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Published in: Virchows Archiv 3/2014

01-03-2014 | Invited Review

Prognostic biomarkers in colorectal cancer: where do we stand?

Author: Xavier Sagaert

Published in: Virchows Archiv | Issue 3/2014

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Abstract

Colorectal cancer remains a major cause of cancer-related death worldwide. One way to reduce its staggering mortality rate and socio-economic burden is to predict outcome based on the aggressiveness of the tumor biology in order to treat patients accordingly to their risk profile. As such, it comes as no surprise that prognostic biomarker discovery is a hot topic in colorectal cancer research. The last two decades have literally produced tons of new data and an avalanche of potential clinically applicable biomarkers. This review explores and summarizes data concerning the prognostic strength and clinical utility of current and future tissue biomarkers in the diagnosis and treatment of colorectal cancer.
Literature
1.
go back to reference Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. CA Cancer J Clin 61:69–90PubMed Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. CA Cancer J Clin 61:69–90PubMed
2.
go back to reference Center MM, Jemal A, Smith RA, Ward E (2009) Worldwide variations in colorectal cancer. CA Cancer J Clin 59:366–378PubMed Center MM, Jemal A, Smith RA, Ward E (2009) Worldwide variations in colorectal cancer. CA Cancer J Clin 59:366–378PubMed
3.
go back to reference Edge SB, Compton CC (2010) The American Joint Committee on Cancer: the 7th edition of the AJCC Cancer Staging Manual and the future of TNM. Ann Surg Oncol 17:1471–1474PubMed Edge SB, Compton CC (2010) The American Joint Committee on Cancer: the 7th edition of the AJCC Cancer Staging Manual and the future of TNM. Ann Surg Oncol 17:1471–1474PubMed
4.
go back to reference Compton CC (1999) Pathology report in colon cancer: what is prognostically important? Digest Dis 17:67–79 Compton CC (1999) Pathology report in colon cancer: what is prognostically important? Digest Dis 17:67–79
5.
go back to reference O'Connell JB, Maggard MA, Ko CY (2004) Colon cancer survival rates with the new American Joint Committee on cancer sixth edition staging. J Natl Cancer Inst 96:1420–1425PubMed O'Connell JB, Maggard MA, Ko CY (2004) Colon cancer survival rates with the new American Joint Committee on cancer sixth edition staging. J Natl Cancer Inst 96:1420–1425PubMed
6.
go back to reference Wiggers T, Arends JW, Volovics A (1988) Regression-analysis of prognostic factors in colorectal-cancer after curative resections. Dis Colon Rectum 31:33–41PubMed Wiggers T, Arends JW, Volovics A (1988) Regression-analysis of prognostic factors in colorectal-cancer after curative resections. Dis Colon Rectum 31:33–41PubMed
7.
go back to reference Chapuis PH, Dent OF, Fisher R et al (1985) A multivariate-analysis of clinical and pathological variables in prognosis after resection of large bowel-cancer. Br J Surg 72:698–702PubMed Chapuis PH, Dent OF, Fisher R et al (1985) A multivariate-analysis of clinical and pathological variables in prognosis after resection of large bowel-cancer. Br J Surg 72:698–702PubMed
8.
go back to reference Takahashi T, Kato T, Kodaira S et al (1996) Prognostic factors of colorectal cancer—results of multivariate analysis of curative resection cases with or without adjuvant chemotherapy. Am J Clin Oncol-Canc 19:408–415 Takahashi T, Kato T, Kodaira S et al (1996) Prognostic factors of colorectal cancer—results of multivariate analysis of curative resection cases with or without adjuvant chemotherapy. Am J Clin Oncol-Canc 19:408–415
9.
go back to reference Shepherd NA, Baxter KJ, Love SB (1997) The prognostic importance of peritoneal involvement in colonic cancer: a prospective evaluation. Gastroenterology 112:1096–1102PubMed Shepherd NA, Baxter KJ, Love SB (1997) The prognostic importance of peritoneal involvement in colonic cancer: a prospective evaluation. Gastroenterology 112:1096–1102PubMed
10.
go back to reference Steward C, Hillery S, Platell C, Puppa G (2011) Assessment of serosal invasion and criteria for the classification of pathological (p) T4 staging in colorectal carcinoma: confusions, controversies and criticisms. Cancers 3:164–181 Steward C, Hillery S, Platell C, Puppa G (2011) Assessment of serosal invasion and criteria for the classification of pathological (p) T4 staging in colorectal carcinoma: confusions, controversies and criticisms. Cancers 3:164–181
11.
go back to reference Washington MK, Berlin J, Branton PA et al (2008) Protocol for the examination of specimens from patients with primary carcinomas of the colon and rectum. Arch Pathol Lab Med 132:1182–1193PubMed Washington MK, Berlin J, Branton PA et al (2008) Protocol for the examination of specimens from patients with primary carcinomas of the colon and rectum. Arch Pathol Lab Med 132:1182–1193PubMed
12.
go back to reference Lennon AM, Mulcahy HE, Hyland JMP et al (2003) Peritoneal involvement in stage II colon cancer. Am J Clin Pathol 119:108–113PubMed Lennon AM, Mulcahy HE, Hyland JMP et al (2003) Peritoneal involvement in stage II colon cancer. Am J Clin Pathol 119:108–113PubMed
13.
go back to reference Douard R, Cugnenc PH, Wind P, Benichou J (2004) Peritoneal involvement and free tumor cells in peritoneal cavity of patients with colon cancer. Am J Clin Pathol 121:154–155PubMed Douard R, Cugnenc PH, Wind P, Benichou J (2004) Peritoneal involvement and free tumor cells in peritoneal cavity of patients with colon cancer. Am J Clin Pathol 121:154–155PubMed
14.
go back to reference Wolmark N, Fisher B, Wieand HS (1986) The prognostic value of the modifications of the Dukes-C class of colorectal-cancer—an analysis of the Nsabp Clinical-Trials. Ann Surg 203:115–122PubMedCentralPubMed Wolmark N, Fisher B, Wieand HS (1986) The prognostic value of the modifications of the Dukes-C class of colorectal-cancer—an analysis of the Nsabp Clinical-Trials. Ann Surg 203:115–122PubMedCentralPubMed
15.
go back to reference Greene FL, Stewart AK, Norton HJ (2002) A new TNM staging strategy for node-positive (stage III) colon cancer—an analysis of 50,042 patients. Ann Surg 236:416–421PubMedCentralPubMed Greene FL, Stewart AK, Norton HJ (2002) A new TNM staging strategy for node-positive (stage III) colon cancer—an analysis of 50,042 patients. Ann Surg 236:416–421PubMedCentralPubMed
16.
go back to reference Swanson RS, Compton CC, Stewart AK, Bland KI (2003) The prognosis of T3N0 colon cancer is dependent on the number of lymph nodes examined. Ann Surg Oncol 10:65–71PubMed Swanson RS, Compton CC, Stewart AK, Bland KI (2003) The prognosis of T3N0 colon cancer is dependent on the number of lymph nodes examined. Ann Surg Oncol 10:65–71PubMed
17.
go back to reference Chen SL, Bilchik AJ (2006) More extensive nodal dissection improves survival for stages I to III of colon cancer—a population-based study. Ann Surg 244:602–610PubMedCentralPubMed Chen SL, Bilchik AJ (2006) More extensive nodal dissection improves survival for stages I to III of colon cancer—a population-based study. Ann Surg 244:602–610PubMedCentralPubMed
18.
