“…In this present study, we found predominantly Darwinian pattern of evolution (59 of 62 patients) as well as linear evolution (3 of 62 tumors). Previous studies proposed neutral evolution model for CRCs (Sottoriva et al, 2015;Williams et al, 2016;Loeb et al, 2019), while our conclusion was different from them, based on three reasons. First, clonal events of both mutations (SNVs and INDELs) and SCNAs were widespread, with a median percentage of 47% and 43%, respectively.…”