Brain and bone marrow metastases from rectal cancer.

Rectal cancer circulating tumor cells rare metastases

Journal

Annals of gastroenterology
ISSN: 1108-7471
Titre abrégé: Ann Gastroenterol
Pays: Greece
ID NLM: 101121847

Informations de publication

Date de publication:
Historique:
received: 25 07 2019
accepted: 06 09 2019
entrez: 2 1 2020
pubmed: 2 1 2020
medline: 2 1 2020
Statut: ppublish

Résumé

Despite the development of new treatment options based on the molecular characterization of colorectal cancer, 20% of patients present de novo metastatic disease, whereas 30-40% of patients who receive curative treatment relapse during follow up. Herein, we report 2 cases with rectal cancer that developed uncommon sites of metastasis; the first patient had an isolated breast metastasis, while the second patient developed bone marrow infiltration with synchronous brain metastases. In order to evaluate the uncommon metastatic pattern of rectal cancer, we detected and enumerated circulating tumor cells (CTCs) using both immunofluorescence and real-time reverse transcriptase polymerase chain reaction in these patients' peripheral blood. The procedure revealed the presence of CTCs, positive for CEACAM5 but negative for epithelial phenotype (EpCAM-), that might explain the patients' metastatic potential and survival.

Identifiants

pubmed: 31892804
doi: 10.20524/aog.2019.0423
pii: AnnGastroenterol-33-95
pmc: PMC6928473
doi:

Types de publication

Case Reports

Langues

eng

Pagination

95-97

Informations de copyright

Copyright: © Hellenic Society of Gastroenterology.

Déclaration de conflit d'intérêts

Conflict of Interest: None

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Auteurs

Konstantina Thomopoulou (K)

Medical Oncology Department, University Hospital of Heraklion, Crete (Konstantina Thomopoulou, Stavroula Manolakou, Andreas Koulouris, Konstantinos Kalbakis, Dimitris Mavroudis, Ioannis Souglakos).

Stavroula Manolakou (S)

Medical Oncology Department, University Hospital of Heraklion, Crete (Konstantina Thomopoulou, Stavroula Manolakou, Andreas Koulouris, Konstantinos Kalbakis, Dimitris Mavroudis, Ioannis Souglakos).

Ippokratis Messaritakis (I)

Laboratory of Translational Oncology, Faculty of Medicine, University of Crete (Ippokratis Messaritakis).

Maria Tzardi (M)

Department of Pathology, University Hospital of Heraklion, Crete (Maria Tzardi, Eleni Lagoudaki, Anastasios Koutsopoulos).

Eleni Lagoudaki (E)

Department of Pathology, University Hospital of Heraklion, Crete (Maria Tzardi, Eleni Lagoudaki, Anastasios Koutsopoulos).

Anastasios Koutsopoulos (A)

Department of Pathology, University Hospital of Heraklion, Crete (Maria Tzardi, Eleni Lagoudaki, Anastasios Koutsopoulos).

Andreas Koulouris (A)

Medical Oncology Department, University Hospital of Heraklion, Crete (Konstantina Thomopoulou, Stavroula Manolakou, Andreas Koulouris, Konstantinos Kalbakis, Dimitris Mavroudis, Ioannis Souglakos).

George Kanellis (G)

Hematopathology Department, Evangelismos Hospital, Athens (George Kanellis), Greece.

Konstantinos Kalbakis (K)

Medical Oncology Department, University Hospital of Heraklion, Crete (Konstantina Thomopoulou, Stavroula Manolakou, Andreas Koulouris, Konstantinos Kalbakis, Dimitris Mavroudis, Ioannis Souglakos).

Dimitris Mavroudis (D)

Medical Oncology Department, University Hospital of Heraklion, Crete (Konstantina Thomopoulou, Stavroula Manolakou, Andreas Koulouris, Konstantinos Kalbakis, Dimitris Mavroudis, Ioannis Souglakos).

Ioannis Souglakos (I)

Medical Oncology Department, University Hospital of Heraklion, Crete (Konstantina Thomopoulou, Stavroula Manolakou, Andreas Koulouris, Konstantinos Kalbakis, Dimitris Mavroudis, Ioannis Souglakos).

Classifications MeSH