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The five-year KRAS, NRAS and BRAF analysis results and treatment patterns in daily clinical practice in Slovenia in 1st line treatment of metastatic colorectal (mCRC) patients with RAS wild-type tumour (wtRAS) – a real- life data report 2013–2018 Cover

The five-year KRAS, NRAS and BRAF analysis results and treatment patterns in daily clinical practice in Slovenia in 1st line treatment of metastatic colorectal (mCRC) patients with RAS wild-type tumour (wtRAS) – a real- life data report 2013–2018

Open Access
|Mar 2023

Figures & Tables

Table 1

Patients baseline characteristics

Patients baseline characteristicsNumber (%)
Gender
female233 (36.6)
male404 (63.4)
WHO clasiffication:
0241 (37.8)
1300 (47.1)
272 (11.3)
Tumor location:
colon387 (60.8)
rectum250 (39.2)
Clinical signs of the primary colorectal cancer present before pathological confirmation178 (20.9)
Primary metastatic361 (56.7)
Liver metastases218 (34.3)

[i] * Some pathohistological reports from external hospital had unclear description, about the TNM status and risk factors

Table 2

Disease characteristics

Disease characteristicsNumber (%)
pT4 of primary tumor186 (29.2)
Affected regional lymph nodes (N):
N0 (no affected regional lymph nodes)110 (17.3)
N1 (1 to 3 affected regional lymph nodes)209 (32.8)
N2 (more than 3 affected regional lymph nodes)239 (37.5)
Missing data*62 (11.3)
Vascular invasion114 (17.9)
Perineural invasion95 (27.9)
Lymphangiosis115 (18.1)
Grade of differentiation:
G1 (well)19 (3)
G2 (medium)162 (25.4)
G3 (poorly)53 (8.3)
G4 (no differentiated)1 (0.2)
Missing data*402 (63.2)
Resection of primary tumour
R063 (9.9)
R110 (1.6)
R216 (2.5)

[i] * Other metastatic locations: brain, ovaries, suprarenal glands, local recurrence, muscular dissemination

Table 3

The most frequent metastatic sites

The most frequent metastatic sitesNumber (%)
Total637 (100)
Liver218 (34.3)
Lungs70 (11.0)
Lymph nodes34 (5.3)
Peritoneum115 (18.1)
Bones4 (0.6)
Other*18 (2.8)
Multiple locations261 (41.0)
Table 4

Treatment regimen decision for the first line treatment of the metastatic colorectal cancer (mCRC)

Systemic therapy optionsNumber (%)
Fluoropirimidines/Irinotecan/Cetuximab*73 (11.4)
Fluoropirimidines/Oxaliplatin/Cetuximab*49 (7.7)
Fluoropirimidines/Irinotecan/Panitumumab*17 (2.7)
Fluoropirimidines/Oxaliplatin/Panitumumab*12 (1.9)
EGFR inhibitors other**46 (7.2)
Fluoropirimidines/Irinotecan/Bevacizumab126 (19.8)
Fluoropirimidines/Oxaliplatin/Bevacizumab191 (30.0)
VEGF inhibitor other***21 (3.3)
Chemotherapy only102 (16.0)

[i] *EGFR inhibitors for RAS (NRAS and KRAS) wild type only

**EGFR inhibitors monotherapy ± one chemotherapy

***VEGF inhibitor monotherapy ± one chemotherapy

Figure 1

Treatment goal options at presentation of the metastatic colorectal cancer (mCRC) patients.

Table 5

The RAS/KRAS and BRAF status distribution

The RAS/KRAS and BRAF status distributionNumber (%)
KRAS testing637 (100)
KRAS mutated311 (48.8)
KRAS wild type305 (47.9)
Not possible21 (3.3)
NRAS testing637 (100)
NRAS mutated57 (9.0)
NRAS wild type567 (89.0)
Not possible13 (2.0)
BRAF testing637 (100)
BRAF mutated84 (13.2)
BRAF wild type548 (86.1)
Not possible5 (0.7)
Table 6

Methods used for KRAS/RAS and BRAF analysis

Methods used for KRAS/RAS and BRAF analysisNumber (%)
Direct sequencing223 (35.0)
Pyrosequencing322 (50.5)
qPCR92 (14.5)
DOI: https://doi.org/10.2478/raon-2023-0014 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 103 - 110
Submitted on: Sep 6, 2022
Accepted on: Sep 30, 2022
Published on: Mar 22, 2023
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2023 Tanja Mesti, Martina Rebersek, Janja Ocvirk, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.