Low tumour cell proliferation at the invasive margin is associated with a poor prognosis in Dukes' stage B colorectal cancers
1999

Low Tumour Cell Proliferation and Poor Prognosis in Colorectal Cancer

Sample size: 56 publication Evidence: moderate

Author Information

Author(s): Palmqvist R, Sellberg P, Öberg Å, Tavelin B, Rutegård J N, Stenling R

Primary Institution: Umeå University, Umeå, Sweden

Hypothesis

Does systematic spatial heterogeneity in tumour cell proliferation affect survival in Dukes' stage B colorectal cancers?

Conclusion

Tumours with low proliferation at the invasive margin have a poorer prognosis.

Supporting Evidence

  • Proliferative activity was significantly higher at the luminal border compared to the invasive margin.
  • Low proliferation at the invasive margin was linked to poorer prognosis in both univariate and multivariate analyses.

Takeaway

If cancer cells grow slowly at the edge of a tumour, it might mean the patient will not do well.

Methodology

Morphometric quantification of Ki-67 expression at the luminal border and invasive margin in colorectal cancers.

Participant Demographics

Dukes' stage B colorectal cancer patients.

Statistical Information

P-Value

P = 0.014 (univariate), P = 0.042 (multivariate)

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690091

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