go back to reference Tepper JE, O'Connell MJ, Niedzwiecki D et al (2001) Impact of number of nodes retrieved on outcome in patients with rectal cancer. J Clin Oncol 19:157–163PubMed Tepper JE, O'Connell MJ, Niedzwiecki D et al (2001) Impact of number of nodes retrieved on outcome in patients with rectal cancer. J Clin Oncol 19:157–163PubMed
19.
go back to reference Chang GJ, Rodriguez-Bigas MA, Skibber JM, Moyer VA (2007) Lymph node evaluation and survival after curative resection of colon cancer: systematic review. J Natl Cancer Inst 99:433–441PubMed Chang GJ, Rodriguez-Bigas MA, Skibber JM, Moyer VA (2007) Lymph node evaluation and survival after curative resection of colon cancer: systematic review. J Natl Cancer Inst 99:433–441PubMed
20.
go back to reference Johnson PM, Porter GA, Ricciardi R, Baxter NN (2006) Increasing negative lymph node count is independently associated with improved long-term survival in stage IIIB and IIIC colon cancer. J Clin Oncol 24:3570–3575PubMed Johnson PM, Porter GA, Ricciardi R, Baxter NN (2006) Increasing negative lymph node count is independently associated with improved long-term survival in stage IIIB and IIIC colon cancer. J Clin Oncol 24:3570–3575PubMed
21.
go back to reference Le Voyer TE, Sigurdson ER, Hanlon AL et al (2003) Colon cancer survival is associated with increasing number of lymph nodes analyzed: a secondary survey of Intergroup Trial INT-0089. J Clin Oncol 21:2912–2919PubMed Le Voyer TE, Sigurdson ER, Hanlon AL et al (2003) Colon cancer survival is associated with increasing number of lymph nodes analyzed: a secondary survey of Intergroup Trial INT-0089. J Clin Oncol 21:2912–2919PubMed
22.
go back to reference Baxter NN, Ricciardi R, Simunovic M, Urbach DR, Virnig BA (2010) An evaluation of the relationship between lymph node number and staging in pT3 colon cancer using population-based data. Dis Colon Rectum 53:65–70PubMed Baxter NN, Ricciardi R, Simunovic M, Urbach DR, Virnig BA (2010) An evaluation of the relationship between lymph node number and staging in pT3 colon cancer using population-based data. Dis Colon Rectum 53:65–70PubMed
23.
go back to reference Berger AC, Sigurdson ER, LeVoyer T et al (2005) Colon cancer survival is associated with decreasing ratio of metastatic to examined lymph nodes. J Clin Oncol 23:8706–8712PubMed Berger AC, Sigurdson ER, LeVoyer T et al (2005) Colon cancer survival is associated with decreasing ratio of metastatic to examined lymph nodes. J Clin Oncol 23:8706–8712PubMed
24.
go back to reference Ceelen W, Van Nieuwenhove Y, Pattyn P (2010) Prognostic value of the lymph node ratio in stage III colorectal cancer: a systematic review. Ann Surg Oncol 17:2847–2855PubMed Ceelen W, Van Nieuwenhove Y, Pattyn P (2010) Prognostic value of the lymph node ratio in stage III colorectal cancer: a systematic review. Ann Surg Oncol 17:2847–2855PubMed
25.
go back to reference Govindarajan A, Gonen M, Weiser MR et al (2011) Challenging the feasibility and clinical significance of current guidelines on lymph node examination in rectal cancer in the era of neoadjuvant therapy. J Clin Oncol 29:4568–4573PubMedCentralPubMed Govindarajan A, Gonen M, Weiser MR et al (2011) Challenging the feasibility and clinical significance of current guidelines on lymph node examination in rectal cancer in the era of neoadjuvant therapy. J Clin Oncol 29:4568–4573PubMedCentralPubMed
26.
go back to reference Goldstein NS, Turner JR (2000) Pericolonic tumor deposits in patients with T3N + M0 colon adenocarcinomas—markers of reduced disease free survival and intra-abdominal metastases and their implications for TNM classification. Cancer 88:2228–2238PubMed Goldstein NS, Turner JR (2000) Pericolonic tumor deposits in patients with T3N + M0 colon adenocarcinomas—markers of reduced disease free survival and intra-abdominal metastases and their implications for TNM classification. Cancer 88:2228–2238PubMed
27.
go back to reference Lo DS, Polleft A, Siu LL, Gallinger S, Burkes RL (2008) Prognostic significance of mesenteric tumor nodules in patients with stage III colorectal cancer. Cancer 112:50–54PubMed Lo DS, Polleft A, Siu LL, Gallinger S, Burkes RL (2008) Prognostic significance of mesenteric tumor nodules in patients with stage III colorectal cancer. Cancer 112:50–54PubMed
28.
go back to reference Belt EJT, van Stijn MFM, Bril H et al (2010) Lymph node negative colorectal cancers with isolated tumor deposits should be classified and treated as stage III. Ann Surg Oncol 17:3203–3211PubMedCentralPubMed Belt EJT, van Stijn MFM, Bril H et al (2010) Lymph node negative colorectal cancers with isolated tumor deposits should be classified and treated as stage III. Ann Surg Oncol 17:3203–3211PubMedCentralPubMed
29.
go back to reference Nagtegaal ID, Tot T, Jayne DG et al (2011) Lymph nodes, tumor deposits, and TNM: are we getting better? J Clin Oncol 29:2487–2492PubMed Nagtegaal ID, Tot T, Jayne DG et al (2011) Lymph nodes, tumor deposits, and TNM: are we getting better? J Clin Oncol 29:2487–2492PubMed
30.
go back to reference Paramo JC, Summerall J, Wilson C et al (2001) Intraoperative sentinel lymph node mapping in patients with colon cancer. Am J Surg 182:40–43PubMed Paramo JC, Summerall J, Wilson C et al (2001) Intraoperative sentinel lymph node mapping in patients with colon cancer. Am J Surg 182:40–43PubMed
31.
go back to reference Bernini A, Spencer M, Frizelle S et al (2000) Evidence for colorectal cancer micrometastases using reverse transcriptase–polymerase chain reaction analysis of MUC2 in lymph nodes. Cancer Detection Prevention 24:72–79PubMed Bernini A, Spencer M, Frizelle S et al (2000) Evidence for colorectal cancer micrometastases using reverse transcriptase–polymerase chain reaction analysis of MUC2 in lymph nodes. Cancer Detection Prevention 24:72–79PubMed
32.
go back to reference Bilchik AJ, Nora DT, Sabin LH et al (2003) Effect of lymphatic mapping on the new tumor-node-metastasis classification for colorectal cancer. J Clin Oncol 21:668–672PubMed Bilchik AJ, Nora DT, Sabin LH et al (2003) Effect of lymphatic mapping on the new tumor-node-metastasis classification for colorectal cancer. J Clin Oncol 21:668–672PubMed
33.
