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Tumor Progression02:07

Tumor Progression

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Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
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Related Experiment Video

Updated: Aug 28, 2025

A Mouse Model of Incompletely Resected Soft Tissue Sarcoma for Testing Neoadjuvant Therapies
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Updates in Pathology for Retroperitoneal Soft Tissue Sarcoma.

Tanner Mack1,2, Bibianna Purgina1,2

  • 1Department of Pathology and Laboratory Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, ON K1H 8L6, Canada.

Current Oncology (Toronto, Ont.)
|September 22, 2022
PubMed
Summary

Retroperitoneal soft tissue tumors are rare, with most being malignant sarcomas. This review details their pathology, aiding surgical oncologists in diagnosing and treating these challenging tumors.

Keywords:
GISTleiomyosarcomaliposarcomamalignant peripheral nerve sheath tumormolecularpathologyretroperitoneumsarcomasolitary fibrous tumor

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Area of Science:

  • Oncology
  • Pathology
  • Surgical Oncology

Background:

  • Retroperitoneal tumors are exceptionally rare, with over 70% of primary soft tissue types being malignant.
  • Common retroperitoneal sarcomas include liposarcoma and leiomyosarcoma, but other sarcomas and benign mesenchymal tumors also occur.
  • The heterogeneity and overlapping microscopic features of sarcomas present diagnostic challenges for pathologists.

Purpose of the Study:

  • To review the pathology of retroperitoneal soft tissue sarcomas for surgical oncologists.
  • To discuss less common sarcomas and benign mesenchymal tumors that can mimic sarcomas.
  • To highlight the importance of accurate tumor classification for prognostication and targeted therapies.

Main Methods:

  • Literature review focusing on the pathology of retroperitoneal soft tissue tumors.
  • Discussion of common and uncommon sarcomas.
  • Inclusion of benign mesenchymal tumors that mimic sarcomas.

Main Results:

  • Primary retroperitoneal soft tissue tumors are predominantly malignant sarcomas.
  • Liposarcoma and leiomyosarcoma are the most frequent types.
  • Accurate classification is crucial for patient outcomes and treatment selection.

Conclusions:

  • Understanding the pathology of retroperitoneal sarcomas is vital for surgical oncologists.
  • Distinguishing between malignant sarcomas and benign mimics is critical.
  • Precise diagnosis impacts prognostication and the application of novel therapeutic strategies.