Tumor budding for predicting prognosis of resected rectum cancer after neoadjuvant treatment

Atakan Demir,
Ozkan AlanEmail author View ORCID ID profile and
Ertugrul Oruc

World Journal of Surgical Oncology201917:50

https://doi.org/10.1186/s12957-019-1588-6

Received: 26 January 2019
Accepted: 28 February 2019
Published: 14 March 2019

Abstract

Background

Rectum cancer is a type of colorectal cancer. Its etiology and etiopathogenesis are similar to other colon diseases. We aimed to evaluate the tumor budding for predicting prognosis of resected rectum cancer patients.

Methods

We retrospectively collected the data of 75 operated rectum adenocarcinoma patients who were treated neoadjuvant chemoradiotherapy between 2013 and 2018 in Umraniye Research and Training Hospital and Acıbadem University Medical Oncology Outpatient Clinic. Tumor budding was investigated as a prognostic factor for disease-free survival.

Results

This study included 75 rectum cancer patients and 51 were male (68%). Median age was 56 (range 19 to 77 years). There were 29 (39%) and 46 (61%) patients in tumor budding low-intermediate and high groups respectively. In multivariate analysis, tumor budding was found to be an independent prognostic factor for disease-free survival (p = 0.00).

Conclusions

According to our study, having high tumor budding suggests a high likelihood of relapse. Therefore, we might need additional follow-up protocol in these patients.