scholarly journals Validation of a modified clinical risk score to predict cancer‐specific survival for stage II colon cancer

2014 ◽  
Vol 4 (1) ◽  
pp. 84-89 ◽  
Author(s):  
Raymond Oliphant ◽  
Paul G. Horgan ◽  
David S. Morrison ◽  
Donald C. McMillan ◽  
2020 ◽  
Vol 59 (12) ◽  
pp. 1503-1507
Author(s):  
Eetu Heervä ◽  
Vesa Väliaho ◽  
Tapio Salminen ◽  
Lasse Nieminen ◽  
Anu Carpelan ◽  
...  

Surgery ◽  
2021 ◽  
Author(s):  
Richard J. Straker ◽  
Danny H.J. Heo ◽  
Adrienne B. Shannon ◽  
Douglas L. Fraker ◽  
Skandan Shanmugan ◽  
...  

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 3629-3629
Author(s):  
Cristina Santos ◽  
Marta Terricabras ◽  
Adriana Lopez-Doriga ◽  
Sara Gonzalez ◽  
Anna Fernandez ◽  
...  

3629 Background: Different clinico-pathological factors are used to define a group of patients with high-risk stage II colon cancer (CC) that may benefit of adjuvant treatment. Moreover, several molecular markers, such as microsatellite instability (MSI) and BRAF, have been widely investigated as prognostic factors. Recently a high stroma component (EMT+ subtypes) has also been associated with poor outcome. The aim of the study is to analyze the prognostic value of MSI, BRAF and tumor-stroma ratio in a prospective series of stage II CC patients. Methods: FFPE tissue from 432 stage II CC patients operated at Hospital Universitari de Bellvitge (1996 - 2006) were included in the study. MSI status was assessed by the analysis of 5 mononucleotide repeat markers (BAT-25, BAT-26, NR-21, NR-24 and MONO-27). BRAF V600E mutation was analyzed by single strand conformation polymorphism technique. Tumor-stroma ratio was analyzed by immunohistochemistry. Associations between molecular factors and clinical features were assessed by Chi-Squared (X2) tests. A Cox regression model was used to evaluate the Relapse Free (RFS) and the Colon Cancer specific Survival. Results: MSI status could be determined in 350 patients. 48 (14%) had MSI high (MSI-H) tumor. BRAF status could be assessed in 380 cases. 58 (15%) cases were BRAF mutated. Tumor-stroma ratio was analyzed in 407 tumor samples. 176 (43%) tumors had more than 50% intra-tumor stroma and were classified as stroma-high. MSI-H tumors were significantly located in right colon (X2 p-value = 1.03e-5), were poorly differentiated (X2 p-value = 0.003) and had more than 12 lymph nodes resected (X2 p-value = 0.037). MSI-H tumors were associated with BRAF mutation (X2 p-value = 0.02) and stroma-low (X2 p-value = 0.0005). When a molecular prognostic risk classification was performed, patients with MSI-H /stroma-low suggested a low risk of relapse comparing to MSI-H/stroma-high, microsatellite stable (MSS)/stroma-low and MSS/stroma-high patients (HR = 3.15; 95 CI, 0.76 – 13.1, p-value = 0.0602). Conclusions: MSI-H tumors have BRAF mutation as well as low intra-tumor stroma. Our results suggest that tumor-stroma ratio can explain differential prognosis in MSI-H stage II tumors.


2013 ◽  
Vol 144 (5) ◽  
pp. S-578
Author(s):  
Satimai Aniwan ◽  
Rungsun Rerknimitr ◽  
Phonthep Angsuwatcharakon ◽  
Rapat Pittayanon ◽  
Tanassanee Soontornmanokul ◽  
...  

2019 ◽  
Vol 90 ◽  
pp. 70-79
Author(s):  
Matthew J. Cecchini ◽  
Joanna C. Walsh ◽  
Jeremy Parfitt ◽  
Subrata Chakrabarti ◽  
Rohann J. Correa ◽  
...  

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhihao Lv ◽  
Yuqi Liang ◽  
Huaxi Liu ◽  
Delong Mo

Abstract Background It remains controversial whether patients with Stage II colon cancer would benefit from chemotherapy after radical surgery. This study aims to assess the real effectiveness of chemotherapy in patients with stage II colon cancer undergoing radical surgery and to construct survival prediction models to predict the survival benefits of chemotherapy. Methods Data for stage II colon cancer patients with radical surgery were retrieved from the Surveillance, Epidemiology, and End Results (SEER) database. Propensity score matching (1:1) was performed according to receive or not receive chemotherapy. Competitive risk regression models were used to assess colon cancer cause-specific death (CSD) and non-colon cancer cause-specific death (NCSD). Survival prediction nomograms were constructed to predict overall survival (OS) and colon cancer cause-specific survival (CSS). The predictive abilities of the constructed models were evaluated by the concordance indexes (C-indexes) and calibration curves. Results A total of 25,110 patients were identified, 21.7% received chemotherapy, and 78.3% were without chemotherapy. A total of 10,916 patients were extracted after propensity score matching. The estimated 3-year overall survival rates of chemotherapy were 0.7% higher than non- chemotherapy. The estimated 5-year and 10-year overall survival rates of non-chemotherapy were 1.3 and 2.1% higher than chemotherapy, respectively. Survival prediction models showed good discrimination (the C-indexes between 0.582 and 0.757) and excellent calibration. Conclusions Chemotherapy improves the short-term (43 months) survival benefit of stage II colon cancer patients who received radical surgery. Survival prediction models can be used to predict OS and CSS of patients receiving chemotherapy as well as OS and CSS of patients not receiving chemotherapy and to make individualized treatment recommendations for stage II colon cancer patients who received radical surgery.


EP Europace ◽  
2013 ◽  
Vol 16 (1) ◽  
pp. 40-46 ◽  
Author(s):  
K. Kraaier ◽  
M. F. Scholten ◽  
J. G. P. Tijssen ◽  
D. A. M. J. Theuns ◽  
L. J. L. M. Jordaens ◽  
...  

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