Colorectal cancer subtypes: Translation to routine clinical pathology

Roseweir, A. K. , McMillan, D. C. , Horgan, P. G. and Edwards, J. (2017) Colorectal cancer subtypes: Translation to routine clinical pathology. Cancer Treatment Reviews, 57, pp. 1-7. (doi: 10.1016/j.ctrv.2017.04.006) (PMID:28505475)

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Colorectal cancer (CRC) is the second most common cause of cancer death in Europe. Although outcomes have improved, it is clear that from a genomic standpoint CRC is not one disease, but a heterogeneous group of malignancies that arise within one organ. Given that different subtypes have different outcomes, the ability to subtype tumours in the clinic would be highly favourable, enabling optimal treatment for individual patients. In 2015, a consortium proposed four consensus subtypes for CRC (MSI immune, canonical, metabolic, and mesenchymal) based on six classifications systems reported to have prognostic value. However, genomic assessment of tumours is not readily translated into routine pathology with a need for standardisation and reproducibility of assessment. Immunohistochemistry is widely used in routine pathology, and would present a more readily translatable method for subtyping CRC tumours. Therefore, the literature was reviewed to characterise the genomic and phenotypic features associated with each subtype, with the aim of enabling subtyping of CRC to be taken forward into routine clinical practice.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Horgan, Professor Paul and McMillan, Professor Donald and Roseweir, Dr Antonia and Edwards, Professor Joanne
Authors: Roseweir, A. K., McMillan, D. C., Horgan, P. G., and Edwards, J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cancer Sciences
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Cancer Treatment Reviews
ISSN (Online):1532-1967
Published Online:04 May 2017
Copyright Holders:Copyright © 2017 Elsevier Ltd.
First Published:First published in Cancer Treatment Reviews 57: 1-7
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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