Association of polyps with early-onset colorectal cancer and throughout surveillance: Novel clinical and molecular implications
Early-onset colorectal cancer (EOCRC) is an increasing and worrisome entity. The aim of this study was to analyze its association with polyps concerning prognosis and surveillance. EOCRC cases were compared regarding the presence or absence of associated polyps (clinical and molecular features), dur...
| Autores: | , , , , , , , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2019 |
| País: | España |
| Institución: | Universidad Autónoma de Madrid |
| Repositorio: | Biblos-e Archivo. Repositorio Institucional de la UAM |
| Idioma: | inglés |
| OAI Identifier: | oai:repositorio.uam.es:10486/691707 |
| Acceso en línea: | http://hdl.handle.net/10486/691707 https://dx.doi.org/10.3390/cancers11121900 |
| Access Level: | acceso abierto |
| Palabra clave: | early-onset colorectal cancer polyp development prognosis follow-up Medicina |
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Association of polyps with early-onset colorectal cancer and throughout surveillance: Novel clinical and molecular implicationsPerea García, JoséArribas, JuliaCañete, ÁngelGarcía, Juan LuisÁlvaro, EdurneTapial, SandraNarváez, CristinaVivas, AlfredoBrandáriz, LorenaHernández-Villafranca, SergioRueda, DanielRodríguez, YolandaPérez-García, JessicaOlmedillas-López, SusanaGarcía Olmo, DamiánMartina Cavestro, GiuliaUrioste, MiguelGoel, AjayGonzález-Sarmiento, Rogelioearly-onset colorectal cancerpolyp developmentprognosisfollow-upMedicinaEarly-onset colorectal cancer (EOCRC) is an increasing and worrisome entity. The aim of this study was to analyze its association with polyps concerning prognosis and surveillance. EOCRC cases were compared regarding the presence or absence of associated polyps (clinical and molecular features), during a minimum of 7 years of follow-up. Of 119 cases, 56 (47%) did not develop polyps (NP group), while 63 (53%) did (P group). The NP group showed a predominant location of the CRC in the rectum (50%), of sporadic cases (54%), and diagnosis at advanced stages: Only P53 and SMARCB1 mutations were statistically linked to this group. The P group, including mainly early-diagnosed tumors, was linked with the most frequent and differential altered chromosomal regions in the array comparative genomic hybridization. The two most frequent groups according to the follow-up were the NP group (40%), and patients developing polyps in the first 5 years of follow-up (P < 5FU) (34%) (these last groups predominantly diagnosed at the earliest stage and with adenomatous polyps (45%)). EOCRC with polyps that developed during the entire follow-up (PDFU group) were mainly located in the right colon (53%), diagnosed in earlier stages, and 75% had a familial history of CRC. Patients developing polyps after the first 5 years (P > 5FU) showed a mucinous component (50%). Our results show that the absence or presence of polyps in EOCRC is an important prognostic factor with differential phenotypes. The development of polyps during surveillance shows that it is necessary to extend the follow-up time, also in those cases with microsatellite-stable EOCRCThis work was funded by the Spanish Ministry of Health and ConsumerA airs and FEDER, grant number PI10/00683 and PI16/01650 to J.P.G., PI16/01920 to R.G.S., and PI14/00459 to M.U., and by the National Cancer Institute, National Institutes of Health, grant number R01 CA72851, CA18172, CA184792 and U01 CA187956 to A.G.MDPIDepartamento de CirugíaFacultad de Medicina20192019-11-29research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/691707https://dx.doi.org/10.3390/cancers11121900reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/6917072026-06-23T12:46:27Z |
| dc.title.none.fl_str_mv |
Association of polyps with early-onset colorectal cancer and throughout surveillance: Novel clinical and molecular implications |
| title |
Association of polyps with early-onset colorectal cancer and throughout surveillance: Novel clinical and molecular implications |
| spellingShingle |
Association of polyps with early-onset colorectal cancer and throughout surveillance: Novel clinical and molecular implications Perea García, José early-onset colorectal cancer polyp development prognosis follow-up Medicina |
| title_short |
Association of polyps with early-onset colorectal cancer and throughout surveillance: Novel clinical and molecular implications |
| title_full |
Association of polyps with early-onset colorectal cancer and throughout surveillance: Novel clinical and molecular implications |
