The potential role of tumor deposits in the prognosis and TNM staging for colorectal cancer
- Xinhong Shi 1, Lin Lu 2, Zihan Wang 3, Yingying Dai 2, Shuyi Hu 1, Zipeng Wu 1, Ruofan Yu 1, Tianyi Liu 2, Yingying Jiang 4, Yuxin Ma 1, Bo Shen 1, Guoren Zhou 1, Emerson Y Chen 5, Cheng Chen 2, Lili Zhao 6, Yue Shi 1, Xiaohua Wang 1
- Xinhong Shi 1, Lin Lu 2, Zihan Wang 3
- 1Department of Oncology, The Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing, China.
- 2Department of Radiotherapy, The Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing, China.
- 3Department of Clinical Medicine, Nantong University, Nantong, China.
- 4Department of Hematology and Oncology, Geriatric Hospital of Nanjing Medical University, Jiangsu Province Geriatric Hospital, Nanjing, China.
- 5Division of Hematology & Medical Oncology, Knight Cancer Institute, Department of Medicine, Oregon Health & Science University, Portland, OR, USA.
- 6Department of Oncology, Affiliated Huishan Hospital of Xinglin College, Nantong University, Wuxi Huishan District People's Hospital, Wuxi, China.
- 0Department of Oncology, The Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing, China.
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View abstract on PubMed
Summary
This summary is machine-generated.Tumor deposits (TDs) significantly worsen colorectal cancer prognosis. Accurate staging, considering TDs and other factors, is vital for patient outcomes and treatment decisions.
Area Of Science
- Oncology
- Pathology
- Cancer Staging
Background
- Tumor deposits (TDs) are critical for accurate cancer staging.
- Proper staging influences prognosis and treatment planning for colorectal cancer (CRC).
Purpose Of The Study
- To correlate tumor deposits (TDs) with prognosis in resected colorectal cancer (CRC).
- To optimize tumor-node-metastasis (TNM) staging by incorporating TDs for improved clinical decision-making.
Main Methods
- Retrospective analysis of 611 CRC patients (2010-2020), with 197 having TDs.
- Quantitative and qualitative analysis of TD influence on median overall survival (mOS).
Main Results
- Patients with TDs had significantly shorter mOS (60.3 months) compared to those without.
- TDs strongly associated with survival in M0 patients, impacting prognosis across different pN stages.
- TDs correlated with higher rates of rectal cancer, specific tissue types, nerve invasion, and distant metastases.
Conclusions
- Tumor deposits are closely linked to poor colorectal cancer prognosis.
- Enhanced pathological reporting and comprehensive patient assessment are crucial for accurate prognosis and treatment communication.
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