The location of the primary colon cancer has no impact on outcomes in patients undergoing cytoreductive surgery for peritoneal metastasis.

作者: Julien Peron , Frédéric Mercier , Jean-Jacques Tuech , Rami Younan , Lucas Sideris

DOI: 10.1016/J.SURG.2018.07.027

关键词:

摘要: Abstract Background The impact of the location colorectal cancer on patient outcomes has been reported in several settings. objective this study was to assess prognostic primary colon among patients with peritoneal metastases undergoing complete cytoreductive surgery. Methods Using prospectively maintained clinical and biological digestive metastasis database BIG-RENAPE network, we identified 796 treated by a surgery between January 2004 2017 for 16 different institutions. 2 endpoints were overall survival progression-free survival. To evaluate potential factors (including cancer), these included univariate multivariate Cox proportional hazard models. Results Right-sided cancers more often BRAF mutated had microsatellite instability, whereas frequency RAS mutation similar right-sided left-sided cancers. After median follow-up time 3.3 years, there no significant difference or according tumor side. lack effect consistent across subgroups. Conclusion Among metastases, site not associated differences Tumor side should be used as stratification factor trials selection process

参考文章(36)
Pierre Jacquet, Paul H. Sugarbaker, Clinical research methodologies in diagnosis and staging of patients with peritoneal carcinomatosis Cancer treatment and research. ,vol. 82, pp. 359- 374 ,(1996) , 10.1007/978-1-4613-1247-5_23
Timothy J. Price, Carol Beeke, Shahid Ullah, Robert Padbury, Guy Maddern, David Roder, Amanda R. Townsend, James Moore, Amitesh Roy, Yoko Tomita, Christos Karapetis, Does the primary site of colorectal cancer impact outcomes for patients with metastatic disease Cancer. ,vol. 121, pp. 830- 835 ,(2015) , 10.1002/CNCR.29129
R Soong, B Powell, H Elsaleh, G Gnanasampanthan, D.R Smith, H.S Goh, D Joseph, B Iacopetta, Prognostic significance of TP53 gene mutation in 995 cases of colorectal carcinoma: influence of tumour site, stage, adjuvant chemotherapy and type of mutation European Journal of Cancer. ,vol. 36, pp. 2053- 2060 ,(2000) , 10.1016/S0959-8049(00)00285-9
S.Y. Brulé, D.J. Jonker, C.S. Karapetis, C.J. O’Callaghan, M.J. Moore, R. Wong, N.C. Tebbutt, Cr. Underhill, D. Yip, J.R. Zalcberg, D. Tu, R.A. Goodwin, Location of colon cancer (right-sided versus left-sided) as a prognostic factor and a predictor of benefit from cetuximab in NCIC CO.17 European Journal of Cancer. ,vol. 51, pp. 1405- 1414 ,(2015) , 10.1016/J.EJCA.2015.03.015
Justin Guinney, Rodrigo Dienstmann, Xin Wang, Aurélien De Reynies, Andreas Schlicker, Charlotte Soneson, Laetitia Marisa, Paul Roepman, Gift Nyamundanda, Paolo Angelino, Brian M Bot, Jeffrey S Morris, Iris M Simon, Sarah Gerster, Evelyn Fessler, Felipe De Sousa E Melo, Edoardo Missiaglia, Hena Ramay, David Barras, Krisztian Homicsko, Dipen Maru, Ganiraju C Manyam, Bradley Broom, Valerie Boige, Beatriz Perez-Villamil, Ted Laderas, Ramon Salazar, Joe W Gray, Douglas Hanahan, Josep Tabernero, Rene Bernards, Stephen H Friend, Pierre Laurent-Puig, Jan Paul Medema, Anguraj Sadanandam, Lodewyk Wessels, Mauro Delorenzi, Scott Kopetz, Louis Vermeulen, Sabine Tejpar, None, The consensus molecular subtypes of colorectal cancer Nature Medicine. ,vol. 21, pp. 1350- 1356 ,(2015) , 10.1038/NM.3967
Zhiguang Gao, Bomin Guo, Renyuan Gao, Qingchao Zhu, Huanlong Qin, Microbiota disbiosis is associated with colorectal cancer. Frontiers in Microbiology. ,vol. 6, pp. 20- 20 ,(2015) , 10.3389/FMICB.2015.00020
S. Boeck, C. Schulz, C. Giessen, S. Stintzing, D. P. Modest, J. C. von Einem, V. Heinemann, L. Fischer von Weikersthal, U. Vehling-Kaiser, M. Stauch, H. G. Hass, T. Decker, S. Klein, S. Held, A. Jung, T. Kirchner, M. Haas, J. Holch, M. Michl, P. Aubele, Left-sided primary tumors are associated with favorable prognosis in patients with KRAS codon 12/13 wild-type metastatic colorectal cancer treated with cetuximab plus chemotherapy: an analysis of the AIO KRK-0104 trial Journal of Cancer Research and Clinical Oncology. ,vol. 140, pp. 1607- 1614 ,(2014) , 10.1007/S00432-014-1678-3
Jean-Nicolas Vauthey, Giuseppe Zimmitti, Scott E. Kopetz, Junichi Shindoh, Su S. Chen, Andreas Andreou, Steven A. Curley, Thomas A. Aloia, Dipen M. Maru, RAS mutation status predicts survival and patterns of recurrence in patients undergoing hepatectomy for colorectal liver metastases. Annals of Surgery. ,vol. 258, pp. 619- 627 ,(2013) , 10.1097/SLA.0B013E3182A5025A
Frank Benedix, Rainer Kube, Frank Meyer, Uwe Schmidt, Ingo Gastinger, Hans Lippert, COMPARISON OF 17,641 PATIENTS WITH RIGHT- AND LEFT-SIDED COLON CANCER: DIFFERENCES IN EPIDEMIOLOGY, PERIOPERATIVE COURSE, HISTOLOGY, AND SURVIVAL Diseases of The Colon & Rectum. ,vol. 53, pp. 57- 64 ,(2010) , 10.1007/DCR.0B013E3181C703A4
Yuman Fong, Joseph Fortner, Ruth L. Sun, Murray F. Brennan, Leslie H. Blumgart, Clinical Score for Predicting Recurrence After Hepatic Resection for Metastatic Colorectal Cancer: Analysis of 1001 Consecutive Cases Annals of Surgery. ,vol. 230, pp. 309- 321 ,(1999) , 10.1097/00000658-199909000-00004