BRAF mutation may have different prognostic implications in early- and late-stage colorectal cancer

The prognostic implication of BRAF mutant colorectal cancer remains paradoxical. Records of BRAF mutant and wild-type colorectal cancer patients at all stages were reviewed. Clinicopathologic features, including microsatellite instability, CpG islands methylator phenotype, and overall survival, of t...

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Veröffentlicht in:Medical oncology (Northwood, London, England) London, England), 2016-05, Vol.33 (5), p.39-39, Article 39
Hauptverfasser: Chen, Kuo-Hsing, Lin, Yu-Lin, Liau, Jau-Yu, Tsai, Jia-Huei, Tseng, Li-Hui, Lin, Liang-In, Liang, Jin-Tung, Lin, Been-Ren, Hung, Ji-Shiang, Chang, Yih-Leong, Yeh, Kun-Huei, Cheng, Ann-Lii
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container_issue 5
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container_title Medical oncology (Northwood, London, England)
container_volume 33
creator Chen, Kuo-Hsing
Lin, Yu-Lin
Liau, Jau-Yu
Tsai, Jia-Huei
Tseng, Li-Hui
Lin, Liang-In
Liang, Jin-Tung
Lin, Been-Ren
Hung, Ji-Shiang
Chang, Yih-Leong
Yeh, Kun-Huei
Cheng, Ann-Lii
description The prognostic implication of BRAF mutant colorectal cancer remains paradoxical. Records of BRAF mutant and wild-type colorectal cancer patients at all stages were reviewed. Clinicopathologic features, including microsatellite instability, CpG islands methylator phenotype, and overall survival, of these patients were analyzed. Between 2005 and 2013, 428 colorectal cancer patients were enrolled in this study. The overall survival between BRAF mutant and wild-type patients with early-stage (stages I and II) colorectal cancer differed nonsignificantly ( P  = 0.99). By contrast, in late-stage (stages III and IV) patients, the median overall survival of BRAF mutant patients ( N  = 25) was significantly poorer than that of BRAF wild-type ( N  = 207) patients ( BRAF mutant: 21.3 months (95 % confidence interval [CI] 7.1–35.5); BRAF wild-type: 53.5 months (95 % CI 37.5–69.5), P  
doi_str_mv 10.1007/s12032-016-0756-6
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Records of BRAF mutant and wild-type colorectal cancer patients at all stages were reviewed. Clinicopathologic features, including microsatellite instability, CpG islands methylator phenotype, and overall survival, of these patients were analyzed. Between 2005 and 2013, 428 colorectal cancer patients were enrolled in this study. The overall survival between BRAF mutant and wild-type patients with early-stage (stages I and II) colorectal cancer differed nonsignificantly ( P  = 0.99). By contrast, in late-stage (stages III and IV) patients, the median overall survival of BRAF mutant patients ( N  = 25) was significantly poorer than that of BRAF wild-type ( N  = 207) patients ( BRAF mutant: 21.3 months (95 % confidence interval [CI] 7.1–35.5); BRAF wild-type: 53.5 months (95 % CI 37.5–69.5), P  &lt; 0.0001). In early-stage patients, we found that BRAF mutation was significantly associated with CpG island methylator phenotype-positive ( P  &lt; 0.001), and microsatellite instability-high status ( P  = 0.0013). Conversely, in late-stage patients, BRAF mutation was significantly associated with CpG island methylator phenotype-positive ( P  = 0.0015) and the right-side colon ( P  = 0.014). 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Records of BRAF mutant and wild-type colorectal cancer patients at all stages were reviewed. Clinicopathologic features, including microsatellite instability, CpG islands methylator phenotype, and overall survival, of these patients were analyzed. Between 2005 and 2013, 428 colorectal cancer patients were enrolled in this study. The overall survival between BRAF mutant and wild-type patients with early-stage (stages I and II) colorectal cancer differed nonsignificantly ( P  = 0.99). By contrast, in late-stage (stages III and IV) patients, the median overall survival of BRAF mutant patients ( N  = 25) was significantly poorer than that of BRAF wild-type ( N  = 207) patients ( BRAF mutant: 21.3 months (95 % confidence interval [CI] 7.1–35.5); BRAF wild-type: 53.5 months (95 % CI 37.5–69.5), P  &lt; 0.0001). 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Records of BRAF mutant and wild-type colorectal cancer patients at all stages were reviewed. Clinicopathologic features, including microsatellite instability, CpG islands methylator phenotype, and overall survival, of these patients were analyzed. Between 2005 and 2013, 428 colorectal cancer patients were enrolled in this study. The overall survival between BRAF mutant and wild-type patients with early-stage (stages I and II) colorectal cancer differed nonsignificantly ( P  = 0.99). By contrast, in late-stage (stages III and IV) patients, the median overall survival of BRAF mutant patients ( N  = 25) was significantly poorer than that of BRAF wild-type ( N  = 207) patients ( BRAF mutant: 21.3 months (95 % confidence interval [CI] 7.1–35.5); BRAF wild-type: 53.5 months (95 % CI 37.5–69.5), P  &lt; 0.0001). In early-stage patients, we found that BRAF mutation was significantly associated with CpG island methylator phenotype-positive ( P  &lt; 0.001), and microsatellite instability-high status ( P  = 0.0013). Conversely, in late-stage patients, BRAF mutation was significantly associated with CpG island methylator phenotype-positive ( P  = 0.0015) and the right-side colon ( P  = 0.014). BRAF mutation may have different prognostic implications in early- and late-stage colorectal cancer.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27034263</pmid><doi>10.1007/s12032-016-0756-6</doi><tpages>1</tpages></addata></record>
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subjects Aged
Colorectal cancer
Colorectal Neoplasms - genetics
Colorectal Neoplasms - mortality
Colorectal Neoplasms - pathology
CpG Islands
DNA Methylation
Female
Hematology
Humans
Internal Medicine
Kaplan-Meier Estimate
Male
Medicine
Medicine & Public Health
Microsatellite Instability
Middle Aged
Multivariate Analysis
Mutation
Oncology
Original Paper
Pathology
Prognosis
Proto-Oncogene Proteins B-raf - genetics
title BRAF mutation may have different prognostic implications in early- and late-stage colorectal cancer
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