b) adenocarcinomas without villous patterns and/or with villous adenomas originating from adenoma-carcinoma sequences. However, cases of villous adenocarcinoma in villous adenomas or with tubulovillous adenomas were reminiscent of villous adenocarcinomas originating from adenoma-carcinoma sequences.
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