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10.4103/0971-5916.191801

http://scihub22266oqcxt.onion/10.4103/0971-5916.191801
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C5080918!5080918 !27748284
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suck abstract from ncbi


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pmid27748284
      Indian+J+Med+Res 2016 ; 143 (Supplement ): S104-S111
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  • Microsatellite instability & survival in patients with stage II/III colorectal carcinoma #MMPMID27748284
  • Srdjan M ; Jadranka A ; Ivan D ; Branimir Z ; Daniela B ; Petar S ; Velimir M ; Zoran K
  • Indian J Med Res 2016[May]; 143 (Supplement ): S104-S111 PMID27748284 show ga
  • BACKGROUND & OBJECTIVES: The two key aspects associated with the microsatellite instability (MSI) as genetic phenomenon in colorectal cancer (CRC) are better survival prognosis, and the varying response to 5-fluorouracil (5-FU)-based chemotherapy. This study was undertaken to measure the survival of surgically treated patients with stages II and III CRC based on the MSI status, the postoperative 5-FU treatment as well as clinical and histological data. METHODS: A total of 125 consecutive patients with stages II and III (American Joint Committee on Cancer, AJCC staging) primary CRCs, were followed prospectively for a median time of 31 months (January 2006 to December 2009). All patients were assessed, operated and clinically followed. Tumour samples were obtained for cytopathological verification and MSI grading. RESULTS: Of the 125 patients, 21 (20%) had high MSI (MSI-H), and 101 patients (80%) had MSI-L or MSS (low frequency MSI or stable MSI). Patients with MSS CRC were more likely to have recurrent disease (P=0.03; OR=3.2; CI 95% 1-10.2) compared to those with MSI-H CRC. Multi- and univariate Cox regression analysis failed to show a difference between MSI-H and MSS groups with respect to disease-free, disease-specific and overall survival. However, the disease-free survival was significantly lower in patients with MSI-H CRC treated by adjuvant 5-FU therapy (P=0.03). INTERPRETATION & CONCLUSIONS: MSI-H CRCs had a lower recurrence rate, but the prognosis was worse following adjuvant 5-FU therapy.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Colorectal Neoplasms/*drug therapy/*genetics/pathology [MESH]
  • |Disease-Free Survival [MESH]
  • |Female [MESH]
  • |Fluorouracil/therapeutic use [MESH]
  • |Follow-Up Studies [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Microsatellite Instability/*drug effects [MESH]
  • |Middle Aged [MESH]
  • |Neoplasm Recurrence, Local/*genetics/pathology [MESH]
  • |Prognosis [MESH]


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