Review Article

Prognostic Value of KRAS Gene Mutation on Survival of Patients with Peritoneal Metastases of Colorectal Adenocarcinoma

Table 2

KRAS mutation status according to patient and tumour characteristics.

WT-KRAS (n = 74)MT-KRAS (n = 75) value

Sex
Men (n = 85)43 (50.6%)42 (49.4%)0.46
Women (n = 64)31 (48.4%)33 (51.6%)

Age
<50 (n = 17)9 (53%)8 (47%)0.62
50–69 (n = 80)42 (52.5%)38 (47.5%)
>69 (n = 52)23 (44.2%)29 (55.8%)

Location
Right colon (n = 64)28 (43.7%)36 (56.3%)0.32
Left colon (n = 64)33 (51.5%)31 (48.5%)
Rectum (n = 21)13 (61.9%)8 (38.1%)

ECOG Index
0 (n = 34)20 (58.8%)14 (41.2%)0.15
1-2 (n = 115)54 (46.9%)61 (53.1%)

T stage
T3 (n = 68)33 (48.5%)35 (51.5%)0.46
T4 (n = 81)41 (50.6%)40 (49.4%)

N stage
N0 (n = 27)18 (66.6%)9 (33.4%)0.04
N1-2 (n = 122)56 (45.9%)66 (54.1%)

Time of diagnostics
Synchronic (n = 77)36 (46.7%)41 (53.3%)0.28
Metachronic (n = 72)38 (52.8%)34 (47.2%)

Site of metastases
Peritoneum only (n = 61)36 (59%)25 (41%)0.08
Peritoneum + liver (n = 51)26 (51%)25 (49%)
Peritoneum + lung (n = 8)3 (37.5%)5 (62.5%)
Multiple (n = 29)9 (31%)20 (69%)

Grade of differentiation
Well to moderate (n = 111)61 (55%)50 (45%)0.02
Poor (n = 38)13 (34.2%)25 (65.8%)

Histologic type
Classic adenocarcinoma (n = 105)61 (58%)43 (42%)<0.001
Mucinous (n = 44)12 ((27.7%)32 (73.8%)

Peritoneal cancer index
1–10 (n = 46)23 (50%)23 (50%)0.15
11–20 (n = 63)36 (57.1%)27 (42.9%)
>20 (n = 40)15 (37.5%)25 (62.5%)

Primary tumour resection
Yes (n = 130)69 (53%)61 (47%)0.02
No (n = 19)5 (26.3%)14 (73.7%)

Chemotherapy treatment
5-FU-based programs plus bevacizumab/cetuximab (n = 103)57 (55%)46 (45%)0.51
5-FU-based programs (n = 46)17 (37%)29 (63%)

HIPEC
No (n = 113)50 (44.2%)63 (55.8%)0.01
Yes (n = 36)24 (66.6%)12 (33.4%)

A χ2 test was used to calculate the values.