Downregulation of SMOC1 is associated with progression of colorectal traditionalserratedadenomas. Aberrant DNA methylation is prevalent in colorectal serrated lesions. We previously reported that the CpG island of SMOC1 is frequently methylated in traditionalserratedadenomas (TSAs) and colorectal cancers (CRCs) but is rarely methylated in sessile serrated lesions (SSLs). In the present study
Baseline Characteristics and Longitudinal Outcomes of TraditionalSerratedAdenomas: A Cohort Study. Traditionalserratedadenomas (TSAs) may confer increased risk for colorectal cancer (CRC). Our objective with this study was to examine clinical characteristics and long-term outcomes associated with TSA diagnosis. We conducted a retrospective cohort study of U.S. Veterans ≥18 years of age
Chromosome Engineering of Human Colon-Derived Organoids to Develop a Model of TraditionalSerratedAdenoma. Traditionalserratedadenomas (TSAs) are rare colorectal polyps with unique histologic features. Fusions in R-spondin genes have been found in TSAs, but it is not clear whether these are sufficient for TSA development, due to the lack of a chromosome engineering platform for human tissues
Traditionalserratedadenoma has two distinct genetic pathways for molecular tumorigenesis with potential neoplastic progression. Recent studies have shown that traditionalserratedadenoma (TSA) can be classified into BRAF and KRAS subtypes. Here, we examined the clinicopathological and molecular findings of 73 TSAs. TSAs were subclassified into BRAF type (46 cases, type A) and KRAS type (27
Clinicopathological and molecular correlations in traditionalserratedadenoma. Traditionalserratedadenoma (TSA) is the least common type of colorectal serrated polyp, which exhibits considerable morphological and molecular diversity. We examined the spectra of alterations in MAPK and WNT pathway genes and their relationship with clinicopathological features in 128 TSAs. Sequencing analyses
Clinicopathologic and Molecular Characteristics of Familial Adenomatous Polyposis-associated TraditionalSerratedAdenoma. Colorectal carcinogenesis in familial adenomatous polyposis (FAP) follows a conventional adenoma-carcinoma sequence. However, previous studies have also reported the occurrence of traditionalserratedadenomas (TSAs) in patients with FAP. In the present study, we analyzed
Risk Factors of TraditionalSerratedAdenoma and Clinicopathological Characteristics of Synchronous Conventional Adenoma. Traditionalserratedadenoma (TSA) is rare and known to have a malignant potential. We aimed to investigate the prevalence and risk factors of TSA and compare the characteristics of synchronous conventional adenoma (AD) in patients with TSA with those of AD in patients
EIF3E-RSPO2 and PIEZO1-RSPO2 fusions in colorectal traditionalserratedadenoma. Traditionalserratedadenoma (TSA) is an uncommon type of colorectal serrated polyp. RSPO fusions, which potentiate WNT signalling, are common and characteristic genetic alterations in TSA. The aim of this study was to further characterise the prevalence and variation of RSPO fusions in TSA. Quantitative polymerase
Acquisition of WNT Pathway Gene Alterations Coincides With the Transition From Precursor Polyps to TraditionalSerratedAdenomas. Colorectal traditionalserratedadenomas (TSAs) are often associated with precursor polyps, including hyperplastic polyps and sessile serrated adenoma/polyps. To elucidate the molecular mechanisms involved in the progression from precursor polyps to TSAs, the present
A morphological and molecular study of proposed early forms of traditionalserratedadenoma. Traditionalserratedadenoma (TSA) is the least common subtype of serrated colorectal polyp. Large protuberant lesions are easily recognised; however, the origins of TSAs are not known, and early forms have not been described. Some large TSAs present with a flat 'shoulder' component surrounding
DNA content analysis of colorectal serrated lesions detects an aneuploid subset of inflammatory bowel disease-associated serrated epithelial change and traditionalserratedadenomas. Serrated lesions (SLs), including sessile serrated adenoma (SSA) and traditionalserratedadenoma (TSA), are important premalignant lesions for colorectal cancer (CRC). Although a small subset of SLs are known
Immunohistochemical and genetic characteristics of a colorectal mucin-rich variant of traditionalserratedadenoma. Recently, several morphological variants of traditionalserratedadenoma (TSA) of the colorectum have been recognised, and mucin-rich TSA (MR-TSA) and serrated tubulovillous adenoma (S-TVA) were introduced as distinct morphological variants separate from conventional TSA (C-TSA