go back to reference Rahbari NN, Bork U, Motschall E et al (2012) Molecular detection of tumor cells in regional lymph nodes is associated with disease recurrence and poor survival in node-negative colorectal cancer: a systematic review and meta-analysis. J Clin Oncol 30:60–70PubMed Rahbari NN, Bork U, Motschall E et al (2012) Molecular detection of tumor cells in regional lymph nodes is associated with disease recurrence and poor survival in node-negative colorectal cancer: a systematic review and meta-analysis. J Clin Oncol 30:60–70PubMed
34.
go back to reference Mulcahy HE, Skelly MM, Husain A, O’Donoghue DP (1996) Long-term outcome following curative surgery for malignant large bowel obstruction. Br J Surg 83:46–50PubMed Mulcahy HE, Skelly MM, Husain A, O’Donoghue DP (1996) Long-term outcome following curative surgery for malignant large bowel obstruction. Br J Surg 83:46–50PubMed
35.
go back to reference Betge J, Pollheimer MJ, Lindtner RA et al (2012) Intramural and extramural vascular invasion in colorectal cancer prognostic significance and quality of pathology reporting. Cancer 118:628–638PubMed Betge J, Pollheimer MJ, Lindtner RA et al (2012) Intramural and extramural vascular invasion in colorectal cancer prognostic significance and quality of pathology reporting. Cancer 118:628–638PubMed
36.
go back to reference Takebayashi Y, Akiyama S, Yamada K, Akiba S, Aikou T (1996) Angiogenesis as an unfavorable prognostic factor in human colorectal carcinoma. Cancer 78:226–231PubMed Takebayashi Y, Akiyama S, Yamada K, Akiba S, Aikou T (1996) Angiogenesis as an unfavorable prognostic factor in human colorectal carcinoma. Cancer 78:226–231PubMed
37.
go back to reference Takahashi Y, Tucker SL, Kitadai Y et al (1997) Vessel counts and expression of vascular endothelial growth factor as prognostic factors in node-negative colon cancer. Arch Surg 132:541–546PubMed Takahashi Y, Tucker SL, Kitadai Y et al (1997) Vessel counts and expression of vascular endothelial growth factor as prognostic factors in node-negative colon cancer. Arch Surg 132:541–546PubMed
38.
go back to reference Hermanek P, Guggenmoosholzmann I, Gall FP (1989) Prognostic factors in rectal-carcinoma—a contribution to the further development of tumor classification. Dis Colon Rectum 32:593–599PubMed Hermanek P, Guggenmoosholzmann I, Gall FP (1989) Prognostic factors in rectal-carcinoma—a contribution to the further development of tumor classification. Dis Colon Rectum 32:593–599PubMed
39.
go back to reference Blenkinsopp WK, Stewartbrown S, Blesovsky L, Kearney G, Fielding LP (1981) Histopathology reporting in large bowel-cancer. J Clin Pathol 34:509–513PubMedCentralPubMed Blenkinsopp WK, Stewartbrown S, Blesovsky L, Kearney G, Fielding LP (1981) Histopathology reporting in large bowel-cancer. J Clin Pathol 34:509–513PubMedCentralPubMed
40.
go back to reference Betge J, Langner C (2011) Vascular invasion, perineural invasion, and tumour budding: predictors of outcome in colorectal cancer. Acta Gastro-Enterologica Belgica 74:516–529PubMed Betge J, Langner C (2011) Vascular invasion, perineural invasion, and tumour budding: predictors of outcome in colorectal cancer. Acta Gastro-Enterologica Belgica 74:516–529PubMed
41.
go back to reference Mitrovic B, Schaeffer DF, Riddell RH, Kirsch R (2012) Tumor budding in colorectal carcinoma: time to take notice. Mod Pathol 25:1315–1325PubMed Mitrovic B, Schaeffer DF, Riddell RH, Kirsch R (2012) Tumor budding in colorectal carcinoma: time to take notice. Mod Pathol 25:1315–1325PubMed
42.
go back to reference Prall F (2007) Tumour budding in colorectal carcinoma. Histopathology 50:151–162PubMed Prall F (2007) Tumour budding in colorectal carcinoma. Histopathology 50:151–162PubMed
43.
go back to reference Zlobec I, Lugli A (2010) Epithelial mesenchymal transition and tumor budding in aggressive colorectal cancer: tumor budding as oncotarget. Oncotarget 1:651–661PubMedCentralPubMed Zlobec I, Lugli A (2010) Epithelial mesenchymal transition and tumor budding in aggressive colorectal cancer: tumor budding as oncotarget. Oncotarget 1:651–661PubMedCentralPubMed
44.
go back to reference Halvorsen TB, Seim E (1989) Association between invasiveness, inflammatory reaction, desmoplasia and survival in colorectal-cancer. J Clin Pathol 42:162–166PubMedCentralPubMed Halvorsen TB, Seim E (1989) Association between invasiveness, inflammatory reaction, desmoplasia and survival in colorectal-cancer. J Clin Pathol 42:162–166PubMedCentralPubMed
45.
go back to reference Shepherd NA, Saraga EP, Love SB, Jass JR (1989) Prognostic factors in colonic-cancer. Histopathology 14:613–620PubMed Shepherd NA, Saraga EP, Love SB, Jass JR (1989) Prognostic factors in colonic-cancer. Histopathology 14:613–620PubMed
46.
go back to reference Morikawa T, Kuchiba A, Qian ZR et al (2012) Prognostic significance and molecular associations of tumor growth pattern in colorectal cancer. Ann Surg Oncol 19:1944–1953PubMedCentralPubMed Morikawa T, Kuchiba A, Qian ZR et al (2012) Prognostic significance and molecular associations of tumor growth pattern in colorectal cancer. Ann Surg Oncol 19:1944–1953PubMedCentralPubMed
47.
go back to reference Naito Y, Saito K, Shiiba K et al (1998) CD8(+) T cells infiltrated within cancer cell nests as a prognostic factor in human colorectal cancer. Cancer Res 58:3491–3494PubMed Naito Y, Saito K, Shiiba K et al (1998) CD8(+) T cells infiltrated within cancer cell nests as a prognostic factor in human colorectal cancer. Cancer Res 58:3491–3494PubMed
48.
go back to reference Chiba T, Ohtani H, Mizoi T et al (2004) Intraepithelial CD8(+) T-cell-count becomes a prognostic factor after a longer follow-up period in human colorectal carcinoma: possible association with suppression of micrometastasis. Br J Cancer 91:1711–1717PubMedCentralPubMed Chiba T, Ohtani H, Mizoi T et al (2004) Intraepithelial CD8(+) T-cell-count becomes a prognostic factor after a longer follow-up period in human colorectal carcinoma: possible association with suppression of micrometastasis. Br J Cancer 91:1711–1717PubMedCentralPubMed
49.
go back to reference Diederichsen ACP, Hjelmborg JV, Christensen PB, Zeuthen J, Fenger C (2003) Prognostic value of the CD4(+)/CD8(+) ratio of tumour infiltrating lymphocytes in colorectal cancer and HLA-DR expression on tumour cells. Cancer Immunol Immun 52:423–428 Diederichsen ACP, Hjelmborg JV, Christensen PB, Zeuthen J, Fenger C (2003) Prognostic value of the CD4(+)/CD8(+) ratio of tumour infiltrating lymphocytes in colorectal cancer and HLA-DR expression on tumour cells. Cancer Immunol Immun 52:423–428
50.
