The relationships between cellular components of the peritumoural inflammatory response, clinicopathological characteristics and survival in patients with primary operable colorectal cancer

Background: The host inflammatory response is an important determinant of cancer outcome. We examined different methods of assessing the local inflammatory response in colorectal tumours and explored relationships with both clinicopathological characteristics and survival. Methods: Cohort study of p...

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Veröffentlicht in:British journal of cancer 2012-06, Vol.106 (12), p.2010-2015
Hauptverfasser: Richards, C H, Flegg, K M, SD Roxburgh, C, Going, J J, Mohammed, Z, Horgan, P G, McMillan, D C
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container_end_page 2015
container_issue 12
container_start_page 2010
container_title British journal of cancer
container_volume 106
creator Richards, C H
Flegg, K M
SD Roxburgh, C
Going, J J
Mohammed, Z
Horgan, P G
McMillan, D C
description Background: The host inflammatory response is an important determinant of cancer outcome. We examined different methods of assessing the local inflammatory response in colorectal tumours and explored relationships with both clinicopathological characteristics and survival. Methods: Cohort study of patients ( n =130) with primary operable colorectal cancer and mature follow-up. Local inflammatory response at the invasive margin was assessed with: (1) a semi-quantitative assessment of peritumoural inflammation using Klintrup–Makinen (K–M) grading and (2) an assessment of individual immune cell infiltration (lymphocytes, plasma cells, neutrophils, macrophages and eosinophils). Results: The peritumoural inflammatory response was K–M low grade in 48% and high grade in 52%. Inflammatory cells were primarily macrophages, lymphocytes and neutrophils with relatively few plasma cells or eosinophils. On univariate analysis, K–M grade, lymphocyte infiltration and plasma cell infiltration were associated with cancer-specific survival. On multivariate analysis, only systemic inflammatory response, TNM (tumour, node and metastases) stage, venous invasion, tumour necrosis and K–M grade were independently associated with cancer-specific survival. There was no relationship between local infiltration of inflammatory cells and a systemic inflammatory response. However, high K–M grade, lymphocyte infiltration and plasma cell infiltration were associated with a number of favourable pathological characteristics, including an absence of venous invasion. Conclusion: Infiltration of inflammatory cells in the invasive margin of colorectal tumours is beneficial to survival. The adaptive immune response appears to have a prominent role in the prevention of tumour progression in patients with colorectal cancer.
doi_str_mv 10.1038/bjc.2012.211
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On multivariate analysis, only systemic inflammatory response, TNM (tumour, node and metastases) stage, venous invasion, tumour necrosis and K–M grade were independently associated with cancer-specific survival. There was no relationship between local infiltration of inflammatory cells and a systemic inflammatory response. However, high K–M grade, lymphocyte infiltration and plasma cell infiltration were associated with a number of favourable pathological characteristics, including an absence of venous invasion. Conclusion: Infiltration of inflammatory cells in the invasive margin of colorectal tumours is beneficial to survival. 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subjects 631/250/2152
631/250/256
692/699/67/1504/1885
692/700/1750
Anemia
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Cancer Research
Colorectal cancer
Colorectal Neoplasms - immunology
Colorectal Neoplasms - mortality
Colorectal Neoplasms - pathology
Drug Resistance
Eosinophils - immunology
Epidemiology
Female
Gastroenterology. Liver. Pancreas. Abdomen
Hemoglobin
Humans
Inflammation
Inflammation - diagnosis
Leukocyte Count
Lymphocytes
Lymphocytes, Tumor-Infiltrating - immunology
Macrophages - immunology
Male
Medical research
Medical sciences
Metastasis
Molecular Diagnostics
Molecular Medicine
Neoplasm Invasiveness
Neutrophils
Neutrophils - immunology
Oncology
Plasma
Plasma Cells - immunology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgery
Tumors
title The relationships between cellular components of the peritumoural inflammatory response, clinicopathological characteristics and survival in patients with primary operable colorectal cancer
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