Carcinosarcoma of the prostate: clinical observation and literature review
https://doi.org/10.17650/1726-9776-2023-19-3-113-118
Abstract
Carcinosarcoma is a rare type of prostate neoplasms and accounts for less than 1 % of all malignant tumors of the prostate. This kind of tumor is characterized by the absence of prostate-specific antigen elevation in most cases, which leads to diagnosis of metastatic disease in a quarter of patients. Moreover, carcinosarcoma of the prostate has an extremely poor clinical prognosis. From the morphological point of a view, biphasicity is a typical feature for these tumors. As a rule, epithelial component is represented by poorly differentiated acinar adenocarcinoma. However, in some literature cases adenogenous component was represented by ductal or neuroendocrine carcinoma. Sarcoma component can be represented by any sarcoma type. Currently, pathogenesis of carcinosarcomas isn’t clear. In this report, we describe a clinical case of carcinosarcoma of the prostate in a 72-year-old male.
About the Authors
V. S. SurkovaRussian Federation
Viktoriya S. Surkova.
3 2nd Botkinskiy Proezd, Moscow 125284
Competing Interests:
None
N. N. Volchenko
Russian Federation
Nadezhda N. Volchenko.
3 2nd Botkinskiy Proezd, Moscow 125284
Competing Interests:
None
A. M. Lavrova
Russian Federation
Anastasiia M. Lavrova.
3 2nd Botkinskiy Proezd, Moscow 125284
Competing Interests:
None
Kh. S. Kosumova
Russian Federation
Khadizhat S. Kosumova.
3 2nd Botkinskiy Proezd, Moscow 125284
Competing Interests:
None
G. G. Khakimova
Uzbekistan
Gulnoz G. Khakimova.
1 Bagistan St., Tashkent 100070; 223 Bogishamol St., Tashkent 100140
Competing Interests:
None
M. V. Grebenkin
Russian Federation
Maxim V. Grebenkin.
Build. 1, 51 3rd Parkovaya St., Moscow 105425
Competing Interests:
None
References
1. Salvi S., Casadio V., Martignano F. et al. Carcinosarcoma of the prostate: case report with molecular and histological characterization. Int J Biol Markers 2018;33(4):540–4. DOI: 10.1177/1724600818791463
2. Furlan S.R., Kang D.J., Armas A. Prostatic carcinosarcoma with lung metastases. Case Rep Oncol Med 2013;2013:790790. DOI: 10.1155/2013/790790
3. Goto T., Maeshima A., Oyamada Y., Kato R. Solitary pulmonary metastasis from prostate sarcomatoid cancer. World J Surg Oncol 2010;8(1):101. DOI: 10.1186/147778198101
4. AlSaadi N., AlMusawi S., Khan Y., Dawam D. An unusual presentation of prostate cancer posing a diagnostic dilemma: a case report. Urol Case Rep 2020;34:101432. DOI: 10.1016/j.eucr.2020.101432
5. ZiziSermpetzoglou A., Savvaidou V., Tepelenis N. et al. Sarcomatoid carcinoma of the prostate: a case report. Int J Clin Exp Pathol 2010;3(3):319–22.
6. Perez N., Castillo M., Santos Y. et al. Carcinosarcoma of the prostate: two cases with distinctive morphologic and immunohistochemical findings. Virchows Arch 2005;446(5):511–6. DOI: 10.1007/s004280051239x
7. Fukawa T., Numata K., Yamanaka M. et al. Prostatic carcinosarcoma: a case report and review of literature. Int J Urol 2003;10(2):108–13. DOI: 10.1046/j.14422042.2003.00574.x
8. Rodrigues D.N., Hazell S., Miranda S. et al. Sarcomatoid carcinoma of the prostate: ERG fluorescence in-situ hybridization confirms epithelial origin. Histopathology 2015;66(6):898–901. DOI: 10.1111/his.12493
9. Markowski M.C., Eisenberger M.A., Zahurak M. et al. Sarcomatoid carcinoma of the prostate: retrospective review of a case series from the Johns Hopkins hospital. Urology 2015;86(3):539–43. DOI: 10.1016/j.urology.2015.06.011
10. Huang X., Cai S.L., Xie L.P. Prostatic carcinosarcoma seven years after radical prostatectomy and hormonal therapy for prostatic adenocarcinoma: a case report. World J Clin Cases 2021;9(22):6388–92. DOI: 10.12998/wjcc.v9.i22.6388
11. Alhamar M., Vladislav I.T., Smith S.C. et al. Gene fusion characterisation of rare aggressive prostate cancer variants – adenosquamous carcinoma, pleomorphic giantcell carcinoma, and sarcomatoid carcinoma: an analysis of 19 cases. Histopathology 2020;77(6):890–9. DOI: 10.1111/his.14205
12. Pang A., Carbini M., Moreira A.L., Maki R.G. Carcinosarcomas and related cancers: tumors caught in the act of epithelial-mesenchymal transition. J Clin Oncol 2018;36(2):210–6. DOI: 10.1200/JCO.2017.74.9523
13. Wei W., Li Q.G., Long X. et al. Sarcomatoid carcinoma of the prostate with bladder invasion shortly after androgen deprivation: two case reports. World J Clin Cases 2021;9(7):1668–75. DOI: 10.12998/wjcc.v9.i7.1668
14. Altay C., Seçil M., Demir Ö. et al. Imaging findings of prostate carcinosarcoma: a case report. Clin Genitourin Cancer 2014;12(4):e139–41. DOI: 10.1016/j.clgc.2014.02.001
15. Selvaraj N., Ragavan N., Shah S.N. Carcinosarcoma of the prostate masquerading as benign prostatic enlargement: lesson learned. Eur Urol Open Sci 2021;23:9–12. DOI: 10.1016/j.euros.2020.11.006
16. Aggarwal S., Mitra S., Dewan A., Durga G. Carcinosarcoma prostate with osteosarcomatous differentiation: a rare de novo presentation. BMJ Case Rep 2019;12(6):e230116. DOI: 10.1136/bcr2019230116
17. Huan Y., Idrees M., Gribetz M.E., Unger P.D. Sarcomatoid carcinoma after radiation treatment of prostatic adenocarcinoma. Ann Diagn Pathol 2008;12(2):142–5. DOI: 10.1016/j.anndiagpath.2006.08.008
18. Zhao S., Komori T., Inoue A. et al. Rare case of sarcomatoid carcinoma of the prostate with metastatic skin tumor manifestation. J Dermatol 2020;47(8):e304–5. DOI: 10.1111/13468138.1542
19. Hansel D.E., Epstein J.I. Sarcomatoid carcinoma of the prostate: A study of 42 cases. Am J Surg Pathol 2006;30(10):1316–21. DOI: 10.1097/01.pas.0000209838.92842.bf
20. Dudani S., Malik A., Sandhu A.S., Mani N.S. Pseudohyperplastic variant of adenocarcinoma as a component of αmethylCoA racemase (AMACR negative) carcinosarcoma of the prostate. In dian J Urol 2015;31(2):136–8. DOI: 10.4103/09701591.152921
Review
For citations:
Surkova V.S., Volchenko N.N., Lavrova A.M., Kosumova Kh.S., Khakimova G.G., Grebenkin M.V. Carcinosarcoma of the prostate: clinical observation and literature review. Cancer Urology. 2023;19(3):113-118. (In Russ.) https://doi.org/10.17650/1726-9776-2023-19-3-113-118