Analysis of K-ras, BRAF, and PIK3CA mutations in laterally-spreading tumors of the colorectum

Eisuke Kaji, Jun Kato, Hideyuki Suzuki, Mitsuhiro Akita, Joichiro Horii, Shunsuke Saito, Reiji Higashi, Shin Ishikawa, Motoaki Kuriyama, Sakiko Hiraoka, Toshio Uraoka, Kazuhide Yamamoto

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)


Background and Aims: Laterally-spreading tumors (LST) are a newly-recognized category of colorectal neoplasia, and are defined as lesions larger than 10mm in diameter and extending circumferentially rather than vertically. However, genetic features of this new category of tumors are not fully elucidated. The aim of this study was to evaluate genetic alterations in LST. Methods: We examined K-ras, BRAF, and phosphoinositide-3-kinase catalytic-α polypeptide (PIK3CA) mutations in 101 LST, including 68 LST-granular type (LST-G) and 33 LST-non-granular type by direct sequencing. As controls, we examined these gene mutations in 66 protruded colon adenomas (10mm or larger) and 44 advanced colon cancers. Results: K-ras, BRAF, and PIK3CA mutations were observed in 59 (58%), zero (0%), and three (3%) LST, respectively. LST-G morphology in the right-sided colon was significantly correlated with the existence of K-ras mutations, whereas a size of 20mm or larger was the only predictor of mutations in the left-sided colorectum. The frequency of K-ras mutations in LST was particularly marked in the left-sided colorectum compared to protruded adenomas or advanced cancers (LST vs protruded adenomas, P<0.001; LST vs advanced cancers, P=0.002), whereas in the right-sided colon, K-ras mutations were equally frequent. PIK3CA mutations were not familiar in either LST (3%) or advanced cancers (9%). Conclusions: K-ras mutations were involved in colorectal LST in different manners according to tumor location.

Original languageEnglish
Pages (from-to)599-607
Number of pages9
JournalJournal of Gastroenterology and Hepatology (Australia)
Issue number3
Publication statusPublished - Mar 2011


  • BRAF
  • K-ras
  • Laterally-spreading tumor
  • Phosphoinositide-3-kinase catalytic-α polypeptide

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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