Pathological Features and Prognostication in Colorectal Cancer

The prognostication of colorectal cancer (CRC) has traditionally relied on staging as defined by the Union for International Cancer Control (UICC) and American Joint Committee on Cancer (AJCC) TNM staging classifications. However, clinically, there appears to be differences in survival patterns inde...

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Main Authors: Kabytto Chen, Geoffrey Collins, Henry Wang, James Wei Tatt Toh
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/28/6/447
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author Kabytto Chen
Geoffrey Collins
Henry Wang
James Wei Tatt Toh
author_facet Kabytto Chen
Geoffrey Collins
Henry Wang
James Wei Tatt Toh
author_sort Kabytto Chen
collection DOAJ
description The prognostication of colorectal cancer (CRC) has traditionally relied on staging as defined by the Union for International Cancer Control (UICC) and American Joint Committee on Cancer (AJCC) TNM staging classifications. However, clinically, there appears to be differences in survival patterns independent of stage, suggesting a complex interaction of stage, pathological features, and biomarkers playing a role in guiding prognosis, risk stratification, and guiding neoadjuvant and adjuvant therapies. Histological features such as tumour budding, perineural invasion, apical lymph node involvement, lymph node yield, lymph node ratio, and molecular features such as MSI, KRAS, BRAF, and CDX2 may assist in prognostication and optimising adjuvant treatment. This study provides a comprehensive review of the pathological features and biomarkers that are important in the prognostication and treatment of CRC. We review the importance of pathological features and biomarkers that may be important in colorectal cancer based on the current evidence in the literature.
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spelling doaj.art-175cebe138464fd98f2e94a59d833c642023-11-23T07:51:14ZengMDPI AGCurrent Oncology1198-00521718-77292021-12-012865356538310.3390/curroncol28060447Pathological Features and Prognostication in Colorectal CancerKabytto Chen0Geoffrey Collins1Henry Wang2James Wei Tatt Toh3Discipline of Surgery, Faculty of Medicine and Health, The University of Sydney, Westmead 2145, AustraliaDiscipline of Surgery, Faculty of Medicine and Health, The University of Sydney, Westmead 2145, AustraliaDiscipline of Surgery, Faculty of Medicine and Health, The University of Sydney, Westmead 2145, AustraliaDiscipline of Surgery, Faculty of Medicine and Health, The University of Sydney, Westmead 2145, AustraliaThe prognostication of colorectal cancer (CRC) has traditionally relied on staging as defined by the Union for International Cancer Control (UICC) and American Joint Committee on Cancer (AJCC) TNM staging classifications. However, clinically, there appears to be differences in survival patterns independent of stage, suggesting a complex interaction of stage, pathological features, and biomarkers playing a role in guiding prognosis, risk stratification, and guiding neoadjuvant and adjuvant therapies. Histological features such as tumour budding, perineural invasion, apical lymph node involvement, lymph node yield, lymph node ratio, and molecular features such as MSI, KRAS, BRAF, and CDX2 may assist in prognostication and optimising adjuvant treatment. This study provides a comprehensive review of the pathological features and biomarkers that are important in the prognostication and treatment of CRC. We review the importance of pathological features and biomarkers that may be important in colorectal cancer based on the current evidence in the literature.https://www.mdpi.com/1718-7729/28/6/447pathological featuresmolecular markerscolorectal cancerprognosissurvival
spellingShingle Kabytto Chen
Geoffrey Collins
Henry Wang
James Wei Tatt Toh
Pathological Features and Prognostication in Colorectal Cancer
Current Oncology
pathological features
molecular markers
colorectal cancer
prognosis
survival
title Pathological Features and Prognostication in Colorectal Cancer
title_full Pathological Features and Prognostication in Colorectal Cancer
title_fullStr Pathological Features and Prognostication in Colorectal Cancer
title_full_unstemmed Pathological Features and Prognostication in Colorectal Cancer
title_short Pathological Features and Prognostication in Colorectal Cancer
title_sort pathological features and prognostication in colorectal cancer
topic pathological features
molecular markers
colorectal cancer
prognosis
survival
url https://www.mdpi.com/1718-7729/28/6/447
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