Abstract:
BACKGROUND:Recently, many studies have suggested a possible adjuvant role of aspirin in colorectal cancer, reporting a positive prognostic effect with its use in patients with established disease. The aim of this study was to investigate the anticancer effect of aspirin use during preoperative chemoradiation for rectal cancer. METHODS:Two hundred and forty-one patients with stage II-III rectal cancer and candidates for chemoradiation (CRT) were selected and assigned to two groups: group 1, patients taking aspirin at the time of diagnosis, and group 2, all others. Treatment and oncological outcomes were explored. RESULTS:Aspirin use was associated with a higher rate of tumour downstaging (67.6% vs 43.6%, P=0.01), good pathological response (46% vs 19%; P<0.001), and a slightly, although not significant, higher rate of complete pathological response (22% vs 13%; P=0.196). Aspirin use was also associated with a better 5-year progression-free survival (86.6% vs 67.1%; hazard rate (HR)=0.20; 95% CI=0.07-0.60) and overall survival (90.6% vs 73.2%; HR=0.21; 95% CI=0.05-0.89). Although chance of local relapse was similar (HR=0.6; 95% CI=0.06-4.5), aspirin use was associated with a lower risk of developing metastasis (HR=0.30; 95% CI=0.10-0.86). CONCLUSIONS:Aspirin might have anticancer activity against rectal cancer during preoperative CRT. This finding could be clinically relevant and should be further investigated with randomised trials.
journal_name
Br J Cancerjournal_title
British journal of cancerauthors
Restivo A,Cocco IM,Casula G,Scintu F,Cabras F,Scartozzi M,Zorcolo Ldoi
10.1038/bjc.2015.336subject
Has Abstractpub_date
2015-10-20 00:00:00pages
1133-9issue
8eissn
0007-0920issn
1532-1827pii
bjc2015336journal_volume
113pub_type
杂志文章abstract::Squamous cell carcinoma and adenocarcinoma of the oesophagus are cancers that develop from distinct epithelial sub-types; however, they are both related to chronic inflammation of differing aetiologies. Inflammation leads to somatically inherited genetic mutations altering control of the cell cycle, DNA replication an...
journal_title:British journal of cancer
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abstract::The prodrug N-[4-(daunorubicin-N-carbonyl-oxymethyl)phenyl] O-beta-glucuronyl carbamate (DNR-GA3) was synthesized for specific activation by human beta-glucuronidase, released in necrotic areas of tumour lesions. In vitro, DNR-GA3 was 18 times less toxic than daunorubicin (DNR) and the prodrug was completely activated...
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journal_title:British journal of cancer
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abstract::In vitro studies identified three Burkitts lymphoma cell lines, Ramos, MUTU-I and Daudi, that were growth inhibited by anti-IgM antibody. However, only Ramos and MUTU-I were sensitive to monoclonal antibodies (mAb) recognizing the Fc region of surface IgM (anti-Fc mu). Experiments using anti-Fc mu mAb (single or non-c...
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pub_type: 临床试验,杂志文章,多中心研究
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pub_type: 杂志文章
doi:10.1038/bjc.1978.89
更新日期:1978-04-01 00:00:00
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更新日期:2001-08-03 00:00:00
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pub_type: 杂志文章,多中心研究
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doi:10.1038/s41416-018-0301-9
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更新日期:2009-10-06 00:00:00
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更新日期:2007-10-22 00:00:00
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pub_type: 杂志文章
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更新日期:1996-10-01 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:2012-01-31 00:00:00
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更新日期:2000-07-01 00:00:00
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journal_title:British journal of cancer
pub_type: 杂志文章
doi:10.1038/bjc.1979.98
更新日期:1979-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1038/bjc.1977.231
更新日期:1977-11-01 00:00:00