Prognostic significance of DNA cytometry for adjuvant therapy response in pancreatic cancer
Standard
Prognostic significance of DNA cytometry for adjuvant therapy response in pancreatic cancer. / Klein, Fritz; Bahra, Marcus; Schirmeier, Anja; Al-Abadi, Hussein; Pratschke, Johann; Pelzer, Uwe; Oettle, Helmut; Striefler, Jana; Riess, Hanno; Sinn, Marianne.
in: J SURG ONCOL, Jahrgang 112, Nr. 1, 07.2015, S. 66-71.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Prognostic significance of DNA cytometry for adjuvant therapy response in pancreatic cancer
AU - Klein, Fritz
AU - Bahra, Marcus
AU - Schirmeier, Anja
AU - Al-Abadi, Hussein
AU - Pratschke, Johann
AU - Pelzer, Uwe
AU - Oettle, Helmut
AU - Striefler, Jana
AU - Riess, Hanno
AU - Sinn, Marianne
N1 - © 2015 Wiley Periodicals, Inc.
PY - 2015/7
Y1 - 2015/7
N2 - BACKGROUND AND OBJECTIVES: The continuous progress in treatment options for pancreatic adenocarcinoma has lead to a re-evaluation of prognostic markers. In this study the prognostic relevance of DNA Index and classical histopathological parameters with regard to disease-free (DFS) and overall survival (OS) was analyzed within the CONKO-001 patient population.METHODS: One hundred forty three fresh-frozen paraffin-embedded tissue samples of the resected tumor specimen of the CONKO-001 patient population were available for DNA index analysis to evaluate its impact on patient outcome.RESULTS: Median DFS (7.3 vs. 14.3 months; P = 0.004) and median OS (16.6 vs. 29.2 months; P = 0.011) were significantly decreased in patients with a high DNA index (>1.4). Multivariate analysis revealed both DNA index (DFS: P = 0.002; OS: P = 0.019) and tumor grading (DFS: P = 0.004; OS: P = 0.004) as individual prognostic markers for DFS and OS. The following prognostic subgroups were identified: good (low DNA Index + G1/2 tumor grading), intermediate (low DNA Index + G3 tumor grading or high DNA Index + G1/2 tumor grading), poor (high DNA Index + G3 tumor grading).CONCLUSION: The DNA index/tumor grading constellation may serve as a helpful guide for personalized treatment recommendations for adjuvant therapy of patients with pancreatic adenocarcinoma.
AB - BACKGROUND AND OBJECTIVES: The continuous progress in treatment options for pancreatic adenocarcinoma has lead to a re-evaluation of prognostic markers. In this study the prognostic relevance of DNA Index and classical histopathological parameters with regard to disease-free (DFS) and overall survival (OS) was analyzed within the CONKO-001 patient population.METHODS: One hundred forty three fresh-frozen paraffin-embedded tissue samples of the resected tumor specimen of the CONKO-001 patient population were available for DNA index analysis to evaluate its impact on patient outcome.RESULTS: Median DFS (7.3 vs. 14.3 months; P = 0.004) and median OS (16.6 vs. 29.2 months; P = 0.011) were significantly decreased in patients with a high DNA index (>1.4). Multivariate analysis revealed both DNA index (DFS: P = 0.002; OS: P = 0.019) and tumor grading (DFS: P = 0.004; OS: P = 0.004) as individual prognostic markers for DFS and OS. The following prognostic subgroups were identified: good (low DNA Index + G1/2 tumor grading), intermediate (low DNA Index + G3 tumor grading or high DNA Index + G1/2 tumor grading), poor (high DNA Index + G3 tumor grading).CONCLUSION: The DNA index/tumor grading constellation may serve as a helpful guide for personalized treatment recommendations for adjuvant therapy of patients with pancreatic adenocarcinoma.
KW - Adenocarcinoma/drug therapy
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Antineoplastic Combined Chemotherapy Protocols/therapeutic use
KW - Biomarkers, Tumor/analysis
KW - Chemotherapy, Adjuvant
KW - DNA, Neoplasm/analysis
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Image Cytometry/methods
KW - Male
KW - Middle Aged
KW - Neoplasm Grading
KW - Neoplasm Staging
KW - Pancreatic Neoplasms/drug therapy
KW - Prognosis
KW - Survival Rate
KW - Tissue Array Analysis
U2 - 10.1002/jso.23951
DO - 10.1002/jso.23951
M3 - SCORING: Journal article
C2 - 26193339
VL - 112
SP - 66
EP - 71
JO - J SURG ONCOL
JF - J SURG ONCOL
SN - 0022-4790
IS - 1
ER -