go back to reference Galon J, Costes A, Sanchez-Cabo F et al (2006) Type, density, and location of immune cells within human colorectal tumors predict clinical outcome. Science 313:1960–1964PubMed Galon J, Costes A, Sanchez-Cabo F et al (2006) Type, density, and location of immune cells within human colorectal tumors predict clinical outcome. Science 313:1960–1964PubMed
51.
go back to reference Guidoboni M, Gafa R, Viel A et al (2001) Microsatellite instability and high content of activated cytotoxic lymphocytes identify colon cancer patients with a favorable prognosis. Am J Pathol 159:297–304PubMedCentralPubMed Guidoboni M, Gafa R, Viel A et al (2001) Microsatellite instability and high content of activated cytotoxic lymphocytes identify colon cancer patients with a favorable prognosis. Am J Pathol 159:297–304PubMedCentralPubMed
52.
go back to reference Laghi L, Bianchi P, Miranda E et al (2009) CD3 + cells at the invasive margin of deeply invading (pT3-T4) colorectal cancer and risk of post-surgical metastasis: a longitudinal study. Lancet Oncol 10:877–884PubMed Laghi L, Bianchi P, Miranda E et al (2009) CD3 + cells at the invasive margin of deeply invading (pT3-T4) colorectal cancer and risk of post-surgical metastasis: a longitudinal study. Lancet Oncol 10:877–884PubMed
53.
go back to reference Pages F, Berger A, Camus M et al (2005) Effector memory T cells, early metastasis, and survival in colorectal cancer. N Engl J Med 353:2654–2666PubMed Pages F, Berger A, Camus M et al (2005) Effector memory T cells, early metastasis, and survival in colorectal cancer. N Engl J Med 353:2654–2666PubMed
54.
go back to reference Pages F, Kirilovsky A, Mlecnik B et al (2009) In situ cytotoxic and memory T cells predict outcome in patients with early-stage colorectal cancer. J Clin Oncol 27:5944–5951PubMed Pages F, Kirilovsky A, Mlecnik B et al (2009) In situ cytotoxic and memory T cells predict outcome in patients with early-stage colorectal cancer. J Clin Oncol 27:5944–5951PubMed
55.
go back to reference Prall F, Duhrkop T, Weirich V et al (2004) Prognostic role of CD8 + tumor-infiltrating lymphocytes in stage III colorectal cancer with and without microsatellite instability. Hum Pathol 35:808–816PubMed Prall F, Duhrkop T, Weirich V et al (2004) Prognostic role of CD8 + tumor-infiltrating lymphocytes in stage III colorectal cancer with and without microsatellite instability. Hum Pathol 35:808–816PubMed
56.
go back to reference Gosens MJEM, Klaassen RA, Tan-Go I et al (2007) Circumferential margin involvement is the crucial prognostic factor after multimodality treatment in patients with locally advanced rectal carcinoma. Clin Cancer Res 13:6617–6623PubMed Gosens MJEM, Klaassen RA, Tan-Go I et al (2007) Circumferential margin involvement is the crucial prognostic factor after multimodality treatment in patients with locally advanced rectal carcinoma. Clin Cancer Res 13:6617–6623PubMed
57.
go back to reference Nagtegaal ID, Marijnen CAA, Kranenbarg EK, van de Velde CJH, van Krieken JHJM (2002) Circumferential margin involvement is still an important predictor of local recurrence in rectal carcinoma—not one millimeter but two millimeters is the limit. Am J Surg Pathol 26:350–357PubMed Nagtegaal ID, Marijnen CAA, Kranenbarg EK, van de Velde CJH, van Krieken JHJM (2002) Circumferential margin involvement is still an important predictor of local recurrence in rectal carcinoma—not one millimeter but two millimeters is the limit. Am J Surg Pathol 26:350–357PubMed
58.
go back to reference Bernstein TE, Endreseth BH, Romundstad P, Wibe A (2009) Circumferential resection margin as a prognostic factor in rectal cancer. Br J Surg 96:1348–1357PubMed Bernstein TE, Endreseth BH, Romundstad P, Wibe A (2009) Circumferential resection margin as a prognostic factor in rectal cancer. Br J Surg 96:1348–1357PubMed
59.
go back to reference Nagtegaal ID, Quirke P (2008) What is the role for the circumferential margin in the modern treatment of rectal cancer? J Clin Oncol 26:303–312PubMed Nagtegaal ID, Quirke P (2008) What is the role for the circumferential margin in the modern treatment of rectal cancer? J Clin Oncol 26:303–312PubMed
60.
go back to reference den Dulk M, Putter H, Collette L et al (2009) The abdominoperineal resection itself is associated with an adverse outcome: the European experience based on a pooled analysis of five European randomised clinical trials on rectal cancer. Eur J Cancer 45:1175–1183 den Dulk M, Putter H, Collette L et al (2009) The abdominoperineal resection itself is associated with an adverse outcome: the European experience based on a pooled analysis of five European randomised clinical trials on rectal cancer. Eur J Cancer 45:1175–1183
61.
go back to reference den Dulk M, Krijnen P, Marijnen CAM et al (2008) Improved overall survival for patients with rectal cancer since 1990: the effects of TME surgery and pre-operative radiotherapy. Eur J Cancer 44:1710–1716 den Dulk M, Krijnen P, Marijnen CAM et al (2008) Improved overall survival for patients with rectal cancer since 1990: the effects of TME surgery and pre-operative radiotherapy. Eur J Cancer 44:1710–1716
62.
go back to reference Peeters KCMJ, Marijnen CAM, Nagtegaal ID et al (2007) The TME trial after a median follow-up of 6 years—increased local control but no survival benefit in irradiated patients with resectable rectal carcinoma. Ann Surg 246:693–701PubMed Peeters KCMJ, Marijnen CAM, Nagtegaal ID et al (2007) The TME trial after a median follow-up of 6 years—increased local control but no survival benefit in irradiated patients with resectable rectal carcinoma. Ann Surg 246:693–701PubMed
63.
go back to reference Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S (2009) Standardized surgery for colonic cancer: complete mesocolic excision and central ligation—technical notes and outcome. Colorectal Dis 11:354–364PubMed Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S (2009) Standardized surgery for colonic cancer: complete mesocolic excision and central ligation—technical notes and outcome. Colorectal Dis 11:354–364PubMed
64.
go back to reference Kapiteijn E, Marijnen CAM, Nagtegaal ID et al (2001) Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer. N Engl J Med 345:638–646PubMed Kapiteijn E, Marijnen CAM, Nagtegaal ID et al (2001) Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer. N Engl J Med 345:638–646PubMed
65.
go back to reference Ryan R, Gibbons D, Hyland JMP et al (2005) Pathological response following long-course neoadjuvant chemoradiotherapy for locally advanced rectal cancer. Histopathology 47:141–146PubMed Ryan R, Gibbons D, Hyland JMP et al (2005) Pathological response following long-course neoadjuvant chemoradiotherapy for locally advanced rectal cancer. Histopathology 47:141–146PubMed
66.
go back to reference Dworak O, Keilholz L, Hoffmann A (1997) Pathological features of rectal cancer after preoperative radiochemotherapy. Intl J Colorectal Dis 12:19–23 Dworak O, Keilholz L, Hoffmann A (1997) Pathological features of rectal cancer after preoperative radiochemotherapy. Intl J Colorectal Dis 12:19–23
67.
