Nuclear area is a prognostic determinant in advanced colorectal cancer

Autor: Abdelbaset, Buhmeida, Raija, Ristamäki, Hanan, Lamlum, Riyad, Bendardaf, Suvi, Heikkilä, Yrjö, Collan, Kari, Syrjänen, Seppo, Pyrhönen
Rok vydání: 2005
Předmět:
Zdroj: Anticancer research. 25(4)
ISSN: 0250-7005
Popis: The prognostic value of morphometric nuclear features in Dukes' Stages B/C and D colorectal cancer (CRC) was assessed.Primary tumours from 86 CRC patients were analysed, using an image overlay drawing system (Prodit Morphometry Program), for the following nuclear features: area, perimeter, diameter, form factor, roundness.The median nuclear area (NA) was 104.6 microm2 (range 57.2 - 237.2 microm2). The NA was larger in patients with lymph node metastasis (p0.02). Altogether, 43% of the patients showed clinical response to irinotecan-based chemotherapy. All six patients with complete response (CR) had a NA above the median (p0.03). The disease-specific survival of the patients with a NA above the median was significantly better than in patients with smaller NA (p0.02).Using the median NA as the cut-off value seems to effectively discriminate patients who are likely to respond to irinotecan-based chemotherapy (with improved prognosis) from those who are non-responsive and develop progressive disease.
Databáze: OpenAIRE