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- W2591537677 abstract "e14159 Background: Improvement in the treatment of colorectal liver metastases (CLM) demands histopathological indicators of chemotherapy response and predictors of clinical outcome. Currently, decisive factors are the percentage of viable tumor cells and chemotherapy-related tissue changes like tumor necrosis and fibrosis. The goal of this study was to compare the tumor regression grade (TRG) scheme with a newer method, which focuses on the tumor thickness at the tumor-normal-interface (TNI). Methods: A retrospective analysis was performed in 79 patients who underwent neoadjuvant chemotherapy for 3 months (fluoropyrimidine, oxaliplatin and bevacizumab), followed by resection. Both, the TRG modified by Rubbia-Brandt and the TNI by Maru were assessed according to the described protocols. Spearman correlation analyses were performed to identify comparability. The 5 TRG scores were subsumed in major (MjHR), partial (PHR) and no histological response (NHR). Using the method suggested by Maru, the response rates were classified as complete (0% tumor cells), major (<50%) and minor response (≥50%). The mean TNI was categorized in groups of <0,5, 0,5-4,9 and ≥5 mm and correlated to recurrence-free survival (RFS) and overall survival (OS). Results: TRG: 36 (46%) patients showed a MjHR, 19 (24%) a PHR and 24 (30%) patients NHR. According to Maru, eight (10%) patients had a complete response, 52 (66%) a major and 19 (24%) a minor response; TNI: a mean TNI of 0.73 mm (range, 0-2 mm) in major responders and a mean TNI of 1,83 mm (range, 0.5-3.75 mm) in minor responders. Comparison of both methods displayed similar results with significant correlation (Spearman correlation coefficient, r=0,67, P<0,001). Patients with NHR or PHR had a higher risk of relapse (2-year RFS 28%) than patients with MjHR (2-year RFS 41%). The same applies to overall survival (NHR 70% vs. MjHR 89%). Increasing TNI (≥0.5 mm) was associated with a shorter RFS (2-year RFS 29% vs. 43%) and a poorer overall outcome (3-year OS 77% vs. 96%). Conclusions: TRG and tumor thickness at the TNI are equivalent and comparable methods for assessing the degree of pathologic response in CLM, which therefore provide important prognostic information after neoadjuvant therapy." @default.
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- W2591537677 date "2011-05-20" @default.
- W2591537677 modified "2023-09-27" @default.
- W2591537677 title "Pathologic indicators of chemotherapy response in colorectal liver metastases: A comparative study." @default.
- W2591537677 doi "https://doi.org/10.1200/jco.2011.29.15_suppl.e14159" @default.
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