Table 2 The clinicopathologic features, molecular findings, and treatment/follow-up data for 22 RAS-amplified metastatic colorectal carcinomas.

From: KRAS amplification in metastatic colon cancer is associated with a history of inflammatory bowel disease and may confer resistance to anti-EGFR therapy

Case

Age (years)

Sex

History of IBD

Primary colonic origin

Histologic subtype

Histologic grade

RAS gene amplification (CN)

Other genomic alterationsa

MMR protein status

Anti-EGFR treatment

Follow-up (months)

1

49

M

Yes (UC)

Rectum

Conventional

Moderate

KRAS (19)

 

Preserved

Yes (panitumumab)b

AWD (18)

2

45

M

Yes (UC)

Rectum

Conventional

Moderate

KRAS (17)

 

Preserved

No

AWD (27)

3

73

M

Yes (UC)

Sigmoid colon

Conventional

Moderate

KRAS (10)

 

Preserved

Yes (panitumumab)b

AWD (57)

4

63

M

Yes (UC)

Sigmoid colon

Conventional

Moderate

KRAS (6)

 

Preserved

Yes (panitumumab)b

AWD (30)

5

38

F

Yes (Crohn’s)

Cecum

Signet-ring cell

Poor

KRAS (13)

 

Preserved

No

DOD (5)

6

54

F

Yes (UC)

Sigmoid colon

Conventional

Moderate

KRAS (7)

 

Preserved

N/A

N/A

7

59

M

No

Cecum

Micropapillary

Moderate

KRAS (14)

 

Preserved

No

DOD (6)

8

61

M

No

Cecum

Mucinous

Moderate

KRAS (8)

BRAF p.V600E

Preserved

No

DOD (31)

9

60

F

No

Ascending colon

Mucinous

Moderate

KRAS (8)

 

Preserved

Yes (panitumumab)b

DOD (23)

10

26

M

No

Sigmoid

Conventional

Poor

KRAS (7)

 

Preserved

No

AWD (15)

11

78

M

No

Rectum

Conventional

Moderate

KRAS (6)

KRAS p.G12V

Preserved

No

DOD (7)

12

74

M

No

Rectum

Conventional

Moderate

KRAS (7)

KRAS p.G12R

Preserved

No

DOD (21)

13

41

M

Yes (Crohn’s)

Rectum

Conventional

Poor

KRAS (12)

KRAS p.G12D

Preserved

No

DOD (2)

14

57

M

Yes (Crohn’s)

Rectum

Conventional

Moderate

KRAS (6)

KRAS p.A146T

Preserved

No

DOD (8)

15

53

M

Yes (Crohn’s)

Rectum

Conventional

Moderate

KRAS (6)

KRAS p.G12D

Preserved

No

DOD (15)

16

57

M

No

Rectum

Conventional

Moderate

NRAS (16)

 

Preserved

Yes (panitumumab)c

AWD (10)

17

52

M

No

Rectum

Conventional

Moderate

NRAS (14)

 

Preserved

N/A

N/A

18

51

F

No

Rectum

Conventional

Poor

NRAS (8)

NRAS p.G12D

Preserved

No

DOD (156)

19

72

M

No

Cecum

Mucinous

Moderate

NRAS (7)

KRAS p.G12R

Preserved

No

DOD (11)

20

66

M

No

Cecum

Mucinous

Moderate

NRAS (6)

KRAS p.G12S

Preserved

No

DOD (11)

21

67

F

No

Cecum

Mucinous

Poor

HRAS (21)

BRAF p.V600E

MLH1/PMS2-deficient

No

DOD (31)

22

79

F

No

Cecum

Mucinous

Poor

HRAS (19)

BRAF p.V600E

MLH1/PMS2-deficient

No

DOD (20)

  1. AWD alive with disease, CN copy number, DOD died of disease, F female, IBD inflammatory bowel disease, M male, MMR mismatch repair, N/A not available, UC ulcerative colitis.
  2. aThe following genes were evaluated for genomic alterations: KRAS, NRAS, HRAS, BRAF, and PIK3CA.
  3. bClinical and radiographic disease progression on panitumumab-based treatment.
  4. cDiscontinuation of panitumumab after one cycle due to severe grade III skin toxicity.