Human pathology

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colorectal adenomas

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Tubulous microadenoma in FAP Tubulous microadenoma in FAP Tubulous microadenoma in FAP Colorectal tubulous adenoma Familial adenomatous polyposis (FAP) Familial adenomatous polyposis (FAP) Familial adenomatous polyposis (FAP) Familial adenomatous polyposis (FAP)
colorectal adenoma

Cytogenetics

- gain of chromosome 7 (most frequent anomaly)

- trisomy 20
- tumoral trisomy 13
- nosomy 18

- arrangement of chromosome 1

  • 1p deletion
  • del(1)(p36) (1p36 deletion)

- loss of 8p
- gain of 8q

Molecular biology

Genetic alterations occur during the adenoma-carcinoma sequence of colon cancer formation and drive the initiation and progression of colon cancer formation. The aberrant methylation of genes is an alternate, epigenetic mechanism for silencing tumor suppressor genes in colon cancer.

Videos

- Polypectomy of a rectal polyp

References

- Kim YH, Petko Z, Dzieciatkowski S, Lin L, Ghiassi M, Stain S, Chapman WC, Washington MK, Willis J, Markowitz SD, Grady WM. CpG island methylation of genes accumulates during the adenoma progression step of the multistep pathogenesis of colorectal cancer. Genes Chromosomes Cancer. 2006 Aug;45(8):781-9. PMID: 16708352

- Bomme L, Bardi G, Pandis N, Fenger C, Kronborg O, Heim S. Chromosome abnormalities in colorectal adenomas: two cytogenetic subgroups characterized by deletion of 1p and numerical aberrations. Hum Pathol. 1996 Nov;27(11):1192-7. PMID: 8912830