INTESTINE Vol.18 No.1(4)

Theme Laterally spreading tumor (LST) -- Toward a new era
Title Clinicopathological findings and molecular alterations of colorectal laterally spreading tumors
Publish Date 2014/01
Author Tamotsu Sugai Division of Molecular Diagnostic Pathology, Department of Pathology, School of Medicine, Iwate Medical University
Author Noriyuki Uesugi Division of Molecular Diagnostic Pathology, Department of Pathology, School of Medicine, Iwate Medical University
Author Ryo Sugimoto Division of Molecular Diagnostic Pathology, Department of Pathology, School of Medicine, Iwate Medical University
Author Hiro-o Yamano Division of Gastroenterology, Akita Red Cross Hospital
Author Ryou Takagi Division of Gastroenterology, Akita Red Cross Hospital
Author Toshimi Chiba Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Iwate Medical University
Author Takayuki Matsumoto Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Iwate Medical University
[ Summary ] In general, colorectal laterally spreading tumors (LST) are classified into the LST-G and LST-NG categories. Previous studies have shown that colorectal LSTs have distinct clinicopathological features and a high potential for malignancy. The aims of this study are to review clinicopathological features and molecular findings related to colorectal LSTs. There is a significant diff erence in tumor location and histological type between LST-Gs and LST-NGs. On the other hand, the frequency of submucosal cancer is high in the specific types of LSTs. Whereas there was a high frequency of ki-ras and APC mutations found in the LST-G types, distinct molecular features were not found in LST-NGs. 5q LOH was a common molecular feature in both LSTGs and LST-NGs. Molecular and clinicopathological findings suggest that LST-Gs and LST-NGs exhibit different aspects of colorectal tumorigenesis.
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