| title_fullStr |
Association of polyps with early-onset colorectal cancer and throughout surveillance: Novel clinical and molecular implications |
| title_full_unstemmed |
Association of polyps with early-onset colorectal cancer and throughout surveillance: Novel clinical and molecular implications |
| title_sort |
Association of polyps with early-onset colorectal cancer and throughout surveillance: Novel clinical and molecular implications |
| dc.creator.none.fl_str_mv |
Perea García, José Arribas, Julia Cañete, Ángel García, Juan Luis Álvaro, Edurne Tapial, Sandra Narváez, Cristina Vivas, Alfredo Brandáriz, Lorena Hernández-Villafranca, Sergio Rueda, Daniel Rodríguez, Yolanda Pérez-García, Jessica Olmedillas-López, Susana García Olmo, Damián Martina Cavestro, Giulia Urioste, Miguel Goel, Ajay González-Sarmiento, Rogelio |
| author |
Perea García, José |
| author_facet |
Perea García, José Arribas, Julia Cañete, Ángel García, Juan Luis Álvaro, Edurne Tapial, Sandra Narváez, Cristina Vivas, Alfredo Brandáriz, Lorena Hernández-Villafranca, Sergio Rueda, Daniel Rodríguez, Yolanda Pérez-García, Jessica Olmedillas-López, Susana García Olmo, Damián Martina Cavestro, Giulia Urioste, Miguel Goel, Ajay González-Sarmiento, Rogelio |
| author_role |
author |
| author2 |
Arribas, Julia Cañete, Ángel García, Juan Luis Álvaro, Edurne Tapial, Sandra Narváez, Cristina Vivas, Alfredo Brandáriz, Lorena Hernández-Villafranca, Sergio Rueda, Daniel Rodríguez, Yolanda Pérez-García, Jessica Olmedillas-López, Susana García Olmo, Damián Martina Cavestro, Giulia Urioste, Miguel Goel, Ajay González-Sarmiento, Rogelio |
| author2_role |
author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Departamento de Cirugía Facultad de Medicina |
| dc.subject.none.fl_str_mv |
early-onset colorectal cancer polyp development prognosis follow-up Medicina |
| topic |
early-onset colorectal cancer polyp development prognosis follow-up Medicina |
| description |
Early-onset colorectal cancer (EOCRC) is an increasing and worrisome entity. The aim of this study was to analyze its association with polyps concerning prognosis and surveillance. EOCRC cases were compared regarding the presence or absence of associated polyps (clinical and molecular features), during a minimum of 7 years of follow-up. Of 119 cases, 56 (47%) did not develop polyps (NP group), while 63 (53%) did (P group). The NP group showed a predominant location of the CRC in the rectum (50%), of sporadic cases (54%), and diagnosis at advanced stages: Only P53 and SMARCB1 mutations were statistically linked to this group. The P group, including mainly early-diagnosed tumors, was linked with the most frequent and differential altered chromosomal regions in the array comparative genomic hybridization. The two most frequent groups according to the follow-up were the NP group (40%), and patients developing polyps in the first 5 years of follow-up (P < 5FU) (34%) (these last groups predominantly diagnosed at the earliest stage and with adenomatous polyps (45%)). EOCRC with polyps that developed during the entire follow-up (PDFU group) were mainly located in the right colon (53%), diagnosed in earlier stages, and 75% had a familial history of CRC. Patients developing polyps after the first 5 years (P > 5FU) showed a mucinous component (50%). Our results show that the absence or presence of polyps in EOCRC is an important prognostic factor with differential phenotypes. The development of polyps during surveillance shows that it is necessary to extend the follow-up time, also in those cases with microsatellite-stable EOCRC |
| publishDate |
2019 |
| dc.date.none.fl_str_mv |
2019 2019-11-29 |
| dc.type.none.fl_str_mv |
research article http://purl.org/coar/resource_type/c_2df8fbb1 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10486/691707 https://dx.doi.org/10.3390/cancers11121900 |
| url |
http://hdl.handle.net/10486/691707 https://dx.doi.org/10.3390/cancers11121900 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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application/pdf |
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MDPI |
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MDPI |
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reponame:Biblos-e Archivo. Repositorio Institucional de la UAM instname:Universidad Autónoma de Madrid |
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Universidad Autónoma de Madrid |
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