Table 1.
Current clinical used molecular biomarkers in colorectal cancer (CRC).
| Status | Prevalence | Prognostic Value | Predictive Value | Ref. | |
|---|---|---|---|---|---|
| Non-Metastatic | Metastatic | ||||
| Microsatellite instability (MSI) high |
overall: 15% stage II/III: 15% stage IV: 4.5% |
Increased overall survival in stage II |
× 5-FU monotherapy (stage II) √ FOLFOX (stage III) |
√ Immuno-therapy | [11,12,13,14,15,16,17,18,19,20,21,22,23,24] |
| KRAS/NRAS mutation | 45% | Bad prognostic (debatable in stage II) | No impact on treatment | × Anti-EGFR therapy | [25,26,27,28,29,30,31,32,33,34,35,36,37,38] |
| BRAF mutation | 7–10% | Bad prognostic especially in the metastatic setting | Currently no impact on treatment | × Anti-EGFR therapy (conflicting data) | [12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,39,40,41,42,43] |
| √ Combi therapy: Anti-BRAF/Anti-EGFR | |||||
Benefit: √; No benefit: ×.