go back to reference Mandard AM, Dalibard F, Mandard JC et al (1994) Pathological assessment of tumor-regression after preoperative chemoradiotherapy of esophageal-carcinoma. Cancer 73:2680–2686PubMed Mandard AM, Dalibard F, Mandard JC et al (1994) Pathological assessment of tumor-regression after preoperative chemoradiotherapy of esophageal-carcinoma. Cancer 73:2680–2686PubMed
68.
go back to reference Hyngstrom JR, Hu CY, Xing Y et al (2012) Clinicopathology and outcomes for mucinous and signet ring colorectal adenocarcinoma: analysis from the National Cancer Data Base. Ann Surg Oncol 19:2814–2821PubMedCentralPubMed Hyngstrom JR, Hu CY, Xing Y et al (2012) Clinicopathology and outcomes for mucinous and signet ring colorectal adenocarcinoma: analysis from the National Cancer Data Base. Ann Surg Oncol 19:2814–2821PubMedCentralPubMed
69.
go back to reference Thirunavukarasu P, Sathaiah M, Singla S et al (2010) Medullary carcinoma of the large intestine: a population based analysis. Intl J Oncol 37:901–907 Thirunavukarasu P, Sathaiah M, Singla S et al (2010) Medullary carcinoma of the large intestine: a population based analysis. Intl J Oncol 37:901–907
70.
go back to reference Winn B, Tavares R, Fanion J et al (2009) Differentiating the undifferentiated: immunohistochemical profile of medullary carcinoma of the colon with an emphasis on intestinal differentiation. Hum Pathol 40:398–404PubMedCentralPubMed Winn B, Tavares R, Fanion J et al (2009) Differentiating the undifferentiated: immunohistochemical profile of medullary carcinoma of the colon with an emphasis on intestinal differentiation. Hum Pathol 40:398–404PubMedCentralPubMed
71.
go back to reference Vogelstein B, Fearon ER, Hamilton SR et al (1988) Genetic alterations during colorectal-tumor development. N Engl J Med 319:525–532PubMed Vogelstein B, Fearon ER, Hamilton SR et al (1988) Genetic alterations during colorectal-tumor development. N Engl J Med 319:525–532PubMed
72.
go back to reference Lengauer C, Kinzler KW, Vogelstein B (1998) Genetic instabilities in human cancers. Nature 396:643–649PubMed Lengauer C, Kinzler KW, Vogelstein B (1998) Genetic instabilities in human cancers. Nature 396:643–649PubMed
73.
go back to reference Vogelstein B, Fearon ER, Kern SE et al (1989) Allelotype of colorectal carcinomas. Science 244:207–211PubMed Vogelstein B, Fearon ER, Kern SE et al (1989) Allelotype of colorectal carcinomas. Science 244:207–211PubMed
74.
go back to reference Ionov Y, Peinado MA, Malkhosyan S, Shibata D, Perucho M (1993) Ubiquitous somatic mutations in simple repeated sequences reveal a new mechanism for colonic carcinogenesis. Nature 363:558–561PubMed Ionov Y, Peinado MA, Malkhosyan S, Shibata D, Perucho M (1993) Ubiquitous somatic mutations in simple repeated sequences reveal a new mechanism for colonic carcinogenesis. Nature 363:558–561PubMed
75.
go back to reference Aaltonen LA, Peltomaki P, Leach FS et al (1993) Clues to the pathogenesis of familial colorectal-cancer. Science 260:812–816PubMed Aaltonen LA, Peltomaki P, Leach FS et al (1993) Clues to the pathogenesis of familial colorectal-cancer. Science 260:812–816PubMed
76.
go back to reference Peltomaki P (2003) Role of DNA mismatch repair defects in the pathogenesis of human cancer. J Clin Oncol 21:1174–1179PubMed Peltomaki P (2003) Role of DNA mismatch repair defects in the pathogenesis of human cancer. J Clin Oncol 21:1174–1179PubMed
77.
go back to reference Cunningham JM, Christensen ER, Tester DJ et al (1998) Hypermethylation of the hMLH1 promoter in colon cancer with microsatellite instability. Cancer Res 58:3455–3460PubMed Cunningham JM, Christensen ER, Tester DJ et al (1998) Hypermethylation of the hMLH1 promoter in colon cancer with microsatellite instability. Cancer Res 58:3455–3460PubMed
78.
go back to reference Kane MF, Loda M, Gaida GM et al (1997) Methylation of the hMLH1 promoter correlates with lack of expression of hMLH1 in sporadic colon tumors and mismatch repair-defective human tumor cell lines. Cancer Res 57:808–811PubMed Kane MF, Loda M, Gaida GM et al (1997) Methylation of the hMLH1 promoter correlates with lack of expression of hMLH1 in sporadic colon tumors and mismatch repair-defective human tumor cell lines. Cancer Res 57:808–811PubMed
79.
go back to reference Lynch HT, Smyrk T, Watson P et al (1991) Hereditary colorectal-cancer. Semin Oncol 18:337–366PubMed Lynch HT, Smyrk T, Watson P et al (1991) Hereditary colorectal-cancer. Semin Oncol 18:337–366PubMed
80.
go back to reference Hendriks YMC, de Jong AE, Morreau H et al (2006) Diagnostic approach and management of Lynch syndrome (hereditary nonpolyposis colorectal carcinoma): a guide for clinicians. CA Cancer J Clin 56:213–225PubMed Hendriks YMC, de Jong AE, Morreau H et al (2006) Diagnostic approach and management of Lynch syndrome (hereditary nonpolyposis colorectal carcinoma): a guide for clinicians. CA Cancer J Clin 56:213–225PubMed
81.
go back to reference Umar A, Boland CR, Terdiman JP et al (2004) Revised Bethesda guidelines for hereditary nonpolyposis colorectal cancer (Lynch syndrome) and microsatellite instability. J Natl Cancer Inst 96:261–268PubMedCentralPubMed Umar A, Boland CR, Terdiman JP et al (2004) Revised Bethesda guidelines for hereditary nonpolyposis colorectal cancer (Lynch syndrome) and microsatellite instability. J Natl Cancer Inst 96:261–268PubMedCentralPubMed
82.
go back to reference Alexander J, Watanabe T, Wu TT, Rashid A, Li SA, Hamilton SR (2001) Histopathological identification of colon cancer with microsatellite instability. Am J Pathol 158:527–535PubMedCentralPubMed Alexander J, Watanabe T, Wu TT, Rashid A, Li SA, Hamilton SR (2001) Histopathological identification of colon cancer with microsatellite instability. Am J Pathol 158:527–535PubMedCentralPubMed
83.
go back to reference Gafa R, Maestri I, Matteuzzi M et al (2000) Sporadic colorectal adenocarcinomas with high-frequency microsatellite instability—pathobiologic features, hMLH1 and hMSH2 expression, and clinical outcome. Cancer 89:2025–2037PubMed Gafa R, Maestri I, Matteuzzi M et al (2000) Sporadic colorectal adenocarcinomas with high-frequency microsatellite instability—pathobiologic features, hMLH1 and hMSH2 expression, and clinical outcome. Cancer 89:2025–2037PubMed
84.
