[Colorectal cancer heterogeneity: the clinical impact of sporadic lesions arising via the serrated pathway].

Abstract:

:Today, colorectal cancer is regarded as a heterogeneous disease. Its heterogeneity is caused by genetic alterations, molecular aberrations, different developing pathways as well as by micro- and macroenviromental agents. In the last decade, beside the classic genetic model for colorectal tumuorgenesis that follows the adenoma-carcinoma sequence, an alternative pathway has been identified. This pathway is called the serrated pathway and it is responsible for approximately one third of all colorectal lesions. Beyond their dissimilar molecular characteristics, these tumours also show different macroscopic and histologic appearance. Moreover, their malignant potency and progressive ability distinguish them from tumours of the classic genetic model. The aim of this review is to summarize the molecular and pathologic features of serrated lesions and the serrated pathway to colorectal cancer and to highlight their clinical impact. Orv Hetil. 2018; 159(6): 206-2014.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Ágoston EI,Horváth E,Győrffy B,Harsányi L,Szász AM

doi

10.1556/650.2018.30974

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

206-214

issue

6

eissn

0030-6002

issn

1788-6120

journal_volume

159

pub_type

杂志文章,评审
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