A Rare Duodenal Carcinosarcoma: A Case Report and Literature Review

Intern Med. 2019 May 1;58(9):1273-1278. doi: 10.2169/internalmedicine.2094-18. Epub 2018 Dec 18.

Abstract

Carcinosarcoma is a biphasic malignant tumor comprising both carcinomatous and sarcomatous components; its occurrence in the duodenum is very rare. We herein report the case of a 96-year-old woman with duodenal carcinosarcoma showing rapid growth within the past year. The tumor was found to be bulging into the lumen and predominantly comprised sarcomatoid components with focal positive staining for cytokeratin. Therefore, the tumor was diagnosed as duodenal carcinosarcoma. The clinical information of the present case and our literature review of the 12 cases reported to date will help physicians diagnose and treat this rare tumor.

Keywords: AE1/AE3; CAM 5.2; carcinosarcoma; duodenum; rapid growth; vimentin.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged, 80 and over
  • Carcinosarcoma / pathology*
  • Carcinosarcoma / surgery
  • Duodenal Neoplasms / pathology*
  • Duodenal Neoplasms / surgery
  • Endoscopy, Digestive System
  • Fatal Outcome
  • Female
  • Humans
  • Incidental Findings
  • Intestinal Obstruction / etiology
  • Intestinal Obstruction / pathology
  • Intestinal Obstruction / surgery
  • Liver Neoplasms / secondary
  • Rare Diseases