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Topoisomerase I but not thymidylate synthase is associated with improved outcome in patients with resected colorectal cancer treated with irinotecan containing adjuvant chemotherapy
BMC Cancer, 09/30/09
Kostopoulos I et al. – Patients with resected CRC expressing Topo I seem to benefit from irinotecan-containing adjuvant chemotherapy.
Methods- Archival paraffin-embedded tumor tissues were used for immunohistochemical detection of TS and Topo I
- Immunohistochemistry was performed on tissue microarray slides using monoclonal antibodies against TS and Topo I
- A cohort of 498 patients with a median age of 61 years and Dukes' stage B (49%) and C (51%) fulfilled the criteria of the study
- All patients received adjuvant 5-FU-based chemotherapy, 38% irinotecan-containing
- Positive TS and Topo I expression was found in 43% and 48% of cases, respectively
- Five-year OS was 74% and DFS was 68%
- In univariate analysis no association of TS and Topo I expression with OS and DFS was identified
- In multivariate analysis however, Topo I expression was associated with a reduced risk of death
- In the irinotecan-treated subgroup, those patients who expressed Topo I had a better OS
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