2019
DOI: 10.1111/ans.15074
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Clinical implications of the genetics of sporadic colorectal cancer

Abstract: Colorectal cancer (CRC) is common and at least 80% of cases are sporadic, without any significant family history. Prognostication and treatment have been relatively empirical for what has become increasingly identified as a genetically heterogeneous disease. There are three main genetic pathways in sporadic CRC: the chromosomal instability pathway, the microsatellite instability pathway and the CpG island methylator phenotype pathway. There is significant overlap between these complex molecular pathways and th… Show more

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Cited by 29 publications
(14 citation statements)
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“…Aging, high body mass index (BMI), positive smoking habit, extant polyposis, and inflammatory bowel disease (IBD) enhance the risk of colorectal cancer incidence (2)(3)(4)(5)(6) . Colorectal cancer is a heterogeneous disease with the majority of cases being sporadic (at least 80% of CRC patients) (7). However, there is a minor opulation that is categorized as an inherited group with specific genetic mutations.…”
Section: Introductionmentioning
confidence: 99%
“…Aging, high body mass index (BMI), positive smoking habit, extant polyposis, and inflammatory bowel disease (IBD) enhance the risk of colorectal cancer incidence (2)(3)(4)(5)(6) . Colorectal cancer is a heterogeneous disease with the majority of cases being sporadic (at least 80% of CRC patients) (7). However, there is a minor opulation that is categorized as an inherited group with specific genetic mutations.…”
Section: Introductionmentioning
confidence: 99%
“…Three canonical major distinct genetic pathways have been attributed to the development of sporadic CRC. These are not mutually exclusive and include the chromosomal instability pathway (CIN), the microsatellite instability pathway (MSI), and the CpG island methylator phenotype pathway (CIMP) [ 7 ]. The CIN pathway is the most frequent; it involves the classic adenoma-carcinoma sequence and genetic alterations in adenomatous polyposis coli—APC—(30–70%) and Kirsten Rat Sarcoma viral antigen homolog— KRAS —(30–50%).…”
Section: Introductionmentioning
confidence: 99%
“…With the exception of patients with a family history, the majority of cases of CRC are sporadic (22). Although the mortality of this malignancy has been markedly decreased following the introduction of routine examinations, its incidence remains high (23).…”
Section: Discussionmentioning
confidence: 99%