p53 is an independent pre-treatment markers for long-term survival in stage II and III colorectal cancers: an analysis of interaction between genetic markers and fluorouracil-based adjuvant therapy

Cancer Lett. 2004 Jul 8;210(1):101-9. doi: 10.1016/j.canlet.2004.01.006.

Abstract

One hundred and thirty-eight stage II and III colorectal cancer patients were included to evaluate the prognostic significance of genetic markers (including mutations of the p53, K-ras genes, and microsatellite instability) on the response to 5-fluorouracil (FU)-based post-operative adjuvant therapies (PAT). When stratified by PAT and adjusting for other prognostic variables, presence of p53 mutation was associated with a poor outcome (hazard ratio (HR)=3.1, 95% confidence interval (CI), 0.9-11.0) among patients without PAT. Our data confirmed that p53 mutation is an independent pre-treatment factor in stage II and III colorectal cancer after curative resection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antimetabolites, Antineoplastic / therapeutic use*
  • Chemotherapy, Adjuvant
  • Colorectal Neoplasms / drug therapy*
  • Colorectal Neoplasms / genetics*
  • Colorectal Neoplasms / pathology
  • DNA, Neoplasm / genetics
  • Female
  • Fluorouracil / therapeutic use*
  • Gene Expression Regulation, Neoplastic
  • Genes, p53
  • Genes, ras
  • Genetic Markers*
  • Humans
  • Male
  • Microsatellite Repeats
  • Middle Aged
  • Mutation*
  • Neoplasm Staging
  • Postoperative Care
  • Prognosis
  • Survival Rate
  • Time Factors

Substances

  • Antimetabolites, Antineoplastic
  • DNA, Neoplasm
  • Genetic Markers
  • Fluorouracil