Stromal scoring in advanced colon and rectal cancer: Stroma-rich tumors and their association with aggressive phenotypes

Autor: Souza Da Silva Ricella M., Queiroga Eduardo M., de Toledo Osório Cynthia A.B., Cunha Karin S., Dias Eliane P.
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Archive of Oncology, Vol 28, Iss 1, Pp 1-6 (2022)
Druh dokumentu: article
ISSN: 0354-7310
1450-9520
DOI: 10.2298/AOO210403003S
Popis: Background: Our aim was to explore relevance of the proportion between neoplastic cell component and tumor-associated stroma in order to assess its association with confirmed aggressive phenotypes of right/left colon and rectum cancers in a large series of patients. Methods: The quantification of stroma component was performed in patients diagnosed with colorectal adenocarcinoma who underwent surgical resection. The analyzed variables were age, gender, anatomical/pathological features, and tumor-stroma proportion. Tumor-stroma proportion was estimated based on slides used in routine pathology for determination of T status and was described as low, with a stromal percentage ≤50% or high, with a stromal percentage >50%. The tumor-stroma proportion was estimated by two observers, and the inter-observer agreement was assessed. Results: The sample included 390 colorectal adenocarcinoma patients. Stroma-rich tumors were observed in 53.3% of cases. Well-differentiated tumors had the lowest stromal proportions (p = 0.028). Stroma-poor tumors showed less depth of invasion (p
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