Osseous metaplasia in colonic adenocarcinoma
Tzioufa B., Iordanidis F., Vrettou E., Papadimitriou C.
Department of Pathology, Medical School, Aristotle University
of Thessaloniki
Osseous metaplasia is a rare phenomenon in the gastrointestinal
tract. It has been reported in association with benign and malignant
tumors. Here we report two cases of metaplastic ossification occuring
in colonic adenocarcinomas. In both cases well formed bony spicules
were present adjacent to epithelial cells. There was also intense
fibroblastic proliferation in the stroma surrounding the bony
spicules. In the first case osseous metaplasia was present in
association with mucinous leakage. In the second case there was
tumor necrosis close to bony spicules. The pathogenesis of osseous
metaplasia in colorectal tumors remains unclear.
Key words: Osseous metaplasia, adenocarcinoma, colon.
|