作者: Robert Gryfe , Hyeja Kim , Eugene T.K. Hsieh , Melyssa D. Aronson , Eric J. Holowaty
DOI: 10.1056/NEJM200001133420201
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摘要: Background Colorectal cancer can arise through two distinct mutational pathways: microsatellite instability or chromosomal instability. We tested the hypothesis that colorectal cancers arising from microsatellite-instability pathway have distinctive clinical attributes affect outcome. Methods specimens of a population-based series 607 patients (50 years age younger at diagnosis) for compared features and survival who had characterized by high-frequency with these characteristics in stability. Results found 17 percent patients, multivariate analysis, was associated significant advantage independently all standard prognostic factors, including tumor stage (haza...