Table 1.
Patient characteristics | Overall ptx population |
ptx with LS CRC |
ptx with RS CRC |
P value | |||
---|---|---|---|---|---|---|---|
n | % | n | % | n | % | ||
281 | 100 | 239 | 85.1 | 42 | 14.9 | ||
Sex | |||||||
Female | 109 | 38.8 | 90 | 37.7 | 19 | 45.2 | n.s. |
Male | 172 | 61.2 | 149 | 62.3 | 23 | 54.8 | |
Median age at diagnosis of CRC (years) | 61 | 61 | 66 | 0.024 | |||
Range | 33-89 | 33-89 | 38-79 | ||||
Stage IV at diagnosis of CRC | |||||||
Yes | 92 | 34.1 | 76 | 33.0 | 16 | 40.0 | n.s. |
No | 178 | 65.9 | 154 | 67.0 | 24 | 60.0 | |
Unknown | 11 (3.9%) | ||||||
RAS mutation (KRAS or NRAS) | |||||||
Yes | 39 | 79.6 | 33 | 76.7 | 6 | 100.0 | n.s. |
No | 10 | 20.4 | 10 | 23.3 | 0 | 0.0 | |
Unknown | 232 (82.6%) | ||||||
Visceral metastases before BM | |||||||
Yes | 206 | 78 | 178 | 78.4 | 28 | 75.7 | n.s. |
No | 58 | 22 | 49 | 21.6 | 9 | 24.3 | |
Unknown | 17 (6.0%) | ||||||
Liver metastases before BM | |||||||
Yes | 122 | 43.4 | 103 | 43.1 | 19 | 45.2 | n.s. |
No | 142 | 50.5 | 125 | 52.3 | 17 | 40.5 | |
Unknown | 17 (6.0%) | ||||||
Lung metastases before BM | |||||||
Yes | 177 | 66.5 | 156 | 68.4 | 21 | 55.3 | n.s. |
No | 89 | 33.5 | 72 | 31.6 | 17 | 44.7 | |
Unknown | 15 (5.3%) | ||||||
Systemic disease at diagnosis of BM | |||||||
No evidence of extracranial disease and complete remission | 43 | 16.1 | 36 | 15.7 | 7 | 18.9 | n.s. |
Partial remission | 6 | 2.2 | 4 | 1.7 | 2 | 5.4 | |
Stable disease | 70 | 26.2 | 63 | 27.4 | 7 | 18.9 | |
Progressive disease | 126 | 47.2 | 110 | 47.8 | 16 | 43.2 | |
Synchronous diagnosis of CRC and BM | 22 | 8.2 | 17 | 7.4 | 5 | 13.5 | |
Unknown | 14 (5.0%) | ||||||
Progressive systemic disease at diagnosis of BM | |||||||
Yes | 148 | 55.4 | 127 | 55.2 | 21 | 56.8 | n.s. |
No | 119 | 44.6 | 103 | 44.8 | 16 | 43.2 | |
Unknown | 14 (5.0%) | ||||||
Median age at diagnosis of BM (years) | 65 | 64 | 69 | n.s. | |||
Range | 34-89 | 34-89 | 39-81 | ||||
Median KPS at diagnosis of BM | 70 | 70 | 70 | n.s. | |||
Range | 20-100 | 20-100 | 40-100 | ||||
Median number of BM at initial BM diagnosis | 1 | 1 | 1 | n.s. | |||
Range | 1-3 | 1-8 | 1-5 | ||||
Concomitant LC at diagnosis of BM | |||||||
Yes | 7 | 2.5 | 7 | 2.9 | 0 | 0 | n.s. |
No | 274 | 97.5 | 232 | 97.1 | 42 | 100.0 | |
First line therapy for BM | |||||||
WBRT | 41 | 14.9 | 36 | 15.5 | 5 | 11.9 | n.s. |
Stereotactic radiosurgery | 118 | 42.9 | 98 | 42.1 | 20 | 47.6 | |
Resection | 109 | 39.6 | 93 | 39.9 | 16 | 38.1 | |
Best supportive care | 7 | 2.5 | 6 | 2.6 | 1 | 2.4 | |
Unknown | 6 (2.1%) | ||||||
BM recurrence after initial therapy | |||||||
Yes | 100 | 40.2 | 91 | 42.3 | 9 | 26.5 | n.s. |
No | 149 | 59.8 | 124 | 57.7 | 25 | 73.5 | |
Unknown | 32 (11.4%) |
BM, brain metastases; CRC, colorectal cancer; KPS, Karnofsky performance status; LC, leptomeningeal carcinomatosis; LS, left-sided; n.s., non-significant; ptx, patients; RS, right-sided; WBRT, whole brain radiotherapy.
Bold value indicates difference in age at diagnosis between right and left-sided CRC.