Colorectal Cancer: Prognostic Values

After lung cancer colorectal cancer (Cc) is ranked the second, as a cause of cancer-related death. The purpose of this study was to analyze the Cc cases in our material with respect to all prognostic values including histological type and grade, vascular invasion, perineural invasion, and tumor bor...

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Main Authors: Suzana Manxhuka-Kerliu, Skender Telaku, Halil Ahmetaj, Arijeta Baruti, Sadushe Loxha, Agron Kerliu
Format: Article
Language:English
Published: Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina 2009-02-01
Series:Biomolecules & Biomedicine
Subjects:
Online Access:https://www.bjbms.org/ojs/index.php/bjbms/article/view/2851
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author Suzana Manxhuka-Kerliu
Skender Telaku
Halil Ahmetaj
Arijeta Baruti
Sadushe Loxha
Agron Kerliu
author_facet Suzana Manxhuka-Kerliu
Skender Telaku
Halil Ahmetaj
Arijeta Baruti
Sadushe Loxha
Agron Kerliu
author_sort Suzana Manxhuka-Kerliu
collection DOAJ
description After lung cancer colorectal cancer (Cc) is ranked the second, as a cause of cancer-related death. The purpose of this study was to analyze the Cc cases in our material with respect to all prognostic values including histological type and grade, vascular invasion, perineural invasion, and tumor border features. There were investigated 149 cases of resection specimen with colorectal cancer, which were fixed in buffered neutral formalin and embedded in paraffin. Tissue sections (4(µm thick) were cut and stained with H&E. Adenocarcinoma was the most frequent histological type found in 85,90% of cases, in 60,94% of males and 39,06% of females; squamous cell carcinoma in 7,38%, in 63,63% of males and 36,36% of females; mucinous carcinoma in 4,68%, in 57,15% of males and 42,85% of females; while adenosquamous carcinoma, undifferentiated carcinoma and carcinoma in situ in 0,71% of cases each. Dukes' classification was used in order to define the depth of invasion. Dukes B was found in 68,45% of cases, whereas in 31,54% of cases Dukes C was found. As far as histological grading is concerned, Cc was mostly with moderate differentiation (75,16%) with neither vascular nor perineural invasion. Resection margins were in all cases free of tumor. Our data indicate that the pathologic features of the resection specimen constitute the most powerful predictors of postoperative outcome in Cc. Dukes' stage and degree of differentiation provide independent prognostic information in Cc. However, differentiation should be assessed by the worst pattern.
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spelling doaj.art-03eeb6b0a0484b1eabb8752664eb223c2024-03-15T14:37:00ZengAssociation of Basic Medical Sciences of Federation of Bosnia and HerzegovinaBiomolecules & Biomedicine2831-08962831-090X2009-02-019110.17305/bjbms.2009.2851513Colorectal Cancer: Prognostic ValuesSuzana Manxhuka-Kerliu0Skender Telaku1Halil Ahmetaj2Arijeta Baruti3Sadushe Loxha4Agron Kerliu5Institute of Pathology, Faculty of Medicine, University of PrishtinaGastroenterology Clinic, Faculty of Medicine, University of PrishtinaInstitute of Pathophysiology, Faculty of Medicine, University of PrishtinaInstitute of Pathology, Faculty of Medicine, University of PrishtinaInstitute of Pathology, Faculty of Medicine, University of PrishtinaInstitute of Pathophysiology, Faculty of Medicine, University of Prishtina After lung cancer colorectal cancer (Cc) is ranked the second, as a cause of cancer-related death. The purpose of this study was to analyze the Cc cases in our material with respect to all prognostic values including histological type and grade, vascular invasion, perineural invasion, and tumor border features. There were investigated 149 cases of resection specimen with colorectal cancer, which were fixed in buffered neutral formalin and embedded in paraffin. Tissue sections (4(µm thick) were cut and stained with H&E. Adenocarcinoma was the most frequent histological type found in 85,90% of cases, in 60,94% of males and 39,06% of females; squamous cell carcinoma in 7,38%, in 63,63% of males and 36,36% of females; mucinous carcinoma in 4,68%, in 57,15% of males and 42,85% of females; while adenosquamous carcinoma, undifferentiated carcinoma and carcinoma in situ in 0,71% of cases each. Dukes' classification was used in order to define the depth of invasion. Dukes B was found in 68,45% of cases, whereas in 31,54% of cases Dukes C was found. As far as histological grading is concerned, Cc was mostly with moderate differentiation (75,16%) with neither vascular nor perineural invasion. Resection margins were in all cases free of tumor. Our data indicate that the pathologic features of the resection specimen constitute the most powerful predictors of postoperative outcome in Cc. Dukes' stage and degree of differentiation provide independent prognostic information in Cc. However, differentiation should be assessed by the worst pattern. https://www.bjbms.org/ojs/index.php/bjbms/article/view/2851circumferential margincolon cancergradepathologyprognostic factorsDukes’ system
spellingShingle Suzana Manxhuka-Kerliu
Skender Telaku
Halil Ahmetaj
Arijeta Baruti
Sadushe Loxha
Agron Kerliu
Colorectal Cancer: Prognostic Values
Biomolecules & Biomedicine
circumferential margin
colon cancer
grade
pathology
prognostic factors
Dukes’ system
title Colorectal Cancer: Prognostic Values
title_full Colorectal Cancer: Prognostic Values
title_fullStr Colorectal Cancer: Prognostic Values
title_full_unstemmed Colorectal Cancer: Prognostic Values
title_short Colorectal Cancer: Prognostic Values
title_sort colorectal cancer prognostic values
topic circumferential margin
colon cancer
grade
pathology
prognostic factors
Dukes’ system
url https://www.bjbms.org/ojs/index.php/bjbms/article/view/2851
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AT skendertelaku colorectalcancerprognosticvalues
AT halilahmetaj colorectalcancerprognosticvalues
AT arijetabaruti colorectalcancerprognosticvalues
AT sadusheloxha colorectalcancerprognosticvalues
AT agronkerliu colorectalcancerprognosticvalues