Prognostic role of BRAF mutations in colorectal cancer liver metastases

Background/Aims: The impact of tumor biology on prognosis in patients with colorectal liver metastasis (CRLM) has been the topic of intense research. Specifically, the presence of BRAF mutations has been recently associated with adverse long-term outcomes. We examined the existing literature on the...

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Main Authors: Pikoulis, Emmanouil (Author) , Margonis, Georgios A. (Author) , Andreatos, Nikolaos (Author) , Sasaki, Kazunari (Author) , Angelou, Anastasios (Author) , Polychronidis, Georgios (Author) , Pikouli, Anastasia (Author) , Riza, Elena (Author) , Pawlik, Timothy M. (Author) , Antoniou, Efstathios (Author)
Format: Article (Journal)
Language:English
Published: September 2016
In: Anticancer research
Year: 2016, Volume: 36, Issue: 9, Pages: 4805-4811
ISSN:1791-7530
Online Access:Verlag, lizenzpflichtig, Volltext: http://ar.iiarjournals.org/content/36/9/4805
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Author Notes:Emmanouil Pikoulis, Georgios A. Margonis, Nikolaos Andreatos, Kazunari Sasaki, Anastasios Angelou, Georgios Polychronidis, Anastasia Pikouli, Elena Riza, Timothy M. Pawlik and Efstathios Antoniou
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Summary:Background/Aims: The impact of tumor biology on prognosis in patients with colorectal liver metastasis (CRLM) has been the topic of intense research. Specifically, the presence of BRAF mutations has been recently associated with adverse long-term outcomes. We examined the existing literature on the prognostic implications of BRAF mutations in patients with CRLM. Materials and Methods: A structured review of the literature was performed between 5/1/2016 and 6/1/2016 using the PubMed database. Original research articles published between 1/1/2010 and 4/01/2016 were considered eligible. The primary end-points were overall survival (OS)/disease-specific survival (DSS) and recurrence-free survival (RFS) among patients with BRAF mutated CRLM who underwent resection. Results: Eight studies were included. All studies reported on OS/DSS, while 6 reported on RFS. BRAF mutant status was a strong independent predictor of both worse OS/DSS and RFS in 7 and 4 studies, respectively. Conclusion: BRAF-mutant lesions are consistently associated with poor prognosis. Consequently, the indications of CRLM resection in this patient group should be reconsidered.
Item Description:Gesehen am 20.10.2020
Physical Description:Online Resource
ISSN:1791-7530