Lung carcinosarcoma

Lung carcinosarcomas are uncommon malignant biphasic tumours classified as a subtype of sarcomatoid tumours of the lung

It is rare and thought to account for <1% of all lung cancers. There may be a greater male predilection with tumour generally occurring heavy smokers with peak occurrence between the 5th to 8th decades of life 1.

It is defined by coexisting histologic elements of carcinomatous (typically squamous cell carcinoma or adenocarcinoma) and sarcomatous components (eg. rhabdomyosarcoma, chondrosarcoma, and osteosarcoma).

  • TP53 mutations are often present 4
  • KRAS mutations are less frequent 4
  • EGFR mutations are very uncommon 4

Overall prognosis is generally considered poor 1. Some authors suggest carcinomatous portion tending to metastasise to regional lymph nodes whereas the sarcomatous part favouring systemic dissemination 2

Chest

Article information

rID: 74652
System: Oncology, Chest
Synonyms or Alternate Spellings:
  • Primary pulmonary carcinosarcoma
  • Carcinosarcoma of lungs
  • Pulmonary carcinosarcoma
  • Carcinosarcoma of the lung

Support Radiopaedia and see fewer ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.