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Beyond N staging in colorectal cancer: Current approaches and future perspectives.

作者信息

Arrichiello Gianluca, Pirozzi Mario, Facchini Bianca Arianna, Facchini Sergio, Paragliola Fernando, Nacca Valeria, Nicastro Antonella, Canciello Maria Anna, Orlando Adele, Caterino Marianna, Ciardiello Davide, Della Corte Carminia Maria, Fasano Morena, Napolitano Stefania, Troiani Teresa, Ciardiello Fortunato, Martini Giulia, Martinelli Erika

机构信息

Oncology Unit, Department of Precision Medicine, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.

Oncology Unit, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, Italy.

出版信息

Front Oncol. 2022 Jul 18;12:937114. doi: 10.3389/fonc.2022.937114. eCollection 2022.


DOI:10.3389/fonc.2022.937114
PMID:35928863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9344134/
Abstract

Traditionally, lymph node metastases (LNM) evaluation is essential to the staging of colon cancer patients according to the TNM (tumor-node-metastasis) system. However, in recent years evidence has accumulated regarding the role of emerging pathological features, which could significantly impact the prognosis of colorectal cancer patients. Lymph Node Ratio (LNR) and Log Odds of Positive Lymph Nodes (LODDS) have been shown to predict patients' prognosis more accurately than traditional nodal staging and it has been suggested that their implementation in existing classification could help stratify further patients with overlapping TNM stage. Tumor deposits (TD) are currently factored within the N1c category of the TNM classification in the absence of lymph node metastases. However, studies have shown that presence of TDs can affect patients' survival regardless of LNM. Moreover, evidence suggest that presence of TDs should not be evaluated as dichotomic but rather as a quantitative variable. Extranodal extension (ENE) has been shown to correlate with presence of other adverse prognostic features and to impact survival of colorectal cancer patients. In this review we will describe current staging systems and prognostic/predictive factors in colorectal cancer and elaborate on available evidence supporting the implementation of LNR/LODDS, TDs and ENE evaluation in existing classification to improve prognosis estimation and patient selection for adjuvant treatment.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68f0/9344134/b2b5f4946a4a/fonc-12-937114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68f0/9344134/b2b5f4946a4a/fonc-12-937114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68f0/9344134/b2b5f4946a4a/fonc-12-937114-g001.jpg

相似文献

[1]
Beyond N staging in colorectal cancer: Current approaches and future perspectives.

Front Oncol. 2022-7-18

[2]
Prognostic implications of ENE and LODDS in relation to lymph node-positive colorectal cancer location.

Transl Oncol. 2021-11

[3]
Can the tumor deposits be counted as metastatic lymph nodes in the UICC TNM staging system for colorectal cancer?

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[4]
Log odds of positive lymph nodes is prognostically equivalent to lymph node ratio in non-metastatic colon cancer.

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[5]
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Zhonghua Zhong Liu Za Zhi. 2020-6-23

[6]
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Eur J Surg Oncol. 2022-5

[7]
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[8]
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[9]
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[10]
Tumor Deposits as an Adverse Prognostic Indicator in Stage III Colon Cancer: A Multicenter Database Study.

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引用本文的文献

[1]
Comparison of LNR- and LODDS-based predictive models for prognosis in non-elderly patients with locally advanced rectal cancer undergoing neoadjuvant therapy.

Int J Colorectal Dis. 2025-7-12

[2]
Extranodal extension on MRI after neoadjuvant chemoradiotherapy improves the prognostic contribution of nodal evaluation in rectal cancer.

Eur Radiol. 2025-7-2

[3]
Prognostic impact and independent significance of tumor deposits in early-stage colon cancer: a population-based cohort study.

Int J Colorectal Dis. 2025-6-26

[4]
Evaluating log odds of positive lymph nodes as a prognostic tool in differentiated gastric cancer: A retrospective study.

World J Gastroenterol. 2025-6-7

[5]
Lymph Node Ratio (LNR) Discriminates Prognostication in pN1a-b and pN2 Stage-III Colon Cancer.

J Cancer. 2025-1-1

[6]
Long-term outcomes and lymph node metastasis following endoscopic resection with additional surgery or primary surgery for T1 colorectal cancer.

Sci Rep. 2025-1-20

[7]
Establishment and drug resistance characterization of paired organoids using human primary colorectal cancer and matched tumor deposit specimens.

Hum Cell. 2024-11-4

[8]
Negative prognostic impact of tumor deposits in stage III colorectal cancer patients.

PLoS One. 2024

[9]
The survival prediction of advanced colorectal cancer received neoadjuvant therapy-a study of SEER database.

World J Surg Oncol. 2024-7-1

[10]
Evaluation of the prognostic performance of different cutoff values of lymph node ratio staging system for stage III colorectal cancer.

Updates Surg. 2024-8

本文引用的文献

[1]
Metastatic Lymph Node Ratio for Predicting Recurrence in Medullary Thyroid Cancer.

Cancers (Basel). 2021-11-21

[2]
Screening and validation of a novel T stage-lymph node ratio classification for operable colon cancer.

Ann Transl Med. 2021-10

[3]
Development and validation of a novel classification scheme for combining pathological T stage and log odds of positive lymph nodes for colon cancer.

Eur J Surg Oncol. 2022-1

[4]
Tumor deposits improve staging in colon cancer: what are the next steps?

Ann Oncol. 2021-10

[5]
Prognostic implications of ENE and LODDS in relation to lymph node-positive colorectal cancer location.

Transl Oncol. 2021-11

[6]
Combining tumor deposits with the number of lymph node metastases to improve the prognostic accuracy in stage III colon cancer: a post hoc analysis of the CALGB/SWOG 80702 phase III study (Alliance).

Ann Oncol. 2021-10

[7]
Prognostic Value of Lymph Node Ratio in Patients with Resected Synchronous Colorectal Liver Metastases and Less Than 12 Examined Lymph Nodes.

J Gastrointest Surg. 2022-1

[8]
Assessment Criteria and Clinical Implications of Extranodal Extension in Head and Neck Cancer.

Am Soc Clin Oncol Educ Book. 2021-3

[9]
Log odds of positive lymph nodes is an excellent prognostic factor for patients with rectal cancer after neoadjuvant chemoradiotherapy.

Ann Transl Med. 2021-4

[10]
Prognostic value of extranodal extension in axillary lymph node-positive breast cancer.

Sci Rep. 2021-5-5

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