Tumor evolution and intratumor heterogeneity in colorectal carcinoma: Insights from comparative genomic profiling of primary tumors and matched metastases Journal Article


Authors: Sylvester, B. E.; Vakiani, E.
Article Title: Tumor evolution and intratumor heterogeneity in colorectal carcinoma: Insights from comparative genomic profiling of primary tumors and matched metastases
Abstract: Metastatic colorectal cancer (CRC) is one of the leading causes of cancer-related mortality among men and women worldwide. Over the past few decades, advances in our understanding of the genetic and epigenetic underpinnings of CRC have led to important insights into the pathogenesis of invasive tumors and have identified different molecular subgroups. Nonetheless, the events that might facilitate dissemination of tumor cells to distant sites giving rise to metastatic disease are not well characterized. Furthermore, in contrast to intertumor heterogeneity the extent of intratumor heterogeneity in different types of CRC has not been fully defined. In this paper, we review studies that have compared the genetic profile of primary invasive carcinomas to that of matched metastases and discuss the implications of their findings for our understanding of tumor evolution and for the clinical management of patients with advanced CRC. © Journal of Gastrointestinal Oncology. All rights reserved.
Keywords: signal transduction; gene mutation; gene sequence; review; cancer growth; genetic analysis; gene overexpression; metastasis; gene expression; genetic variability; mutational analysis; cell heterogeneity; colorectal carcinoma; cancer genetics; chromosome aberration; oncogene; tumor suppressor gene; molecular evolution; cancer cell; comparative genomic hybridization; genetic selection; copy number variation; next generation sequencing; exome; intratumor heterogeneity; human; tumor evolution
Journal Title: Journal of Gastrointestinal Oncology
Volume: 6
Issue: 6
ISSN: 2078-6891
Publisher: Pioneer Bioscience Publishing Company  
Date Published: 2015-12-01
Start Page: 668
End Page: 675
Language: English
DOI: 10.3978/j.issn.2078-6891.2015.083
PROVIDER: scopus
PMCID: PMC4671856
PUBMED: 26697200
DOI/URL:
Notes: Review -- Export Date: 6 December 2016 -- Source: Scopus
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  1. Efsevia Vakiani
    242 Vakiani