Evidence map›Paper›PMID 40585832›Full record

ArticleWorld journal of clinical oncology2025

Phenotypic attributes and survival in mismatch repair deficient/microsatellite instability-high colorectal carcinomas.

Anurag Mehta, Divya Bansal, Rupal Tripathi, Vidya Anoop

Abstract read
In one paragraph

Article in World journal of clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Anurag MehtaDepartment of Laboratory Services, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi 110085, Delhi, India.
Divya BansalDepartment of Pathology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi 110085, Delhi, India. divyabansalrgci@gmail.com.
Rupal TripathiDepartment of Research, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi 110085, Delhi, India.
Vidya AnoopDepartment of Research, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi 110085, Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMismatch repair deficient/microsatellite instability-high (MMR-D/MSI-H) colorectal cancers (CRCs) possess a distinctive genomic profile that results in a spectrum of phenotypic attributes setting them apart from their mismatch repair proficient (MMR-P) or microsatellite stable (MSS) counterparts. CRCs have several prognostic factors, including stage, tumor differentiation, location, lymphovascular and perineural invasion, tumor budding, tumor infiltrating lymphocytes, lymph node yield (LNY), and lymph node ratio (LNR).

aimTo determine the unique phenotypic characteristics of MMR-D/MSI-H CRCs and leverage the conventional wisdom of LNY and LNR with the distinctive characteristics of MMR-D/MSI-H CRCs.

methodsThis retrospective analysis involved 223 stage I-III CRC patients who underwent surgical resection without neoadjuvant treatment. Clinical and histological features were obtained from patient records and by re-examining the hematoxylin and eosin-stained slides. MMR/MSI status was evaluated for all patients using either MMR immunohistochemistry or MSI testing.

resultsOf the 223 patients in our study, 87 (39.01%) were MMR-D/MSI-H CRCs while 136 (60.99%) were MMR-P/MSS CRCs. The MMR-D/MSI-H CRCs exhibited significant statistical differences compared to the MMR-P/MSS CRCs in several factors, including location, stage, tumor budding, lymphovascular and perineural invasion, lymphocytic response, LNY, LNR, and size of uninvolved lymph nodes. LNY and LNR were significantly higher in MMR-D/MSI-H group compared with the MMR-P/MSS group (

conclusionMMR-D/MSI-H CRCs possess a unique genomic profile that leads to distinct phenotypic characteristics, including an enhanced immune response. This distinctive profile underscores the substantial prognostic and predictive value of MMR-D/MSI-H status in CRC.

Indexed as

Colorectal carcinomaLymph node ratioLymph node yieldMicrosatellite instabilityMismatch repair

Identifiers

PMID40585832
PMCPMC12198858

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