Table 4 Molecular features of pT1 colorectal carcinomas stratified by lymph node status and tumor budding

From: Colorectal carcinomas with submucosal invasion (pT1): analysis of histopathological and molecular factors predicting lymph node metastasis

Molecular feature

Negative for lymph node metastasis (%)

Positive for lymph node metastasis (%)

P-valuea

Low tumor budding (0–4 per 0.95 mm2) (%)

High tumor budding (5 per 0.95 mm2) (%)

P-valuea

MMR protein and MSI PCR status

 Number of cases analyzed

77

26

0.5

72

31

0.2

 MMRP

60 (78)

22 (85)

 

55 (76)

27 (87)

 

 MMRD

17 (22)

4 (15)

 

17 (24)

4 (13)

 

No. of cases analyzed by NGS

26

22

NA

26

22

NA

Mean number of mutations (range)

2.5 (0–5)

2.6 (0–4)

0.9

2.1 (0–5)

3.0 (0-5)

0.2

WNT pathway mutation

16 (62)

13 (59)

0.9

16 (62)

13 (59)

0.9

APC

16 (62)

13 (59)

 

16 (62)

13 (59)

 

CTNNB1

1 (4)

0

 

1 (4)

0

 

MAPK pathway mutation

18 (69)

14 (64)

0.7

19 (73)

11 (50)

0.1

BRAF

5 (19)

3 (14)

 

4 (15)

4 (18)

0.08

KRAS

10 (38)

10 (45)

 

13 (50)

7 (32)

 

NRAS

3 (12)

1 (5)

 

3 (12)

1 (5)

 

Any RAS

13 (50)

11 (50)

 

16 (62)

8 (36)

 

mTOR pathway mutation

5 (19)

4 (18)

0.9

8 (31)

1 (5)

0.02

PIK3CA

5 (19)

3 (14)

 

7 (27)

1 (5)

0.04

AKT

0

1(5)

 

1 (4)

0

 

PTEN

0

0

 

0

0

 

TP53 mutation

14 (54)

13 (59)

0.7

11 (42)

16 (73)

0.03

Other mutations

4 (15)

6 (23)

0.3

4 (15)

6 (27)

0.3

CDKN2A

1 (4)

2 (9)

 

1 (4)

2 (9)

 

SMAD4

0

1 (5)

 

1 (4)

0

 

FGFR3

1 (4)

0

 

0 ()

1 (5)

 

GNAS

1 (4)

1 (5)

 

2 (8)

0

 

RET

0

1 (5)

 

0 ()

1 (5)

 

SMARCB1/c

0

1 (5)

 

0 ()

1 (5)

 

FBXW7

0

1 (5)

 

0 ()

1 (5)

 

JAK3

1 (4)

0

 

0 ()

1 (5)

 

STK11

0

1 (5)

 

0 ()

1 (5)

 
  1. Abbreviations: MMR, mismatch repair; MSI, microsatellite instability; NGS, next-generation sequencing.
  2. aFor the next-generation sequencing molecular analysis, P-values are calculated for differences in mutations in genes grouped into the following categories: WNT pathway, MAPK pathway, mTOR pathway, TP53, and category of other mutations.