Skip to main content
Top
Published in: Virchows Archiv 6/2017

01-12-2017 | Brief Report

Mixed papillary-sarcomatoid carcinoma of the penis: report of an aggressive subtype

Authors: Graziele Bovolim, Walter Henriques da Costa, Gustavo Cardoso Guimaraes, Fernando Augusto Soares, Isabela Werneck da Cunha

Published in: Virchows Archiv | Issue 6/2017

Login to get access

Abstract

Several different histological subtypes of penile carcinoma had been described in the last decades, many with different biological behavior and prognosis. The association of two histological subtypes (mixed tumors) can be observed in one third of the cases. The most common association is of warty and basaloid tumors, two HPV-related carcinomas. Here, we described a mixed papillary-sarcomatoid carcinoma, never reported before. Although it is a clinical aspect of a low-grade verruciform tumor, its prognosis showed it to be very aggressive due to the sarcomatoid component hidden above the papillary component. The two components showed opposite cadherin/vimentin expression pointed to epithelial-mesenchymal transition between them.
Literature
1.
go back to reference Cubilla AL, Amin MB, Ayalla G et al (2016) Tumor of the penis. In: Humphrey PA, Ulbright TM, Reuter VE (eds) The 2016 WHO classification of tumours of the urinary system and male genital organs. IARC, Lyon, pp 259–286 Cubilla AL, Amin MB, Ayalla G et al (2016) Tumor of the penis. In: Humphrey PA, Ulbright TM, Reuter VE (eds) The 2016 WHO classification of tumours of the urinary system and male genital organs. IARC, Lyon, pp 259–286
2.
go back to reference Guimarães GC, Cunha IW, Soares FA et al (2009) Penile squamous cell carcinoma clinicopathological features, nodal metastasis and outcome in 333 cases. J Urol 182(2):528–534CrossRefPubMed Guimarães GC, Cunha IW, Soares FA et al (2009) Penile squamous cell carcinoma clinicopathological features, nodal metastasis and outcome in 333 cases. J Urol 182(2):528–534CrossRefPubMed
3.
go back to reference Chaux A, Soares F, Rodríguez I et al (2010) Papillary squamous cell carcinoma, not otherwise specified (NOS) of the penis: clinicopathologic features, differential diagnosis, and outcome of 35 cases. Am J Surg Pathol 34(2):223–230CrossRefPubMed Chaux A, Soares F, Rodríguez I et al (2010) Papillary squamous cell carcinoma, not otherwise specified (NOS) of the penis: clinicopathologic features, differential diagnosis, and outcome of 35 cases. Am J Surg Pathol 34(2):223–230CrossRefPubMed
4.
go back to reference Velazquez EF, Melamed J, Barreto JE et al (2005) Sarcomatoid carcinoma of the penis: a clinicopathologic study of 15 cases. Am J Surg Pathol 29(9):1152–1158CrossRefPubMed Velazquez EF, Melamed J, Barreto JE et al (2005) Sarcomatoid carcinoma of the penis: a clinicopathologic study of 15 cases. Am J Surg Pathol 29(9):1152–1158CrossRefPubMed
5.
go back to reference Chaux A, Caballero C, Soares F et al (2009) The prognostic index: a useful pathologic guide for prediction of nodal metastases and survival in penile squamous cell carcinoma. Am J Surg Pathol 33(7):1049–1057CrossRefPubMed Chaux A, Caballero C, Soares F et al (2009) The prognostic index: a useful pathologic guide for prediction of nodal metastases and survival in penile squamous cell carcinoma. Am J Surg Pathol 33(7):1049–1057CrossRefPubMed
6.
go back to reference Oertell J, Caballero C, Iglesias M et al (2011) Differentiated precursor lesions and low-grade variants of squamous cell carcinomas are frequent findings in foreskins of patients from a region of high penile cancer incidence. Histopathology 58(6):925–933CrossRefPubMed Oertell J, Caballero C, Iglesias M et al (2011) Differentiated precursor lesions and low-grade variants of squamous cell carcinomas are frequent findings in foreskins of patients from a region of high penile cancer incidence. Histopathology 58(6):925–933CrossRefPubMed
7.
go back to reference Sanchez DF, Soares F, Alvarado-Cabrero I et al (2015) Pathological factors, behavior, and histological prognostic risk groups in subtypes of penile squamous cell carcinomas (SCC). Semin Diagn Pathol 32(3):222–231CrossRefPubMed Sanchez DF, Soares F, Alvarado-Cabrero I et al (2015) Pathological factors, behavior, and histological prognostic risk groups in subtypes of penile squamous cell carcinomas (SCC). Semin Diagn Pathol 32(3):222–231CrossRefPubMed
8.
go back to reference Chaux A, Reuter V, Lezcano C et al (2009) Comparison of morphologic features and outcome of resected recurrent and nonrecurrent squamous cell carcinoma of the penis: a study of 81 cases. Am J Surg Pathol 33(9):1299–1306CrossRefPubMed Chaux A, Reuter V, Lezcano C et al (2009) Comparison of morphologic features and outcome of resected recurrent and nonrecurrent squamous cell carcinoma of the penis: a study of 81 cases. Am J Surg Pathol 33(9):1299–1306CrossRefPubMed
9.
go back to reference Cunha IW, Souza MJ, da Costa WH et al (2016) Epithelial-mesenchymal transition (EMT) phenotype at invasion front of squamous cell carcinoma of the penis influences oncological outcomes. Urol Oncol 34(10):433.e19–433.e26CrossRef Cunha IW, Souza MJ, da Costa WH et al (2016) Epithelial-mesenchymal transition (EMT) phenotype at invasion front of squamous cell carcinoma of the penis influences oncological outcomes. Urol Oncol 34(10):433.e19–433.e26CrossRef
Metadata
Title
Mixed papillary-sarcomatoid carcinoma of the penis: report of an aggressive subtype
Authors
Graziele Bovolim
Walter Henriques da Costa
Gustavo Cardoso Guimaraes
Fernando Augusto Soares
Isabela Werneck da Cunha
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
Virchows Archiv / Issue 6/2017
Print ISSN: 0945-6317
Electronic ISSN: 1432-2307
DOI
https://doi.org/10.1007/s00428-017-2191-2

Other articles of this Issue 6/2017

Virchows Archiv 6/2017 Go to the issue