Revisão Acesso aberto Revisado por pares

Biomarker concordance between primary colorectal cancer and its metastases

2019; Elsevier BV; Volume: 40; Linguagem: Inglês

10.1016/j.ebiom.2019.01.050

ISSN

2352-3964

Autores

Dilraj Bhullar, Jorge Barriuso, S. Mullamitha, Mark Saunders, Sarah O’Dwyer, Omer Aziz,

Tópico(s)

Gastric Cancer Management and Outcomes

Resumo

BackgroundThe use of biomarkers to target anti-EGFR treatments for metastatic colorectal cancer (CRC) is well-established, requiring molecular analysis of primary or metastatic biopsies. We aim to review concordance between primary CRC and its metastatic sites.MethodsA systematic review and meta-analysis of all published studies (1991–2018) reporting on biomarker concordance between primary CRC and its metastatic site(s) was undertaken according to PRISMA guidelines using several medical databases. Studies without matched samples or using peripheral blood for biomarker analysis were excluded.Findings61 studies including 3565 patient samples were included. Median biomarker concordance for KRAS (n = 50) was 93.7% [67Voutsina A. Tzardi M. Kalikaki A. Zafeiriou Z. Papadimitraki E. Papadakis M. et al.Combined analysis of KRAS and PIK3CA mutations, MET and PTEN expression in primary tumors and corresponding metastases in colorectal cancer.Mod Pathol. 2013 Aug 31; 26: 302Summary Full Text Full Text PDF PubMed Scopus (47) Google Scholar, 68Vakiani E. Janakiraman M. Shen R. Sinha R. Zeng Z. Shia J. et al.Comparative genomic analysis of primary versus metastatic colorectal carcinomas.J Clin Oncol. 2012 Aug; 30: 2956-2962Crossref PubMed Scopus (222) Google Scholar, 69Vermaat J.S. Nijman I.J. Koudijs M.J. Gerritse F.L. Scherer S.J. Mokry M. et al.Primary colorectal cancers and their subsequent hepatic metastases are genetically different: implications for selection of patients for targeted treatment.Clin Cancer Res. 2012 Feb; 18: 688-699Crossref PubMed Scopus (127) Google Scholar, 70Knijn N. Mekenkamp L.J.M. Klomp M. Vink-Borger M.E. Tol J. 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