go back to reference Greenson JK, Bonner JD, Ben Yzhak O et al (2003) Phenotype of microsatellite unstable colorectal carcinomas—well-differentiated and focally mucinous tumors and the absence of dirty necrosis correlate with microsatellite instability. Am J Surg Pathol 27:563–570PubMed Greenson JK, Bonner JD, Ben Yzhak O et al (2003) Phenotype of microsatellite unstable colorectal carcinomas—well-differentiated and focally mucinous tumors and the absence of dirty necrosis correlate with microsatellite instability. Am J Surg Pathol 27:563–570PubMed
85.
go back to reference Kim HG, Jen J, Vogelstein B, Hamilton SR (1994) Clinical and pathological characteristics of sporadic colorectal carcinomas with DNA-replication errors in microsatellite sequences. Am J Pathol 145:148–156PubMedCentralPubMed Kim HG, Jen J, Vogelstein B, Hamilton SR (1994) Clinical and pathological characteristics of sporadic colorectal carcinomas with DNA-replication errors in microsatellite sequences. Am J Pathol 145:148–156PubMedCentralPubMed
86.
go back to reference Malesci A, Laghi L, Bianchi P et al (2007) Reduced likelihood of metastases in patients with microsatellite-unstable colorectal cancer. Clin Cancer Res 13:3831–3839PubMed Malesci A, Laghi L, Bianchi P et al (2007) Reduced likelihood of metastases in patients with microsatellite-unstable colorectal cancer. Clin Cancer Res 13:3831–3839PubMed
87.
go back to reference Smyrk TC, Watson P, Kaul K, Lynch HT (2001) Tumor-infiltrating lymphocytes are a marker for microsatellite instability in colorectal carcinoma. Cancer 91:2417–2422PubMed Smyrk TC, Watson P, Kaul K, Lynch HT (2001) Tumor-infiltrating lymphocytes are a marker for microsatellite instability in colorectal carcinoma. Cancer 91:2417–2422PubMed
88.
go back to reference Ward R, Meagher A, Tomlinson I et al (2001) Microsatellite instability and the clinicopathological features of sporadic colorectal cancer. Gut 48:821–829PubMedCentralPubMed Ward R, Meagher A, Tomlinson I et al (2001) Microsatellite instability and the clinicopathological features of sporadic colorectal cancer. Gut 48:821–829PubMedCentralPubMed
89.
go back to reference Gryfe R, Kim H, Hsieh ETK et al (2000) Tumor microsatellite instability and clinical outcome in young patients with colorectal cancer. N Engl J Med 342:69–77PubMed Gryfe R, Kim H, Hsieh ETK et al (2000) Tumor microsatellite instability and clinical outcome in young patients with colorectal cancer. N Engl J Med 342:69–77PubMed
90.
go back to reference Ribic CM, Sargent DJ, Moore MJ et al (2003) Tumor microsatellite-instability status as a predictor of benefit from fluorouracil-based adjuvant chemotherapy for colon cancer. N Engl J Med 349:247–257PubMedCentralPubMed Ribic CM, Sargent DJ, Moore MJ et al (2003) Tumor microsatellite-instability status as a predictor of benefit from fluorouracil-based adjuvant chemotherapy for colon cancer. N Engl J Med 349:247–257PubMedCentralPubMed
91.
go back to reference Halling KC, French AJ, McDonnell SK et al (1999) Microsatellite instability and 8p allelic imbalance in stage B2 and C colorectal cancers. J Natl Cancer Inst 91:1295–1303PubMed Halling KC, French AJ, McDonnell SK et al (1999) Microsatellite instability and 8p allelic imbalance in stage B2 and C colorectal cancers. J Natl Cancer Inst 91:1295–1303PubMed
92.
go back to reference Deschoolmeester V, Baay M, Van Marck E et al (2010) Tumor infiltrating lymphocytes: an intriguing player in the survival of colorectal cancer patients. Bmc Immunol 11 Deschoolmeester V, Baay M, Van Marck E et al (2010) Tumor infiltrating lymphocytes: an intriguing player in the survival of colorectal cancer patients. Bmc Immunol 11
93.
go back to reference Popat S, Hubner R, Houlston RS (2005) Systematic review of microsatellite instability and colorectal cancer prognosis. J Clin Oncol 23:609–618PubMed Popat S, Hubner R, Houlston RS (2005) Systematic review of microsatellite instability and colorectal cancer prognosis. J Clin Oncol 23:609–618PubMed
94.
go back to reference Sargent DJ, Marsoni S, Thibodeau SN et al (2008) Confirmation of deficient mismatch repair (dMMR) as a predictive marker for lack of benefit from 5-FU based chemotherapy in stage II and III colon cancer (CC): a pooled molecular reanalysis of randomized chemotherapy trials. J Clin Oncol 26 Sargent DJ, Marsoni S, Thibodeau SN et al (2008) Confirmation of deficient mismatch repair (dMMR) as a predictive marker for lack of benefit from 5-FU based chemotherapy in stage II and III colon cancer (CC): a pooled molecular reanalysis of randomized chemotherapy trials. J Clin Oncol 26
95.
go back to reference Jover R, Zapater P, Castells A et al (2009) The efficacy of adjuvant chemotherapy with 5-fluorouracil in colorectal cancer depends on the mismatch repair status. Eur J Cancer 45:365–373PubMed Jover R, Zapater P, Castells A et al (2009) The efficacy of adjuvant chemotherapy with 5-fluorouracil in colorectal cancer depends on the mismatch repair status. Eur J Cancer 45:365–373PubMed
96.
go back to reference Al Sohaily S, Biankin A, Leong R, Kohonen-Corish M, Warusavitarne J (2012) Molecular pathways in colorectal cancer. J Gastroenterol Hepatol 27:1423–1431PubMed Al Sohaily S, Biankin A, Leong R, Kohonen-Corish M, Warusavitarne J (2012) Molecular pathways in colorectal cancer. J Gastroenterol Hepatol 27:1423–1431PubMed
97.
go back to reference Worthley DL, Whitehall VL, Spring KJ, Leggett BA (2007) Colorectal carcinogenesis: road maps to cancer. World J Gastroenterol 13:3784–3791PubMed Worthley DL, Whitehall VL, Spring KJ, Leggett BA (2007) Colorectal carcinogenesis: road maps to cancer. World J Gastroenterol 13:3784–3791PubMed
98.
go back to reference Gnanasampanthan G, Elsaleh H, McCaul K, Iacopetta B (2001) Ki-ras mutation type and the survival benefit from adjuvant chemotherapy in Dukes' C colorectal cancer. J Pathol 195:543–548PubMed Gnanasampanthan G, Elsaleh H, McCaul K, Iacopetta B (2001) Ki-ras mutation type and the survival benefit from adjuvant chemotherapy in Dukes' C colorectal cancer. J Pathol 195:543–548PubMed
99.
go back to reference De Roock W, Janssens M, Biesmans B et al (2008) DUSP4 expression level in colorectal primaries predicts overall survival benefit in Kras wild-type and Kras mutant colorectal cancer after treatment with cetuximab for metastatic disease. EJC Suppl 6:33 De Roock W, Janssens M, Biesmans B et al (2008) DUSP4 expression level in colorectal primaries predicts overall survival benefit in Kras wild-type and Kras mutant colorectal cancer after treatment with cetuximab for metastatic disease. EJC Suppl 6:33
100.
