Bilić Zdenko, Zovak Mario, Glavčić Goran, Mužina Dubravka, Ibukić Amir, Košec Andro, Tomas Davor, Demirović Alma
Department of Surgery, Sestre Milosrdnice University Hospital Center, 10 000 Zagreb, Croatia.
School of Medicine, University of Zagreb, 10 000 Zagreb, Croatia.
J Clin Med. 2024 Apr 27;13(9):2583. doi: 10.3390/jcm13092583.
Recently, some new morphological features of colorectal cancer have been discovered as important prognostic factors; in this paper, we study the relationship between tumor budding (TB) and tumor deposits (TDs). The retrospective cohort study included 90 patients with pathohistologically confirmed stage III CRC who were treated with radical surgical resection. All hematoxylin and eosin (H and E)-stained slides from each patient were reviewed, and histological parameters were recorded. The samples were divided into two groups with similar sizes: a group without TDs (N = 51) and a control group with TDs (N = 39). The presence and TB grade were further analyzed in these groups and compared with other clinical and histological features. The prevalence of TB in the investigated cohort was unexpectedly high (94.4%). Overall, there were 23 (25.6%) Bd1, 20 (22.2%) Bd2, and 47 (52.2%) Bd3 cases. The presence of TDs was significantly associated with a higher number of TB ( < 0.001, OR 16.3) and, consequently, with a higher TB grade ( = 0.004, OR 11.04). A higher TB grade ( = 0.001, HR 2.28; 95% CI 1.93-4.76) and a growing number of TDs ( = 0.014, HR 1.52; 95% CI 1.09-2.1) were statistically significantly associated with shorter survival. TDs appear more often in patients with higher TB grades in stage III CRC. A higher TB grade and a growing number of TDs were statistically significantly associated with shorter overall survival. These results could give additional emphasis to the importance of TB as an adverse prognostic factor since a strong relationship with TDs has been demonstrated.
最近,已发现结直肠癌的一些新形态学特征是重要的预后因素;在本文中,我们研究肿瘤芽生(TB)与肿瘤沉积(TDs)之间的关系。这项回顾性队列研究纳入了90例经病理组织学证实为III期结直肠癌且接受根治性手术切除的患者。对每位患者的所有苏木精和伊红(H&E)染色切片进行复查,并记录组织学参数。样本被分为两组,大小相似:一组无TDs(N = 51)和一组有TDs的对照组(N = 39)。在这些组中进一步分析TB的存在情况和分级,并与其他临床和组织学特征进行比较。在所研究的队列中,TB的患病率出乎意料地高(94.4%)。总体而言,有23例(25.6%)为Bd1级,20例(22.2%)为Bd2级,47例(52.2%)为Bd3级。TDs的存在与更多的TB显著相关(<0.001,OR 16.3),因此,与更高的TB分级相关(=0.004,OR 11.04)。更高的TB分级(=0.001,HR 2.28;95%CI 1.93 - 4.76)和TDs数量的增加(=0.014,HR 1.52;95%CI 1.09 - 2.1)与较短的生存期在统计学上显著相关。在III期结直肠癌患者中,TDs更常出现在TB分级较高的患者中。更高的TB分级和TDs数量的增加与较短的总生存期在统计学上显著相关。这些结果可能会进一步强调TB作为不良预后因素的重要性,因为已证明其与TDs有密切关系。