Adjuvant treatment in colorectal cancer
2002

Adjuvant Treatment in Colorectal Cancer

Sample size: 116 publication Evidence: moderate

Author Information

Author(s): Taal B G, van Tinteren H, van t Veer L

Primary Institution: The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital

Hypothesis

Which patients will benefit the most from adjuvant therapy in colorectal cancer?

Conclusion

Preliminary data suggest that microsatellite instability (MSI) may serve as a significant prognostic marker for patients undergoing adjuvant treatment.

Supporting Evidence

  • Chemotherapy provided maximal benefit in female patients and p53 normal tumours.
  • MSI was almost exclusively found in colon cancer.
  • LOH chr18 was present in two-thirds of colon cancer patients.

Takeaway

This study looks at how certain markers in cancer can help doctors decide which patients will do better with treatment.

Methodology

The study involved a random sample of patients with stage II and III colorectal cancer, examining the presence of molecular markers.

Limitations

The NACCP trial was stopped early, limiting the statistical power for subgroup analysis.

Participant Demographics

64 male and 53 female patients, with 57 in stage II and 59 in stage III.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600280

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