Appendiceal Adenocarcinoma (AA) is a rare gastrointestinal cancer with no FDA-approved targeted therapies. Here, we retrospectively compare BRAF-mutant AA and colorectal cancer (CRC). BRAF mutation is rare in AA (3%). Unlike CRC, BRAF AA is not associated with poor prognosis, female sex, microsatellite instability, mucinous histology, or poor differentiation. In both cancers, BRAF but not atypical BRAF mutations are mutually exclusive with other Ras-activating mutations. BRAF + EGFR inhibition shows efficacy in BRAF AA (disease control rate = 80%, median progression-free survival = 7.1 months).
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http://dx.doi.org/10.1038/s41698-025-00821-z | DOI Listing |
bioRxiv
February 2025
Molecular Pharmacology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Peritoneal carcinomatosis is a common yet deadly manifestation of gastrointestinal cancers, with few effective treatments. To identify targetable determinants of peritoneal metastasis, we focused on appendiceal adenocarcinoma (AC), a gastrointestinal cancer that metastasizes almost exclusively to the peritoneum. Current treatments are extrapolated from colorectal cancer (CRC), yet AC has distinct genomic alterations, mucinous morphology and peritoneum restricted metastatic pattern.
View Article and Find Full Text PDFAsian Pac J Cancer Prev
February 2025
Department of General Surgery, Ibra Referral Hospital, Ibra, Oman.
Objective: To study the incidence of malignancy as well as neoplasia in the appendicectomy specimens routinely sent for histopathology.
Methods: We conducted this retrospective cohort study of 947 patients diagnosed with acute appendicitis with subsequent appendectomy in the period between 1 January 2018 and 31 December 2022 (5 years) at Ibra hospital, North Sharqiya, Sultanate of Oman. We analyzed the clinical data of the cohort including demographic information, diagnosis, pre-operative imaging, histological diagnosis and incidence of malignancy in appendicectomy specimens.
Int J Clin Oncol
February 2025
Department of Medical Oncology, Tohoku University Hospital, Sendai, Japan.
Background: Appendiceal carcinoma (AC) is a rare malignancy and has distinct genomic features, but their impact on prognosis and chemotherapy efficacy requires further investigation.
Methods: This retrospective study analyzed patients with advanced AC from the Japanese nationwide comprehensive genomic profiling test database, the Center for Cancer Genomics and Advanced Therapeutics (C-CAT) database, focusing on genetic alterations and their associations with clinical outcomes.
Results: Of the 314 patients, the histological types Queryincluded adenocarcinoma (Ad) (51.
Front Genet
February 2025
Division of Oncology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Introduction: Appendiceal mucinous neoplasms (AMN) are rare tumors of the gastrointestinal tract. They metastasize with widespread abdominal dissemination leading to pseudomyxoma peritonei (PMP), a disease with poor prognosis. There are many unknowns about the cellular features of origin, differentiation and progression of AMN and PMP.
View Article and Find Full Text PDFSurg Oncol Clin N Am
April 2025
Allegheny Health Network Cancer Institute, Division of Surgical Oncology, 320 East North Avenue, Pittsburgh, PA 15212, USA. Electronic address:
Peritoneal surface malignancies (PSM) includes an expansive disease spectrum, ranging from low-grade appendiceal mucinous neoplasm to metastatic processes from invasive adenocarcinomas of the gastrointestinal tract. Management of PSM faces numerous challenges, from diagnosis to delivery of care, both from a treatment and navigational standpoint. This article outlines the various hurdles faced at different branch points and current management recommendations.
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