The potential of EZH2 expression to facilitate treatment choice in stage II colorectal adenocarcinoma

  • 0Department of Pathology, Wannan Medical College, Wuhu, PR China.

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Summary

This summary is machine-generated.

High Enhancer of zeste homolog 2 (EZH2) expression in stage II colorectal cancer (CRC) patients indicates a better response to adjuvant chemotherapy. EZH2 may identify early-stage CRC patients who benefit from combined surgery and chemotherapy.

Area Of Science

  • Oncology
  • Molecular Biology
  • Cancer Research

Background

  • Current criteria for adjuvant therapy selection in stage II colorectal carcinoma (CRC) are inadequate.
  • Enhancer of zeste homolog 2 (EZH2) is over-expressed in CRC, but its role in survival, particularly in stage II, is unclear.

Purpose Of The Study

  • To investigate the clinical significance of EZH2 expression in stage II CRC.
  • To determine if EZH2 expression can predict response to adjuvant therapy.

Main Methods

  • Retrospective review of stage II CRC cases (2015-2018).
  • Immunohistochemistry analysis of EZH2 expression.
  • Kaplan-Meier survival analysis.

Main Results

  • High EZH2 expression was observed in 60.63% of stage II CRC tumors.
  • High EZH2 expression correlated with improved overall survival (OS) in patients receiving adjuvant chemotherapy compared to surgery alone.
  • No significant impact of treatment choice on survival was observed in patients with low EZH2 expression.

Conclusions

  • EZH2 expression may serve as a biomarker to identify stage II CRC patients who benefit from adjuvant chemotherapy.
  • Further large-scale studies are needed to validate EZH2's predictive value.