go back to reference Khambata-Ford S, Garrett CR, Meropol NJ et al (2007) Expression of epiregulin and amphiregulin and K-ras mutation status predict disease control in metastatic colorectal cancer patients treated with cetuximab. J Clin Oncol 25:3230–3237PubMed Khambata-Ford S, Garrett CR, Meropol NJ et al (2007) Expression of epiregulin and amphiregulin and K-ras mutation status predict disease control in metastatic colorectal cancer patients treated with cetuximab. J Clin Oncol 25:3230–3237PubMed
101.
go back to reference Bokemeyer C, Bondarenko I, Makhson A et al (2009) Fluorouracil, leucovorin, and oxaliplatin with and without cetuximab in the first-line treatment of metastatic colorectal cancer. J Clin Oncol 27:663–671PubMed Bokemeyer C, Bondarenko I, Makhson A et al (2009) Fluorouracil, leucovorin, and oxaliplatin with and without cetuximab in the first-line treatment of metastatic colorectal cancer. J Clin Oncol 27:663–671PubMed
102.
go back to reference Van Cutsem E, Kohne CH, Hitre E et al (2009) Cetuximab and chemotherapy as initial treatment for metastatic colorectal cancer. N Engl J Med 360:1408–1417PubMed Van Cutsem E, Kohne CH, Hitre E et al (2009) Cetuximab and chemotherapy as initial treatment for metastatic colorectal cancer. N Engl J Med 360:1408–1417PubMed
103.
go back to reference Amado RG, Wolf M, Peeters M et al (2008) Wild-type KRAS is required for panitumumab efficacy in patients with metastatic colorectal cancer. J Clin Oncol 26:1626–1634PubMed Amado RG, Wolf M, Peeters M et al (2008) Wild-type KRAS is required for panitumumab efficacy in patients with metastatic colorectal cancer. J Clin Oncol 26:1626–1634PubMed
104.
go back to reference Andreyev HJN, Norman AR, Cunningham D, Oates JR, Clarke PA (1998) Kirsten ras mutations in patients with colorectal cancer: the multicenter "RASCAL" study. J Natl Cancer Instit 90:675–684 Andreyev HJN, Norman AR, Cunningham D, Oates JR, Clarke PA (1998) Kirsten ras mutations in patients with colorectal cancer: the multicenter "RASCAL" study. J Natl Cancer Instit 90:675–684
105.
go back to reference Andreyev HJN, Norman AR, Cunningham D et al (2001) Kirsten ras mutations in patients with colorectal cancer: the 'RASCAL II' study. Br J Cancer 85:692–696PubMedCentralPubMed Andreyev HJN, Norman AR, Cunningham D et al (2001) Kirsten ras mutations in patients with colorectal cancer: the 'RASCAL II' study. Br J Cancer 85:692–696PubMedCentralPubMed
106.
go back to reference Ahnen DJ, Feigl P, Quan G et al (1998) Ki-ras mutation and p53 overexpression predict the clinical behavior of colorectal cancer: a Southwest Oncology Group Study. Cancer Res 58:1149–1158PubMed Ahnen DJ, Feigl P, Quan G et al (1998) Ki-ras mutation and p53 overexpression predict the clinical behavior of colorectal cancer: a Southwest Oncology Group Study. Cancer Res 58:1149–1158PubMed
107.
go back to reference Ogino S, Meyerhardt JA, Irahara N et al (2009) KRAS mutation in stage III colon cancer and clinical outcome following Intergroup Trial CALGB 89803. Clin Cancer Res 15:7322–7329PubMedCentralPubMed Ogino S, Meyerhardt JA, Irahara N et al (2009) KRAS mutation in stage III colon cancer and clinical outcome following Intergroup Trial CALGB 89803. Clin Cancer Res 15:7322–7329PubMedCentralPubMed
108.
go back to reference Roth AD, Tejpar S, Delorenzi M et al (2010) Prognostic role of KRAS and BRAF in stage II and III resected colon cancer: results of the translational study on the PETACC-3, EORTC 40993, SAKK 60-00 Trial. J Clin Oncol 28:466–474PubMed Roth AD, Tejpar S, Delorenzi M et al (2010) Prognostic role of KRAS and BRAF in stage II and III resected colon cancer: results of the translational study on the PETACC-3, EORTC 40993, SAKK 60-00 Trial. J Clin Oncol 28:466–474PubMed
109.
go back to reference Rajagopalan H, Bardelli A, Lengauer C, Kinzler KW, Vogelstein B, Velculescu VE (2002) Tumorigenesis—RAF/RAS oncogenes and mismatch-repair status. Nature 418:934PubMed Rajagopalan H, Bardelli A, Lengauer C, Kinzler KW, Vogelstein B, Velculescu VE (2002) Tumorigenesis—RAF/RAS oncogenes and mismatch-repair status. Nature 418:934PubMed
110.
go back to reference Ikenoue T, Hikiba Y, Kanai F et al (2003) Functional analysis of mutations within the kinase activation segment of B-Raf in human colorectal tumors. Cancer Res 63:8132–8137PubMed Ikenoue T, Hikiba Y, Kanai F et al (2003) Functional analysis of mutations within the kinase activation segment of B-Raf in human colorectal tumors. Cancer Res 63:8132–8137PubMed
111.
go back to reference French AJ, Sargent DJ, Burgart LJ et al (2008) Prognostic significance of defective mismatch repair and BRAF V600E in patients with colon cancer. Clin Cancer Res 14:3408–3415PubMedCentralPubMed French AJ, Sargent DJ, Burgart LJ et al (2008) Prognostic significance of defective mismatch repair and BRAF V600E in patients with colon cancer. Clin Cancer Res 14:3408–3415PubMedCentralPubMed
112.
go back to reference Siena S, Sartore-Bianchi A, Di Nicolantonio F, Balfour J, Bardelli A (2009) Biomarkers predicting clinical outcome of epidermal growth factor receptor-targeted therapy in metastatic colorectal cancer. J Natl Cancer Inst 101:1308–1324PubMedCentralPubMed Siena S, Sartore-Bianchi A, Di Nicolantonio F, Balfour J, Bardelli A (2009) Biomarkers predicting clinical outcome of epidermal growth factor receptor-targeted therapy in metastatic colorectal cancer. J Natl Cancer Inst 101:1308–1324PubMedCentralPubMed
113.
go back to reference Ogino S, Nosho K, Kirkner GJ et al (2009) CpG island methylator phenotype, microsatellite instability, BRAF mutation and clinical outcome in colon cancer. Gut 58:90–96PubMedCentralPubMed Ogino S, Nosho K, Kirkner GJ et al (2009) CpG island methylator phenotype, microsatellite instability, BRAF mutation and clinical outcome in colon cancer. Gut 58:90–96PubMedCentralPubMed
114.
go back to reference Irahara N, Baba Y, Nosho K et al (2010) NRAS mutations are rare in colorectal cancer. Diagnostic Mol Pathol 19:157–163 Irahara N, Baba Y, Nosho K et al (2010) NRAS mutations are rare in colorectal cancer. Diagnostic Mol Pathol 19:157–163
115.
go back to reference Demunter A, Stas M, Degreef H, Wolf-Peeters C, van den Oord JJ (2001) Analysis of N- and K-ras mutations in the distinctive tumor progression phases of melanoma. J Invest Dermatol 117:1483–1489PubMed Demunter A, Stas M, Degreef H, Wolf-Peeters C, van den Oord JJ (2001) Analysis of N- and K-ras mutations in the distinctive tumor progression phases of melanoma. J Invest Dermatol 117:1483–1489PubMed
116.
