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Personalizing medicine for metastatic colorectal cancer: Current developments

dc.contributor.authorMarques, Andrea Marin
dc.contributor.authorTurner, Alice
dc.contributor.authorDe Mello, Ramon Andrade
dc.date.accessioned2018-12-07T14:52:44Z
dc.date.available2018-12-07T14:52:44Z
dc.date.issued2014-08
dc.description.abstractMetastatic colorectal cancer (mCRC) is still one of the tumor types with the highest incidence and mortality. In 2012, colorectal cancer was the second most prevalence cancer among males (9%) and the third among females (8%). In this disease, early diagnosis is important to improve treatment outcomes. However, at the time of diagnosis, about one quarter of patients already have metastases, and overall survival of these patients at 5-years survival is very low. Because of these poor statistics, the development of new drugs against specific targets, including the pathway of angiogenesis, has witnessed a remarkable increase. So, targets therapies through epidermal growth factor and its receptor and also KRAS pathways modulation acquired a main role whether in association with standard chemotherapy and radiotherapy. With the current knowledge in the field of molecular biology, including genetic mutations and polymorphisms, we know better why patients respond so differently to the same treatments. So, in the future we can develop increasingly personalized treatments to the patient and not the disease. This review aims to summarize some molecular pathways and their relation to tumor growth, as well as novel targeted developing drugs and recently approved for mCRC. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
dc.description.versioninfo:eu-repo/semantics/publishedVersion
dc.identifier.doi10.3748/wjg.v20.i30.10425
dc.identifier.issn1007-9327
dc.identifier.issn2219-2840
dc.identifier.urihttp://hdl.handle.net/10400.1/11186
dc.language.isoeng
dc.peerreviewedyes
dc.publisherBaishideng Publishing Group Inc
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectEndothelial growth-factor
dc.subjectTyrosine Kinase inhibitor
dc.subjectRandomized Phase-Iii
dc.subjectAnti-vegf therapy
dc.subject1St-Line treatment
dc.subjectBrivanib Alaninate
dc.subjectTumor Angiogenesis
dc.subjectLiver metastases
dc.subjectPtk787/Zk 222584
dc.subjectPlus Irinotecan
dc.titlePersonalizing medicine for metastatic colorectal cancer: Current developments
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage10431
oaire.citation.issue30
oaire.citation.startPage10425
oaire.citation.titleWorld Journal of Gastroenterology
oaire.citation.volume20
person.familyNamede Mello
person.givenNameRamon Andrade
person.identifier.orcid0000-0002-9640-4573
rcaap.rightsopenAccess
rcaap.typearticle
relation.isAuthorOfPublication53ee625f-c5c3-468b-85bb-4cef5ad36928
relation.isAuthorOfPublication.latestForDiscovery53ee625f-c5c3-468b-85bb-4cef5ad36928

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