Advances and Challenges in Prognosis Prediction Systems for Non-metastatic Colorectal Cancer

Colorectal cancer is one of the most common malignancies in the world, and patients without distant metastasis have a better prognosis. As some patients in this group are still at high risk of recurrence, accurate prognosis prediction and further treatment are the keys to improve the clinical cure r...

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Main Authors: KONG Xiangxing, LI Jun
Format: Article
Language:zho
Published: Magazine House of Cancer Research on Prevention and Treatment 2020-12-01
Series:Zhongliu Fangzhi Yanjiu
Subjects:
Online Access:http://html.rhhz.net/ZLFZYJ/html/8578.2020.20.0608.htm
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author KONG Xiangxing
LI Jun
author_facet KONG Xiangxing
LI Jun
author_sort KONG Xiangxing
collection DOAJ
description Colorectal cancer is one of the most common malignancies in the world, and patients without distant metastasis have a better prognosis. As some patients in this group are still at high risk of recurrence, accurate prognosis prediction and further treatment are the keys to improve the clinical cure rate of colorectal cancer. TNM staging, a widely used prognostic system in clinical practice, has some limitations: the system only includes three indicators, and uses a simple linear method to classify patients, while ignoring the objectivity of prognosis as a complex nonlinear phenomenon. At the same time, the system has never integrated or improved the newly discovered prognostic indicators, like clinical information, pathological information, molecular markers and immune markers. We speculate the above information may be used as supplementary factors to combine with the traditional prognosis prediction system, so as to improve the accuracy of prognosis assessment. This article systematically reviews the research progress in this field and proposes a possible way to build a new generation of prognosis prediction system for non-metastatic colorectal cancer.
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spelling doaj.art-f23c97698bf0489d8163593ea6222ddd2022-12-21T23:20:46ZzhoMagazine House of Cancer Research on Prevention and TreatmentZhongliu Fangzhi Yanjiu1000-85781000-85782020-12-01471291992410.3971/j.issn.1000-8578.2020.20.06088578.2020.20.0608Advances and Challenges in Prognosis Prediction Systems for Non-metastatic Colorectal CancerKONG Xiangxing0LI Jun1Department of Colorectal Surgery and Oncology, Key Laboratory of Cancer Prevention and Intervention, Ministry of Education, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, ChinaDepartment of Colorectal Surgery and Oncology, Key Laboratory of Cancer Prevention and Intervention, Ministry of Education, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, ChinaColorectal cancer is one of the most common malignancies in the world, and patients without distant metastasis have a better prognosis. As some patients in this group are still at high risk of recurrence, accurate prognosis prediction and further treatment are the keys to improve the clinical cure rate of colorectal cancer. TNM staging, a widely used prognostic system in clinical practice, has some limitations: the system only includes three indicators, and uses a simple linear method to classify patients, while ignoring the objectivity of prognosis as a complex nonlinear phenomenon. At the same time, the system has never integrated or improved the newly discovered prognostic indicators, like clinical information, pathological information, molecular markers and immune markers. We speculate the above information may be used as supplementary factors to combine with the traditional prognosis prediction system, so as to improve the accuracy of prognosis assessment. This article systematically reviews the research progress in this field and proposes a possible way to build a new generation of prognosis prediction system for non-metastatic colorectal cancer.http://html.rhhz.net/ZLFZYJ/html/8578.2020.20.0608.htmcolorectal cancernon-metastasisprognosisprediction
spellingShingle KONG Xiangxing
LI Jun
Advances and Challenges in Prognosis Prediction Systems for Non-metastatic Colorectal Cancer
Zhongliu Fangzhi Yanjiu
colorectal cancer
non-metastasis
prognosis
prediction
title Advances and Challenges in Prognosis Prediction Systems for Non-metastatic Colorectal Cancer
title_full Advances and Challenges in Prognosis Prediction Systems for Non-metastatic Colorectal Cancer
title_fullStr Advances and Challenges in Prognosis Prediction Systems for Non-metastatic Colorectal Cancer
title_full_unstemmed Advances and Challenges in Prognosis Prediction Systems for Non-metastatic Colorectal Cancer
title_short Advances and Challenges in Prognosis Prediction Systems for Non-metastatic Colorectal Cancer
title_sort advances and challenges in prognosis prediction systems for non metastatic colorectal cancer
topic colorectal cancer
non-metastasis
prognosis
prediction
url http://html.rhhz.net/ZLFZYJ/html/8578.2020.20.0608.htm
work_keys_str_mv AT kongxiangxing advancesandchallengesinprognosispredictionsystemsfornonmetastaticcolorectalcancer
AT lijun advancesandchallengesinprognosispredictionsystemsfornonmetastaticcolorectalcancer