Primary Sclerosing Cholangitis-Associated Cholangiocarcinoma Demonstrates High Intertumor and Intratumor Heterogeneity.
Annemarie C de VriesMaikel P PeppelenboschMichail DoukasJoanne VerheijCyriel Y PonsioenRonald van MarionMarco J BrunoBas Groot KoerkampWinand N M DinjensAnnemarie C de VriesPublished in: Clinical and translational gastroenterology (2021)
PSC-associated CCA is characterized by high intertumor and intratumor heterogeneity of both p53/p16 protein expression and genetic alterations in TP53/CDKN2A, indicating that these tumors consist of multiple subclones with substantially different genetic makeup. The high intertumor and intratumor heterogeneity in PSC-CCA should be acknowledged during the development of diagnostic and therapeutic strategies.