go back to reference Haigis KM, Kendall KR, Wang YF et al (2008) Differential effects of oncogenic K-Ras and N-Ras on proliferation, differentiation and tumor progression in the colon. Nature Gen 40:600–608 Haigis KM, Kendall KR, Wang YF et al (2008) Differential effects of oncogenic K-Ras and N-Ras on proliferation, differentiation and tumor progression in the colon. Nature Gen 40:600–608
117.
go back to reference Yun JY, Rago C, Cheong I et al (2009) Glucose deprivation contributes to the development of KRAS pathway mutations in tumor cells. Science 325:1555–1559PubMedCentralPubMed Yun JY, Rago C, Cheong I et al (2009) Glucose deprivation contributes to the development of KRAS pathway mutations in tumor cells. Science 325:1555–1559PubMedCentralPubMed
118.
go back to reference Vogelstein B, Lane D, Levine AJ (2000) Surfing the p53 network. Nature 408:307–310PubMed Vogelstein B, Lane D, Levine AJ (2000) Surfing the p53 network. Nature 408:307–310PubMed
119.
go back to reference Rodrigues NR, Rowan A, Smith MEF et al (1990) P53 mutations in colorectal-cancer. Proc Natl Acad Sci U S A 87:7555–7559PubMedCentralPubMed Rodrigues NR, Rowan A, Smith MEF et al (1990) P53 mutations in colorectal-cancer. Proc Natl Acad Sci U S A 87:7555–7559PubMedCentralPubMed
120.
go back to reference Iacopetta B, Russo A, Bazan V et al (2006) Functional categories of TP53 mutation in colorectal cancer: results of an international collaborative study. Ann Oncol 17:842–847PubMed Iacopetta B, Russo A, Bazan V et al (2006) Functional categories of TP53 mutation in colorectal cancer: results of an international collaborative study. Ann Oncol 17:842–847PubMed
121.
go back to reference Russo A, Bazan V, Iacopetta B, Kerr D, Soussi T, Gebbia N (2005) The TP53 colorectal cancer international collaborative study on the prognostic and predictive significance of p53 mutation: influence of tumor site, type of mutation, and adjuvant treatment. J Clin Oncol 23:7518–7528PubMed Russo A, Bazan V, Iacopetta B, Kerr D, Soussi T, Gebbia N (2005) The TP53 colorectal cancer international collaborative study on the prognostic and predictive significance of p53 mutation: influence of tumor site, type of mutation, and adjuvant treatment. J Clin Oncol 23:7518–7528PubMed
122.
go back to reference Fearon ER, Cho KR, Nigro JM et al (1990) Identification of a chromosome-18Q gene that is altered in colorectal cancers. Science 247:49–56PubMed Fearon ER, Cho KR, Nigro JM et al (1990) Identification of a chromosome-18Q gene that is altered in colorectal cancers. Science 247:49–56PubMed
123.
go back to reference Jen J, Kim HG, Piantadosi S et al (1994) Allelic loss of chromosome 18Q and prognosis in colorectal-cancer. N Engl J Med 331:213–221PubMed Jen J, Kim HG, Piantadosi S et al (1994) Allelic loss of chromosome 18Q and prognosis in colorectal-cancer. N Engl J Med 331:213–221PubMed
124.
go back to reference Martinez-Lopez E, Abad A, Font A et al (1998) Allelic loss on chromosome 18q as a prognostic marker in stage II colorectal cancer. Gastroenterology 114:1180–1187PubMed Martinez-Lopez E, Abad A, Font A et al (1998) Allelic loss on chromosome 18q as a prognostic marker in stage II colorectal cancer. Gastroenterology 114:1180–1187PubMed
125.
go back to reference Ogunbiyi OA, Goodfellow PJ, Herfarth K et al (1998) Confirmation that chromosome 18q allelic loss in colon cancer is a prognostic indicator. J Clin Oncol 16:427–433PubMed Ogunbiyi OA, Goodfellow PJ, Herfarth K et al (1998) Confirmation that chromosome 18q allelic loss in colon cancer is a prognostic indicator. J Clin Oncol 16:427–433PubMed
126.
go back to reference Popat S, Houlston RS (2005) A systematic review and meta-analysis of the relationship between chromosome 18q genotype, DCC status and colorectal cancer prognosis. Eur J Cancer 41:2060–2070PubMed Popat S, Houlston RS (2005) A systematic review and meta-analysis of the relationship between chromosome 18q genotype, DCC status and colorectal cancer prognosis. Eur J Cancer 41:2060–2070PubMed
127.
go back to reference Popat S, Zhao DB, Chen ZM et al (2007) Relationship between chromosome 18q status and colorectal cancer prognosis: a prospective, blinded analysis of 280 patients. Anticancer Res 27:627–633PubMed Popat S, Zhao DB, Chen ZM et al (2007) Relationship between chromosome 18q status and colorectal cancer prognosis: a prospective, blinded analysis of 280 patients. Anticancer Res 27:627–633PubMed
128.
go back to reference Melo FDSE, Wang X, Jansen M et al (2013) Poor-prognosis colon cancer is defined by a molecularly distinct subtype and develops from serrated precursor lesions. Nature Med 19:614–618 Melo FDSE, Wang X, Jansen M et al (2013) Poor-prognosis colon cancer is defined by a molecularly distinct subtype and develops from serrated precursor lesions. Nature Med 19:614–618
129.
go back to reference Perez-Villamil B, Romera-Lopez A, Hernandez-Prieto S et al (2012) Colon cancer molecular subtypes identified by expression profiling and associated to stroma, mucinous type and different clinical behavior. BMC Cancer 12:260PubMedCentralPubMed Perez-Villamil B, Romera-Lopez A, Hernandez-Prieto S et al (2012) Colon cancer molecular subtypes identified by expression profiling and associated to stroma, mucinous type and different clinical behavior. BMC Cancer 12:260PubMedCentralPubMed
130.
go back to reference Sadanandam A, Lyssiotis CA, Homicsko K et al (2013) Colorectal cancer classification system that associates cellular phenotype and responses to therapy. Nat Med 19:619–625PubMedCentralPubMed Sadanandam A, Lyssiotis CA, Homicsko K et al (2013) Colorectal cancer classification system that associates cellular phenotype and responses to therapy. Nat Med 19:619–625PubMedCentralPubMed
131.
go back to reference Budinska E, Popovici V, Tejpar S et al (2013) Gene expression patterns unveil a new level of molecular heterogeneity in colorectal cancer. J Pathol 231:63–76PubMedCentralPubMed Budinska E, Popovici V, Tejpar S et al (2013) Gene expression patterns unveil a new level of molecular heterogeneity in colorectal cancer. J Pathol 231:63–76PubMedCentralPubMed
Metadata
Title
Prognostic biomarkers in colorectal cancer: where do we stand?
Author
Xavier Sagaert
Publication date
01-03-2014
Publisher
Springer Berlin Heidelberg
Published in
Virchows Archiv / Issue 3/2014
Print ISSN: 0945-6317
Electronic ISSN: 1432-2307
DOI
https://doi.org/10.1007/s00428-013-1532-z

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