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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4 Suppl
pubmed:dateCreated
2006-6-13
pubmed:abstractText
About 40% of patients bearing a colorectal carcinoma will develop local or distant tumor recurrences. Integrated analyses of biopathological markers, predictive of tumor aggressiveness, may offer a more rational approach to adjuvant therapy planning. To this end we analyzed the correlation between p53 accumulation, bcl-2 expression with cell proliferation, DNA ploidy, and conventional histological parameters, by testing the prognostic significance of these variables in a series of 214 patients bearing a colorectal carcinoma. When these parameters were examined in the univariate analysis, significantly shorter disease free and overall survival were observed in patients bearing p53+ and bcl-2- tumors. In the multivariate analysis p53 accumulation and bcl-2 expression emerged as independent predictors respectively of worse and better clinical outcome also in Dukes' B stage identifying patients at higher risk to develop liver metastases.. These results indicate that in colorectal adenocarcinomas a biological profile, based on the combined evaluation of p53 and bcl-2, can be useful in identifying high risk patients to be enrolled in an adjuvant setting mainly in early stage of the disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0392-9078
pubmed:author
pubmed:issnType
Print
pubmed:volume
22
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
163-6
pubmed:meshHeading
pubmed-meshheading:16767924-Adenocarcinoma, pubmed-meshheading:16767924-Aged, pubmed-meshheading:16767924-Cell Proliferation, pubmed-meshheading:16767924-Colorectal Neoplasms, pubmed-meshheading:16767924-Disease-Free Survival, pubmed-meshheading:16767924-Female, pubmed-meshheading:16767924-Humans, pubmed-meshheading:16767924-Immunohistochemistry, pubmed-meshheading:16767924-Liver Neoplasms, pubmed-meshheading:16767924-Male, pubmed-meshheading:16767924-Middle Aged, pubmed-meshheading:16767924-Ploidies, pubmed-meshheading:16767924-Prognosis, pubmed-meshheading:16767924-Proto-Oncogene Proteins c-bcl-2, pubmed-meshheading:16767924-Survival Analysis, pubmed-meshheading:16767924-Survival Rate, pubmed-meshheading:16767924-Tumor Markers, Biological, pubmed-meshheading:16767924-Tumor Suppressor Protein p53
pubmed:year
2003
pubmed:articleTitle
Bio-pathological factors of prognostic value in colorectal adenocarcinomas.
pubmed:affiliation
Pathology Department, Regina Elena Cancer Institute, Rome, Italy. mottolese@crs.ifo.it
pubmed:publicationType
Journal Article