Tumor regression grades, K-RAS mutational profile and c-MET in colorectal liver metastases

Recently TRG, necrosis grade and the rate of viable cancer cells of colorectal liver metastases were correlated with the response to chemotherapy treatments, whereas K-RAS mutations and c-MET over-expression were correlated with the prognosis. 58 resection specimens were assessed for regression grad...

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Veröffentlicht in:Pathology, research and practice research and practice, 2017-08, Vol.213 (8), p.1002-1009
Hauptverfasser: Lorenzon, Laura, Ricca, Luana, Pilozzi, Emanuela, Lemoine, Antoinette, Riggio, Valentina, Giudice, Maria Teresa, Mallel, Giuseppe, Fochetti, Flavio, Balducci, Genoveffa
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container_end_page 1009
container_issue 8
container_start_page 1002
container_title Pathology, research and practice
container_volume 213
creator Lorenzon, Laura
Ricca, Luana
Pilozzi, Emanuela
Lemoine, Antoinette
Riggio, Valentina
Giudice, Maria Teresa
Mallel, Giuseppe
Fochetti, Flavio
Balducci, Genoveffa
description Recently TRG, necrosis grade and the rate of viable cancer cells of colorectal liver metastases were correlated with the response to chemotherapy treatments, whereas K-RAS mutations and c-MET over-expression were correlated with the prognosis. 58 resection specimens were assessed for regression grades. Patients undergone neo-adjuvant treatments were compared to patients who underwent therapy exclusively adjuvantly. We investigated the K-RAS mutational profile, the c-MET over-expression along with patients’ survivals curves. Patients undergone neo-adjuvant treatment presented significant higher fibrosis rates and lower rates of viable cells. 36.7% of the patients had a K-RAS mutation and the 26.7% presented c-MET over-expression, but these features did not correlate with patients’ clinical/pathological data. Survival analysis documented that K-RAS WT patients presenting c-MET over-expression had worse outcomes. Fibrosis and the rate of viable cells significantly correlate with the response to chemotherapy treatments. c-MET is a promising marker in K-RAS WT patients.
doi_str_mv 10.1016/j.prp.2017.04.013
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subjects Adenocarcinoma - genetics
Adenocarcinoma - secondary
Adenocarcinoma - therapy
Adult
Aged
Aged, 80 and over
Biomarkers, Tumor - analysis
C-MET
Colorectal cancer
Colorectal Neoplasms - genetics
Colorectal Neoplasms - pathology
Colorectal Neoplasms - therapy
Disease-Free Survival
DNA Mutational Analysis
Female
Fibrosis - pathology
Humans
K-RAS
Kaplan-Meier Estimate
Liver metastasis
Liver Neoplasms - genetics
Liver Neoplasms - secondary
Liver Neoplasms - therapy
Male
Middle Aged
Neoadjuvant Therapy
Proto-Oncogene Proteins c-met - biosynthesis
Proto-Oncogene Proteins p21(ras) - genetics
title Tumor regression grades, K-RAS mutational profile and c-MET in colorectal liver metastases
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