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Original Article
Prognostic Significance of Mucinous Histologic Subtype on Oncologic Outcomes in Patients With Colorectal Cancer
Sare Hosseini, Ali Mohammad Bananzadeh, Roham Salek, Mohammad Zare-Bandamiri, Ali Taghizadeh Kermani, Mohammad Mohammadianpanah
Ann Coloproctol. 2017;33(2):57-63.   Published online April 28, 2017
DOI: https://doi.org/10.3393/ac.2017.33.2.57
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  • 20 Web of Science
  • 14 Citations
AbstractAbstract PDF
Purpose

Mucinous adenocarcinomas account for about 10% of all colorectal cancers. This study aimed to investigate the prognostic impact of mucinous histologic subtype on oncologic outcomes in patients with colorectal cancer.

Methods

This retrospective study was performed at two large tertiary university hospitals. We analyzed the characteristics, prognostic factors, and survival of patients with colorectal cancer who were treated and followed up between 2000 and 2013.

Results

Totally, 144 of 1,268 patients with a colorectal adenocarcinoma (11.4%) had mucinous histologic subtype. Statistically significant results found in this research are as follows: Mucinous histologic subtype tended to present in younger patients and to have larger tumor size, higher histologic grade, higher node stage, larger number of positive nodes, and higher rate of perineural invasion compared to nonmucinous histologic subtype. On the univariate analysis, mucinous subtype was a prognostic factor for disease-free and overall survival. On the multivariate analysis, primary tumor location, node stage and lymphatic-vascular invasion were independent prognostic factors for the local control rate. Rectal tumor location, higher disease stage, tumor grade II, and presence of lymphatic-vascular invasion had negative influences on disease-free survival, as did rectal tumor location, higher disease stage and presence of lymphatic-vascular invasion on overall survival.

Conclusion

Mucinous histologic subtype was associated with some adverse pathologic features in patients with colorectal cancer; however, it was not an independent prognostic factor for oncologic outcome.

Citations

Citations to this article as recorded by  
  • Association between lymphovascular invasion and lymph node metastases in colon cancer: A National Cancer Database analysis
    Sameh Hany Emile, Nir Horesh, Zoe Garoufalia, Anjelli Wignakumar, Marylise Boutros, Steven D. Wexner
    Colorectal Disease.2025;[Epub]     CrossRef
  • Comprehensive Overview of Molecular, Imaging, and Therapeutic Challenges in Rectal Mucinous Adenocarcinoma
    Mihaela Berar, Andra Ciocan, Emil Moiș, Luminița Furcea, Călin Popa, Răzvan Alexandru Ciocan, Florin Zaharie, Cosmin Puia, Nadim Al Hajjar, Cosmin Caraiani, Ioana Rusu, Florin Graur
    International Journal of Molecular Sciences.2025; 26(2): 432.     CrossRef
  • Clinicopathological and prognostic features of colorectal mucinous adenocarcinomas: a systematic review and meta-analysis
    Xiao Wang, Haoran Wang, Haoqing He, Kai Lv, Wenguang Yuan, Jingbo Chen, Hui Yang
    BMC Cancer.2024;[Epub]     CrossRef
  • Multi gene mutation signatures in colorectal cancer patients: predict for the diagnosis, pathological classification, staging and prognosis
    Yan Zhuang, Hailong Wang, Da Jiang, Ying Li, Lixia Feng, Caijuan Tian, Mingyu Pu, Xiaowei Wang, Jiangyan Zhang, Yuanjing Hu, Pengfei Liu
    BMC Cancer.2021;[Epub]     CrossRef
  • Clinicopathological Features and Survival of Signet-Ring Cell Carcinoma and Mucinous Adenocarcinoma of Right Colon, Left Colon, and Rectum
    Lili Zhu, Chunrun Ling, Tao Xu, Jinglin Zhang, Yujie Zhang, Yingjie Liu, Chao Fang, Lie Yang, Wen Zhuang, Rui Wang, Jie Ping, Mojin Wang
    Pathology and Oncology Research.2021;[Epub]     CrossRef
  • Identification of Potential Biomarkers and Biological Pathways for Poor Clinical Outcome in Mucinous Colorectal Adenocarcinoma
    Chang Woo Kim, Jae Myung Cha, Min Seob Kwak
    Cancers.2021; 13(13): 3280.     CrossRef
  • Clinical significance of mucinous component in colorectal adenocarcinoma: a propensity score-matched study
    Chuanwang Yan, Hui Yang, Lili Chen, Ran Liu, Wei Shang, Wenguang Yuan, Fei Yang, Qing Sun, Lijian Xia
    BMC Cancer.2021;[Epub]     CrossRef
  • Incidence and prognosis of pulmonary metastasis in colorectal cancer: a population-based study
    Yizhi Ge, Shijun Lei, Bo Cai, Xiang Gao, Guobin Wang, Lin Wang, Zheng Wang
    International Journal of Colorectal Disease.2020; 35(2): 223.     CrossRef
  • Association between aberrant dynein cytoplasmic�1 light intermediate chain�1 expression levels, mucins and chemosensitivity in colorectal cancer
    Chun‑Chao Chang, Kuo‑Ching Chao, Chi‑Jung Huang, Chih‑Sheng Hung, Yen‑Chieh Wang
    Molecular Medicine Reports.2020;[Epub]     CrossRef
  • Clinical impact of non-predominant histopathological subtypes on the long-term prognosis of colorectal cancer patients in Japan
    Heita Ozawa, Shinichi Yamauchi, Hiroki Nakanishi, Junichi Sakamoto, Shin Fujita, Kenichi Sugihara
    International Journal of Colorectal Disease.2020; 35(12): 2257.     CrossRef
  • Predictive Significance of Mucinous Histology on Pathologic Complete Response Rate Following Capecitabine-Based Neoadjuvant Chemoradiation in Rectal Cancer: a Comparative Study
    Sare Hosseini, NamPhong Nguyen, Mohammad Mohammadianpanah, Sepideh Mirzaei, Ali Mohammad Bananzadeh
    Journal of Gastrointestinal Cancer.2019; 50(4): 716.     CrossRef
  • Impact of histological subtype on the prognosis of patients undergoing surgery for colon cancer
    Fabio Bagante, Gaya Spolverato, Eliza Beal, Katiuscha Merath, Qinyu Chen, Ozgür Akgül, Robert A. Anders, Timothy M. Pawlik
    Journal of Surgical Oncology.2018; 117(7): 1355.     CrossRef
  • SCF/c-KIT Signaling Increased Mucin2 Production by Maintaining Atoh1 Expression in Mucinous Colorectal Adenocarcinoma
    Ping Shen, Shu Yang, Haimei Sun, Guilan Li, Bo Wu, Fengqing Ji, Tingyi Sun, Deshan Zhou
    International Journal of Molecular Sciences.2018; 19(5): 1541.     CrossRef
  • Mucinous Subtype in Patients With Colorectal Cancer
    Hyung Jin Kim
    Annals of Coloproctology.2017; 33(2): 44.     CrossRef
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