Precision medicine for adjuvant chemotherapy of resected colorectal cancer

Abstract Colorectal cancer (CRC) is the most common cancer and the second leading cause of cancer death in Japan. Surgical resection is the only curative option for localized disease. However, undetectable micrometastases remaining after curative surgery may cause disease recurrence. Adjuvant chemot...

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Main Authors: Yuji Miyamoto, Yukiharu Hiyoshi, Hiroshi Sawayama, Ryuma Tokunaga, Hideo Baba
Format: Article
Language:English
Published: Wiley 2020-11-01
Series:Annals of Gastroenterological Surgery
Subjects:
Online Access:https://doi.org/10.1002/ags3.12397
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author Yuji Miyamoto
Yukiharu Hiyoshi
Hiroshi Sawayama
Ryuma Tokunaga
Hideo Baba
author_facet Yuji Miyamoto
Yukiharu Hiyoshi
Hiroshi Sawayama
Ryuma Tokunaga
Hideo Baba
author_sort Yuji Miyamoto
collection DOAJ
description Abstract Colorectal cancer (CRC) is the most common cancer and the second leading cause of cancer death in Japan. Surgical resection is the only curative option for localized disease. However, undetectable micrometastases remaining after curative surgery may cause disease recurrence. Adjuvant chemotherapy aims to eradicate these micrometastases to improve the cure rate. Unfortunately, few reliable prognostic and predictive markers are available that identify patients at high risk for CRC during early‐stage disease. However, promising biomarkers may become available in the near future. Such biomarkers provide information for stratifying a patient's risk and for selecting the optimal treatment. Here, we provide an overview of current relevant prognostic and predictive biomarkers applicable to adjuvant treatment of early‐stage CRC and focus on the future of this field.
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spelling doaj.art-36f92b5210de45148aa69febe05352c72022-12-21T22:00:28ZengWileyAnnals of Gastroenterological Surgery2475-03282020-11-014663564510.1002/ags3.12397Precision medicine for adjuvant chemotherapy of resected colorectal cancerYuji Miyamoto0Yukiharu Hiyoshi1Hiroshi Sawayama2Ryuma Tokunaga3Hideo Baba4Department of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto JapanDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto JapanDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto JapanDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto JapanDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto JapanAbstract Colorectal cancer (CRC) is the most common cancer and the second leading cause of cancer death in Japan. Surgical resection is the only curative option for localized disease. However, undetectable micrometastases remaining after curative surgery may cause disease recurrence. Adjuvant chemotherapy aims to eradicate these micrometastases to improve the cure rate. Unfortunately, few reliable prognostic and predictive markers are available that identify patients at high risk for CRC during early‐stage disease. However, promising biomarkers may become available in the near future. Such biomarkers provide information for stratifying a patient's risk and for selecting the optimal treatment. Here, we provide an overview of current relevant prognostic and predictive biomarkers applicable to adjuvant treatment of early‐stage CRC and focus on the future of this field.https://doi.org/10.1002/ags3.12397adjuvant chemotherapycolorectal cancerprecision medicinepredictive markerprognostic marker
spellingShingle Yuji Miyamoto
Yukiharu Hiyoshi
Hiroshi Sawayama
Ryuma Tokunaga
Hideo Baba
Precision medicine for adjuvant chemotherapy of resected colorectal cancer
Annals of Gastroenterological Surgery
adjuvant chemotherapy
colorectal cancer
precision medicine
predictive marker
prognostic marker
title Precision medicine for adjuvant chemotherapy of resected colorectal cancer
title_full Precision medicine for adjuvant chemotherapy of resected colorectal cancer
title_fullStr Precision medicine for adjuvant chemotherapy of resected colorectal cancer
title_full_unstemmed Precision medicine for adjuvant chemotherapy of resected colorectal cancer
title_short Precision medicine for adjuvant chemotherapy of resected colorectal cancer
title_sort precision medicine for adjuvant chemotherapy of resected colorectal cancer
topic adjuvant chemotherapy
colorectal cancer
precision medicine
predictive marker
prognostic marker
url https://doi.org/10.1002/ags3.12397
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AT yukiharuhiyoshi precisionmedicineforadjuvantchemotherapyofresectedcolorectalcancer
AT hiroshisawayama precisionmedicineforadjuvantchemotherapyofresectedcolorectalcancer
AT ryumatokunaga precisionmedicineforadjuvantchemotherapyofresectedcolorectalcancer
AT hideobaba precisionmedicineforadjuvantchemotherapyofresectedcolorectalcancer