Table 3.
Age | Sex | Primary site | Initial metastatic sites | Systemic therapy before conversion surgery | Objective response according to RECIST 1.1 | Reason that makes the disease resectable | BRAF V600E and SRC status | Genetic alterations of EGFR pathwaya | Pattern of failure after conversion surgery | Months after primary tumor resection | Alive or death | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 53 | F | Rectosigmoid | Liver | FOLFOX + Pmab | −72% | Significant shrinkage of liver metastases | All wild-type | All wild-type | Lung | 27 | Alive (NED)b |
2 | 59 | F | Sigmoid | Liver | FOLFOX + Pmab | −71% | Significant shrinkage of liver metastases | All wild-type | All wild-type | Liver | 27 | Alive (Tumor bearing) |
3 | 66 | F | Rectosigmoid | Liver | XELOX + Bmab | −62% | Significant shrinkage of liver metastases | All wild-type | All wild-type | Liver | 52 | Alive (NED)c |
4 | 50 | F | Sigmoid | Liver | XELOX + Bmab | −44% | Significant shrinkage of liver metastases | All wild-type | Mutant | Liver | 51 | Alive (Tumor bearing) |
5 | 48 | F | Sigmoid | Liver and distant LN | FOLFOX + Bmab | −38% | Significant shrinkage of liver metastases (especially near the inferior vena cava) | All wild-type | All wild-type | Liver | 49 | Dead |
6 | 51 | M | Sigmoid | Liver | XELOX + Bmab | −72% | Significant shrinkage of liver metastases | All wild-type | Mutant | Liver | 46 | Dead |
7 | 56 | M | Sigmoid | Liver | XELOX + Bmab | −43% | Significant shrinkage of liver metastases | All wild-type | All wild-type | Liver | 35 | Dead |
8 | 76 | M | Transverse | Liver | FOLFOX + Bmab | −32% | Significant shrinkage of liver metastases (especially near the inferior vena cava) | All wild-type | Mutant | Liver | 34 | Dead |
9 | 75 | F | Sigmoid | Liver | XELOX + Bmab | −45% | Significant shrinkage of liver metastases | All wild-type | All wild-type | Lung | 41 | Dead |
10 | 78 | F | Sigmoid | Liver and lung | FOLFOX | −28% | Significant shrinkage of liver metastases | All wild-type | All wild-type | Liver and peritoneum | 72 | Dead |
11 | 45 | M | Ascending | Liver and peritoneum | FOLFOX | −40% | Significant shrinkage of liver metastases | All wild-type | Mutant | Liver and lung | 47 | Dead |
Bmab Bevacizumab, FOLFOX 5FU + Leucovorin + Oxaliplatin, Pmab Panitumumab, LN lymph node, NED no evidence of disease, XELOX XELODA + Oxaliplatin.
aGenetic alterations of EGFR pathway: Genetic alterations of TK receptors (ERBB2, MET, EGFR, FGFR1, and PDGFRA), MEK/ERK pathway (KRAS, NRAS, HRAS, BRAF, and MAPK2K1), and PI3K pathway (PTEN and PIK3CA).
bThis patient underwent metastasectomies three times (lung, liver, liver) after conversion surgery.
cThis patient underwent metastasectomies three times (liver, liver, liver) after conversion surgery.