Identification of risk factors for sessile and traditionalserratedadenomas of the colon by using big data analysis. Little is known about the risk factors associated with serrated polyps, because the early studies, which occurred before the new World Health Organization classification was introduced, included mixtures of serrated polyps. This study aimed to evaluate the risk factors associated with the presence of sessile serrated adenomas (SSAs) and traditionalserratedadenomas (TSAs) using big data analytics. Using a case-control design, we evaluated the risk factors associated with the presence of SSAs and TSAs. Subjects who underwent colonoscopies from 2002 to 2012 as part of the comprehensive health screening programs undertaken at the Samsung Medical Center, Korea, participated in this study
Case of pediatric traditionalserratedadenoma resected via endoscopic submucosal dissection Traditionalserratedadenoma (TSA) is a type of serrated polyp of the colorectum and is thought to be a precancerous lesion. There are three types of serrated polyps, namely, hyperplastic polyps, sessile serrated adenomas/polyps, and TSAs. TSA is the least common of the three types and accounts for about
Epigenetic silencing of SMOC1 in traditionalserratedadenoma and colorectal cancer Colorectal sessile serrated adenoma/polyps (SSA/Ps) are well-known precursors of colorectal cancer (CRC) characterized by mutation and microsatellite instability. By contrast, the molecular characteristics of traditionalserratedadenoma (TSAs) are not fully understood. We analyzed genome-wide DNA methylation
GNAS mutations are present in colorectal traditionalserratedadenomas, serrated tubulovillous adenomas and serrated adenocarcinomas with adverse prognostic features. Activating mutations in GNAS are important in the development of a range of neoplasms, including a small proportion of conventional adenomas and colorectal carcinomas (CRCs). However, their contribution to serrated pathway neoplasia is unclear, as mutations have only been examined in small series of sessile serrated adenomas (SSAs) and traditionalserratedadenomas (TSAs), and not in serrated tubulovillous adenomas (sTVAs). The aim of this study was to investigate the frequency and significance of GNAS mutations in colorectal adenomas and CRCs. Using a large, well-characterized series, we identified GNAS mutations in 9.2
Comprehensive characterization of RSPO fusions in colorectal traditionalserratedadenomas. Traditionalserratedadenoma (TSA) is a rare but distinct type of colorectal polyp. Our previous study showed that PTPRK-RSPO3 fusions are frequent and characteristic genetic alterations in TSAs. This study aimed to characterize comprehensively the prevalence and variability of RSPO fusions in colorectal
Mucin-rich variant of traditionalserratedadenoma: a distinct morphological variant. Traditionalserratedadenomas (TSAs) account for 5% of serrated polyps, and have a villiform architecture, eosinophilic cells with a brush border, and indented, flat-topped luminal serrations. However, some are composed of mucin-filled goblet cells (GCs): mucin-rich TSA (MrTSA). The aim of this study
RNF43 Is an Early and Specific Mutated Gene in the Serrated Pathway, With Increased Frequency in TraditionalSerratedAdenoma and Its Associated Malignancy. RNF43 is an E3 ligase that suppresses the Wnt/β-catenin signaling pathway and is frequently mutated in microsatellite-unstable colorectal carcinoma. To investigate the pathogenetic role of RNF43 in the serrated pathway, we conducted mutation analysis of RNF43 in several types of colorectal neoplasms. RNF43 mutation was found in 2 of 20 (10%) sessile serrated adenomas, 10 of 36 (28%) traditionalserratedadenomas, 7 of 37 (19%) traditionalserratedadenomas with cytologic dysplasia, and 9 of 31 (29%) BRAF-mutated/microsatellite-stable colorectal carcinomas; however, no mutation was found in 30 tubulovillous/villous adenomas. All mutations
Traditionalserratedadenomas and serrated carcinomas in carcinogen-treated rats. A recent review of archived sections from early experiments in rats showed neoplasias exhibiting serrated configurations. The aim was to assess the frequency of serrated neoplasias in the colon and small intestine of carcinogen-treated rats. While reviewing archival sections from early experiments in Sprague-Dawley (SD) and Fisher-344 (F-344) rats, we recently detected colonic and intestinal traditionalserratedadenomas (displaying serrated or microtubular patterns) and serrated carcinomas. SD rats were injected 1,2-dimethylhydrazine (DMH) for 27 weeks whereas F-344 rats were fed with a pyrolysate (GLU-1) for 24 months. Filed sections from 358 colonic and small intestinal neoplasias were re-evaluated. DMH