2009
DOI: 10.1038/sj.bjc.6604955
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Mucinous histology predicts for poor response rate and overall survival of patients with colorectal cancer and treated with first-line oxaliplatin- and/or irinotecan-based chemotherapy

Abstract: The objective of this study was to investigate the efficacy of first-line chemotherapy containing irinotecan and/or oxaliplatin in patients with advanced mucinous colorectal cancer. Prognostic factors associated with response rate and survival were identified using univariate and multivariate logistic and/or Cox proportional hazards analyses. The population included 255 patients, of whom 49 (19%) had mucinous and 206 (81%) had non-mucinous colorectal cancer. The overall response rates for mucinous and non-muci… Show more

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Cited by 175 publications
(158 citation statements)
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References 31 publications
(46 reference statements)
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“…Several studies reported that patients with colorectal mucinous adenocarcinoma had a poorer prognosis compared with that of patients with non-mucinous adenocarcinoma (57)(58)(59). Differences in metastatic patterns between histological subtypes of colorectal cancer and a high number of peritoneal metastases in colorectal mucinous adenocarcinomas have also been reported (60)(61)(62)(63). However, the underlying mechanisms for the differences in metastatic patterns between various histological subtypes remain unclear.…”
Section: Discussionmentioning
confidence: 95%
“…Several studies reported that patients with colorectal mucinous adenocarcinoma had a poorer prognosis compared with that of patients with non-mucinous adenocarcinoma (57)(58)(59). Differences in metastatic patterns between histological subtypes of colorectal cancer and a high number of peritoneal metastases in colorectal mucinous adenocarcinomas have also been reported (60)(61)(62)(63). However, the underlying mechanisms for the differences in metastatic patterns between various histological subtypes remain unclear.…”
Section: Discussionmentioning
confidence: 95%
“…There are 3759 English literatures in original search, after exclusion and screening, 28 English literatures (Cusack et al, 1996;Sun et al, 1996;Wu et al, 1996;Enriquez et al, 1998;Cerottini et al, 1999;Consorti et al, 2000;Nozoe et al, 2000;Kanemitsu et al, 2003;Chen et al, 2004;Du et al, 2004;Papadopoulos et al, 2004;Kang et al, 2005;You et al, 2006;Grillo-Ruggieri et al, 2007;Hill et al, 2007;Lee et al, 2007;Farhat et al, 2008;Pande et al, 2008;Catalano et al, 2009;Min et al, 2009;Song et al, 2009;Xie et al, 2009;Sultan et al, 2010;Catalano et al, 2011;Jivapaisarnpong et al, 2011;Hyngstrom et al, 2012;Langner et al, 2012;Yamaguchi et al, 2012) and 2 Chinese literatures (Songqing et al, 2002;Miao et al, 2005) meet the requirements. In the 30 literatures, 21 literatures can be used for Meta analysis of the relationship of mucinous adenocarcinoma and TNM staging, including 444489 cases, in which mucinous adenocarcinoma were 45050 cases, accounting for 10.1% of all cases; 21 literatures can be used for Meta analysis of relationship of mucinous adenocarcinoma and prognosis, including 450804 cases, in which mucinous adenocarcinoma were 45354 cases, accounting for 10.1% of all cases.…”
Section: The General Results Of Selected Literaturementioning
confidence: 99%
“…Yamaguchi et al (2012) also supported this result. However, some other findings showed that mucinous adenocarcinoma was an independent prognostic risk factor (Kanemitsu et al, 2003;Catalano et al, 2009;Ghabeljoo et al, 2011). Some studies showed that mucinous adenocarcinoma might reduce the sensitivity of radiotherapy and chemotherapy in recent years (Negri et al, 2005;Sengul et al, 2006).…”
Section: Introductionmentioning
confidence: 99%
“…In that study, patients with CRC had a lower response rate to 5-FU (22% versus 47%) and shorter survival time (11.8 Mucinous Adenocarcinomas months versus 17.9 months) than patients with nonmucinous CRC. Moreover, Catalano et al [54] reported, in patients with mucinous CRC treated with irinotecan and/or oxaliplatin-based chemotherapy, a significantly lower response rate and overall survival time than in patients with nonmucinous CRC (18.4% versus 49% and 14 months versus 23.4 months, respectively). Currently, no studies focusing on outcome for different molecular subtypes of MCA with metastatic disease confined to the peritoneum are available.…”
Section: Mcamentioning
confidence: 99%