Does Age Influence Treatment and Oncological Outcomes in Individuals with Sporadic Colorectal Cancer?

Piazzolla, Luciana Paganini; Almeida, Romulo Medeiros de; Santos, Antônio Carlos Nóbrega dos; Oliveira, Paulo Gonçalves de; Silva, Eduardo Freitas da; Sousa, João Batista de

doi:10.1111/jgs.13680

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“…Despite the high incidence and mortality rate of CRC in Brazil, few studies have comprehensively described and characterized the main clinicopathological features of Brazilian patients with CRC (19,20). Therefore, this study aimed to characterize the clinicopathological aspects of CRC patients, to determine their genetic ancestry, and to identify whether the genetic ancestry can influence patients' clinicopathological features and disease outcome.…”

Section: Introductionmentioning

confidence: 99%

Role of Genetic Ancestry in 1,002 Brazilian Colorectal Cancer Patients From Barretos Cancer Hospital

et al. 2020

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Background: Colorectal cancer (CRC) is the third most frequent and the second deadliest cancer worldwide. The ethnic structure of the population has been gaining prominence as a cancer player. The purpose of this study was to determine the genetic ancestry of Brazilian CRC patients. Moreover, we intended to interrogate its impact on patients' clinicopathological features.Methods: Retrospective observational cohort study with 1,002 patients with CRC admitted from 2000 to 2014 at Barretos Cancer Hospital. Following tumor DNA isolation, genetic ancestry was assessed using a specific panel of 46 ancestry informative markers. Survival rates were obtained by the Kaplan-Meier method, and the log-rank test was used to compare the survival curves. Multivariable Cox proportional regression models were used to estimate hazard ratios (HRs). Results:We observed considerable admixture in the genetic composition, with the following average proportions: European 74.2%, African 12.7%, Asian 6.5%, and Amerindian 6.6%. The multivariate analysis for cancer-specific survival showed that clinical stage, lymphovascular invasion, and the presence of recurrence were associated with an increased relative risk of death from cancer (p < 0.05). High African proportion was associated with younger age at diagnosis, while high Amerindian proportion was associated with the mucinous histological subtype.Conclusions: This represents the larger assessment of genetic ancestry in a population of Brazilian patients with CRC. Brazilian CRC patients exhibited similar clinicopathological features as described in Western countries.Impact: Genetic ancestry components corroborated the significant admixture, and importantly, patients with high African proportion develop cancer at a younger age.

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Section: Introductionmentioning

confidence: 99%